32. NP5 RECALL_PRE-INTENSIVE C. Releasing muscles from tension.

D. Listening to a relaxation audio program.

SITUATION 1
As a new RN, you are for one-month orientation in 7. Bio-behavioral interventions are being used
the orthopedic unit of the hospital. increasingly by both nurses and patients in stress
management. The following are examples of such
1. Which of the following methods of documentation intervention except ___________.
uses a chronological, story-telling format? A. Progressive muscle relaxation
A. Computerized documentation B. Pharmacotherapy
B. Narrative charting C. Guided imagery
C. Focus charting D. Mindful meditation
D. PIE charting
8. Mark, a young overweight nurse, is making five to
2. Which of the following is the key issue in ten sticks of cigarettes a day. He claimed that he
malpractice actions brought against nurses in relation learned to smoke to relieve his stress caused by toxic
to medical records? assignments in the ward. Along with the smoking he
A. Failure to document the client’s response became a stress-eater. He decided to undergo a
B. Failure to document medication and treatment lifestyle modification which begins with
given ____________.
C. Failure to document appropriately A. Eating the right kind of foods
D. Failure to use medical terms B. A recognition of the impact of unhealthy habits
C. Doing a regular daily exercise.
3. You have observed the charge nurse charting D. A constructive and positive attitude in life.
treatments and medications prior to actual
administration and implementation. Which of the 9. Mark is a well-informed nurse on the smoking
following would be your initial action in this situation? cessation program of the Department of Health. As a
A. Document what you have observed regarding the next step to his decision to stop smoking, Ace needs
charge nurse’s behavior ___________.
A. Commitment
B. Talk to the charge nurse about the legal B. Motivation
implications of her action and the violation of C. Information
standards of practice D. Skills to implement change
C. Report the charge nurse’s behavior to the nurse
manager SITUATION 2
D. Tell the charge nurse that you have an obligation to Mrs. Sophie Tan, a 43-year old female came in for
report the behavior to the nurse manager consult with the chief complaint of severe pain of
both eyes. She claimed she sometimes sees
4. A staff nurse is seen making an entry into an rainbow halos around light. She also experiences
electronic medical record under another nurse’s login. nausea and vomiting, the attending physician
What is the most appropriate thing to do in this gave an impression of Acute Angle-Closure
situation? Glaucoma.
A. Tell the staff nurse’s behavior to another nurse
B. The staff nurse’s activity should be reported to
someone in authority 10. In assessing Mrs. Tan, what demographic data
C. Talk to the staff nurse about it is/are RELEVANT to ocular movement?
D. Just be quiet about the whole thing A. Gender
B. Age at menarche
5. Which of the following would be your MOST C. Age and gender
appropriate action when receiving a doctor's order D. Race
over the phone?
A. Have somebody beside you while receiving the 11. An ophthalmoscopic examination was done to
doctor’s order Mrs. Tan. The following results are expected EXCEPT
B. Write down the telephone order ____________.
C. Have the physician sign the telephone order first A. Nonreactive pupil
chance you see him B. Corneal cloudiness
D. Read back or repeat the order the physician C. Erythematous conjunctiva
gave you D. Decreased intraocular pressure
6. A common response to unhealthy work 12. Vision loss for Mrs. Tan may progress as days go
environment is physical tension. This can be by and this is irreparable. An appropriate nursing
overcome by progressive muscle relaxation which diagnosis would be ___________. (C has an incorrect
basically involves __________. etiology despite having correct Nursing problem
A. Focusing on an image to relax Disturbed sensory perception)
B. Active physical exercise like aerobics
A. Disturbed sensory perception related to severe A. Cochlea and auditory nerve
pain B. Vestibular nerve and cochlea
B. Risk for ineffective therapeutic regimen C. Middle ear and auditory nerve
C. Disturbed sensory perception related to recent loss D. Outer ear and cochlea
of vision.
D. Grieving related to loss of vision 19. Which of the following is a predisposing factor for
sensory hearing loss?
13. Select the medication that should be discussed by A. Serous otitis media
the nurse with the attending physician before B. Ototoxic agents
administering it to Mrs. Tan C. Otosclerosis
A. Isoptocarpine eyedrops D. Perforation of the eardrum
B. Corticosporin ophthalmic
C. Mannitol 20. Which of the following is useful in correcting a
D. Atropine sensorineural hearing loss?
A. Nothing, the damage is irreversible
14. In a medically-managed patient with glaucoma, B. Myringotomy
independent self-care is the area for evaluation. C. Stapedectomy
Which of the following is a short-term outcome for D. Tympanolasty
Mrs. Tan?
A. Ability to recognize clinical manifestations of 21. One of your patients underwent tympanoplasty.
complications Which of the following interventions is the MOST
B. Mrs. Santos’ self-care ability APPROPRIATE after a tympanoplasty?
C. Compliance with the medical management A. Applying ear drops as ordered by the physician
D. Mrs. Santos ability to instill eye drops B. Teaching the patient to avoid heavy physical
activity for at least three weeks.
SITUATION 3
C. Rinsing ear three times a day using hydrogen
Chelsea is a beginning nurse in a government
peroxide as ordered
hospital. She still needs enhancement of her
D. Avoiding the use of cotton in cleaning the ears.
competencies in charting.

15. Chelsea should know that in narrative charting, 22. A patient came in with the chief complaints of
documentation of patient care should be ringing in the ears and a feeling of whirling around.
____________. The attending physician suspects Meneire’s
A. Extensive Syndrome. To arrive at a correct diagnosis, the
B. Formatted patient must be manifesting these three symptoms:
C. Chronologic paroxysmal whirling vertigo; tinnitus; and
D. Descriptive _____________.
A. Conductive hearing loss
16. Which statement is NOT true about medical B. Bilateral symptoms
record that Chelsea must understand. Charts C. Vomiting
_____________. D. Sensorineural hearing loss
A. Contents must be kept confidential SITUATION 5
B. Can be borrowed by any nursing student You are a staff nurse in the Psychiatric Unit of the
C. Can be accessed by a researcher. hospital taking care of patients with manic
D. Can be given out only with patient’s consent disorder. The following questions relate to this
statement.
17. The following are methods of charting, EXCEPT
__________. 23. What would be your MOST therapeutic response
A. Sequential to a manic patient demanding that you call his
B. Narrative attending physician to make an order for a pass to go
C. POMR out at the middle of the night?
D. Focus A. “You go to the recreation hall now while I call your
attending physician”
SITUATION 4
B. “You must really be upset to want a pass
You are a staff nurse in the Ear Unit of a
immediately. I will give you a medication to make you
government hospital. As such, you are taking care
calm.”
of patients with different ear conditions.
C. “I can’t call your physician now but you can
18. Pau, a 25 year-old radio announcer came in for talk to me about your request to pass.”
consult with the chief complaints of not being able to D. “Don’t be unreasonable. I can’t call your attending
hear well and inability to discriminate sounds he is physician in the middle of the night”
hearing. An otoscopic examination was done to her,
which revealed that there is sensorineural loss. This
condition is due to damage to what part of the ear?
24. One of your patients lacks food and fluid intake 30. Which of the following assessment data provides
due to poor appetite. What foods would BEST meet the best information on the patient’s physiologic
the patient’s nutritional needs? response and the effectiveness of the medication
A. Steak and spaghetti prescribed for alcohol withdrawal?
B. Peanut butter, sandwich and milk A. Sleep pattern
C. Carrots, celery, raisins, apple B. Evidence of tremors
D. Beef and non-diet soda
C. Vital signs
25. During lunchtime you have observed that a patient D. Nutritional status
with mania taking food from other patient. What
principle would guide you in determining the 31. One of your patients is manifesting signs and
appropriate intervention in this situation? symptoms of alcohol withdrawal such as: tremors,
A. The patient needs foods and fluids any way diaphoresis, and hyperactivity. Blood pressure is
possible 190/92 [Link] and pulse rate of 92 beats/min. which
B. The patient will calm down as soon as lunchtime is of the following medications should you expect to be
over. ordered for this patient?
C. The intrusive behavior of a manic patient is not a A. Lorazepam (Ativan)
threat to other patients. B. Naloxone (Narcan)
D. Other patients need to be protected from the C. Haloperidol (Haldol)
intrusive behavior of other patients. D. Benztropin(Cogentin)
26. A patient is manifesting some manic depression.
Which of the following activities would you provide to 32. A patient discharged from an alcohol rehabilitation
distract such patient? program was on Clonazepam (Klonopin) 0.5 mg.
A. You let the patient go for a walk three times a day. Several months later he reported
B. Give him a book to read. having insomnia, shakiness, sweating, and one
C. Let him watch the final game of the UAAP seizure. Which of the following questions should you
D. Let him play checkers with another patient. ask FIRST? Ask if he _____________.
walk A. Has stopped taking the Klonopin suddenly
B. Has been drinking alcohol with the Klonopin
27. What therapeutic activity would you provide a C. Has developed tolerance to the Klonopin and
patient with mania? needs to increase the dose.
A. Doing ceramics and whittling D. Is having a panic attack and needs to take extra
B. Playing cards and checkers Klonopin.
C. Playing bingo and knitting
D. Drawing and folding towels SITUATION 7
You are a staff nurse in the Eye Unit of the
SITUATION 6 hospital. In the regular Quality Circle meeting one
You are a staff nurse in a Rehabilitation Center for of the matters discussed was the increasing
Substance Abuse. complaints of patients who underwent eye
surgery in relation to instillation of eye drops. The
28. You admitted an intoxicated patient for alcohol case of Maureen who has cataract surgery was
withdrawal. Which of the following interventions presented as a frame of reference in the reviewing
should you implement to help the client become the procedure on eye drops instillation.
sober?
A. Have the patient take a cold shower 33. Which of the following is the rationale for instilling
B. Walk the patient around the unit eye drops to patients who has eye surgery?
C. Provide the patient a quiet room to sleep in A. To help control the intra-ocular pressure.
D. Give patient a black coffee to drink B. To dilate the patient’s pupils
C. To treat an eye infection
D. To constrict the patient’s pupils
29. While obtaining the history of a patient with
several cases of driving under the influence of 34. You have observed presence of drainage in
alcohol, you asked about the amount of alcohol the Maureen’s eyes. Which of the following eye solutions
patient consumes daily. He answered “I just have a would you use in cleaning her eyes?
few drinks with the guys after work”. Which of the A. Hydrochloric acid
following would be your MOST therapeutic response? B. Normal saline solution
A. “That’s all the patients here say at first”. C. Mineral water
B. “You say you have a few drinks, but you have a D. Soapsuds solutions
multiple arrests”.
C. “I think you cannot handle a few drinks”. 35. In instilling the eye drops you have to tilt the back
D. “Then you should have somebody driving for you”. slightly Maureen’s head. Which of the following is the
rationale for this nursing action?
A. To prevent any spill from the eye during the C. Place him in the seclusion room with 15-minute
procedure checks.
B. To keep any debris away from the lacrimal duct. D. Assign a nursing staff to remain with him all times.
C. To facilitate the procedure.
D. To reach the conjunctival sac easily. 42. In evaluating the effectiveness of the care
provided for a self-destructive patient, the BEST
36. You accidentally touch Maureen’s eyelid during approach is to __________.
eye drop instillation causing her to blink. What should A. Modify the plan as little as possible to avoid
have you done to prevent this from occurring? confusing the patient.
A. Touch the inner side of the medicine cap B. Make sure the staff has followed the original care
B. Tilt back Claudia’s head slightly plan.
C. Hold the dropper close to the eye but do not allow C. Involve the patient in the process of evaluation.
the medication to fall into the cornea. D. Identify maladaptive coping behaviors.
D. Have Claudia look up and focus on something
SITUATION
37. You cannot open Maureen’s eyes due to dried The nurse’s work environment plays a vital role in
crust. Which of the following actions would you do? her ability to provide quality patient care.
A. Apply the eye drops the next day Inadequate resources in health care and
B. Apply eye ointment to soften the crust. unhealthy conditions in the workplace result to
C. Instill eye drops nurse’s work stress.
D. Place a warm wet wash cloth over her eyes for
at least three minutes.
43. Burnout is a phenomenon that is BEST
SITUATION
characterized by _____________.
Nurse Jen who is on-duty in a psychiatric unit is
A. Emotional exhaustion: depersonalization: and
assigned to care for patients at-risk for suicide.
reduced personal accomplishment
38. Nurse Jen should pursue assessment of suicide B. Growing dissatisfaction among nurses due to
risk for individuals who display tendencies to be changing career expectations.
_____________. C. Increased absenteeism and fast turnover of
A. Compulsive, obsessive, or weak nurses due to toxic work environment.
B. Risk-taking, aggressive, or controlling D. Conflict between demands of work and family.
C. Hostile, impulsive, or depressed
SITUATION
D. Blaming, abusive, or confused
Mr. Ramos, a post- operative, was given
39. On admission, the nursing diagnosis for Felix, Amoxycillin at 12 midnight by the nurse on duty
who is depressed and suicidal is, “Risk for suicide.” (NOD). The physician asked the patient during his
An appropriate outcome for this diagnosis at rounds if he has receive the drug, the patient
discharge from the hospital is, “The patient will answered “NO”. The physician clarified the claim
_____________. from the chart and from the chart and from the
A. Not harm self while hospitalized NOD.
B. Be able to problem-solve effectively
C. Increase feelings of self-worth
44. Which of the following is the primary reason why
D. Develop a trusting relationship with the nursing
the physician wanted to clarify the process?
staff.
A. Measures the turnaround time of medication
40. Which of the following statements would BEST B. Better communication with patient and result
represent Nurse Jen’s attempt to assess a patient’s C. Identify gap in the medication administration
current ability to organize and enact a suicide wish? D. Improve care management in drug administration
A. “What is your educational background?”
45. The approach adopted by quality circle team was
B. “What plan do you have for committing
presented to top management. Which of the following
suicide?”
tools is APPROPRIATE to be utilized as a guide for
C. “Have you ever thought about hurting yourself?”
their time management?
D. “Are your self-destructive thoughts frequent?”
A. Pre chart
41. A male suicidal patient is found by Nurse Jen as B. Radar chart
he tries to hang himself in the bathroom. What nursing C. Process of flow chart
intervention would address the patient’s need for D. Gantt chart
safety while maintaining his self-esteem?
A. Advise him to use the bathroom only with staff SITUATION
supervision. You are a staff nurse in the Ear Unit of the
B. Tell him that the police is coming to rescue him. hospital. A common condition you encounter is
hearing disorder which often results in
communication problems. The following B. Tell the patient that because of his age it is
questions refer to these statements. inevitable that his hearing should begin to deteriorate
C. Having the patient immediately report the
46. The daughter of an older adult patient reports that hearing loss to his physician
her father just “stares off into space” more and more D. Tell the patient the hearing loss is only temporary,
in the last several months. However, once she gets when his system adjust to the furosemide his hearing
his attention her father eagerly smiles and nods. You will improve
should assess the patient further for ______.
A. Hearing loss SITUATION
B. Anger Mrs. Chiqui, a 78 year old widow, was brought to
C. Dementia the clinic by her son with the chief complaint of
D. Depression constant confusion, incontinence, and tendency
to wander. Mrs. Chiqui has a diagnosis of
47. Which of the following should the nurse do FIRST cognitive impairment disorder.
when approaching a deaf patient?
A. Get the patient’s attention
B. Knock on the patient’s room loudly 51. The son of Mrs. Chiqui informed the nurse that his
C. Talk while walking into the room mother seemed to be inventing stories about certain
D. Close and open the vertical blinds rapidly personal achievements. The nurse identifies this as
confabulation and interprets it correctly as ________.
48. You have a patient who is hearing impaired and A. Indicates a lack of ego-integration
reads speech. Which of the following strategies B. Results to tendency to lie
should you incorporate when communicating with
him? Select all that apply. C. Helps to maintain self-esteem
D. Results in poor judgement
1) Avoiding being silhouetted against strong light
52. The nurse asked Mrs. Chiqui for her children’s
and grandchildren’s names. This is to assess Mrs.
2) Not blocking out the person’s view of the Chiqui’s:
speaker’s mouth A. Remote Memory
B. Recent Memory
3) Facing the patient when talking C. Attention Span
D. Orientation Status
4) Having bright light behind so the individual can
see 53. Which of the following outcome criteria would be
the MOST APPROPRIATE for Mrs. Chiqui?
A. Follow an established schedule for activities
5) Ensuring the patient is familiar with the subject for daily living.
material before discussing B. Learn new coping mechanisms to handle anxiety.
C. Return to an adequate level of functioning.
6) Talking to the patient while doing other nursing D. Seek out resources in the community for support.
procedures
A. 1, 2, 3, 5 54. The nurse spent time talking to Mrs. Chiqui’s son.
B. 2, 3, 6 She gathered that the son is the primary caregiver. To
C. 2, 3, 5, 6 explore and to prevent burn-out in the son, which of
D. 1, 4, 6 the following nursing actions must the nurse do?
A. Assess degree of understanding of family systems
49. The patient with a hearing aid does not seem to and coping mechanisms.
hear you whenever you talk to him. What would be B. Explore individual dynamics and personal
your PRIORITY nursing action? coping.
A. Irrigate the ear canal C. Explore the support system available for Mrs.
B. Contact the patient’s audiologist Chiqui’s son.
C. Check the hearing aids placement D. Identify the spiritual support system of the family.
D. Cleanse the hearing aid ear mold with normal
saline 55. The nursing diagnosis MOST APPROPRIATE for
Mrs. Chiqui’s son would be _____.
50. You have a 75 year old patient who has been A. Sleep pattern disturbance
taking furosemide (Lasix) regularly for four months B. Caregiver role strain
now tells you that he is having trouble hearing. What C. Social isolation
would be your BEST response to this statement? D. Risk violence
A. Schedule the patient for audiometric testing and a
hearing aid SITUATION
Min is 19 years old, a grade 12 student. She 58. To erase the doubt of Min as to whether she has
recently confessed to Nurse Liz that she had been infected with HIV by her BF, what is the BEST
sexual intercourse with her boyfriend (BF), 18 advice of the nurse?
years old classmate of hers. She believes that she A. Wait until you have access to the diagnosis of your
is pregnant because she missed menstruating for BF.
3 months. She also related that her BF has B. Submit herself for Elisa Test considering
recently been confined for pneumonia after an on window period.
and off flu-like symptoms. She suspects he has C. Wait until the baby is born.
HIV because of his “closeness to a guy who has D. Go for Elisa Test immediately
overtly expressed his feelings on him.”
59. In case the personal data of Min’s BF has been
accessed accidentally by “somebody”, who has the
56. Min wants to know his BF’s real diagnosis even right to file a complaint?
through a private message in Facebook. The following
information that all employees are enjoined to observe A. Min’s BF
strictly. B. The other guy
C. the parents
I. Operate and hold diagnosis under strict D. Min
confidentiality
60. How long should personal data of an HIV patient
be stored on laptops or other portable devices which
II. Sign a non-disclosure agreement between permits his identification? For as long as __________.
nurses and their patients. A. The patient likes
B. His doctor likes
III. Abide with the institution’s privacy and C. It is needed as part of an international or national
security policies. research
D. It is necessary for the purpose for which it was
IV. Disclose only the result of the test to the collected and processed
patient himself. SITUATION
Inadequate resources in health care and
In terms of legalities, which of the following should unhealthy conditions in the workplace cause work
Nurse Liz explain to Min? stress among nurses. The nurse’s work
A. II, III, IV environment plays a vital role in her ability to
B. I, II, III provide quality patient care. The following
C. I, II, III, IV questions relate to this situation.
D. I, II, IV

57. Nurse Liz can also explain the purpose of security 61. Burnout is a phenomenon that is best
measures for data protection which is to maintain the characterized by ____________.
availability, integrity and confidentiality of personal A. Conflict between personal and professional life
data of all patients. B. Emotional exhaustion, depersonalization, and
reduced personal accomplishment
I. Unlawful destruction C. Increased absenteeism and fast turn-over of
nurses due to toxic work environment
D. Growing dissatisfaction due to changing career
II. Alteration expectations

III. Disclosure 62. Lifestyle modification begins with _______.

A. Learning how to read food labels and eating the
right kinds of food
IV. Unlawful processing B. Recognizing the impact of unhealthy habits
C. Constructive and positive attitudes in life
Which of the following actions of anybody is against D. Regular daily exercise
personal data protection?
63. Jerry is a young adult nurse who smokes 5 to 10
* cigarette sticks a day. He is a well-informed nurse on
A. I,II, III the “smoking cessation program”. As a next step to
B. II, III, IV his lifestyle change, Jerry needs _______.
C. I, II, III, IV
D. I, III, IV
A. Information
B. Motivation
C. Skills to implement change
D. Commitment C. Experienced upon awakening
64. A common response to an unhealthy work D. Sudden loss of muscle tone
environment is physical tension which can be
overcome by progressive muscle relaxation. Basically, SITUATION
this involves: As a professional nurse, you meet patients with
A. Listening to a relaxation audio program for auto- problems related to sexuality and identity. The
suggestion following questions relate to this statement.
B. Releasing muscles from tension
C. Active physical exercise to unwind like aerobics 71. Sex is one topic patients feel uncomfortable
exercise discussing with the nurse for which of the following
D. Focusing to an image to relax reasons? Patients _______.
A. Prefer to discuss sex with health care provider of
65. Nurses and patients are increasingly getting the same sex
empowered by learning stress management. All of B. Assume that sex is something that is not
these are bio-behavioral interventions in stress discussed with strangers
management EXCEPT: C. Are mostly knowledgeable about sex and the
A. Progressive muscle relaxation accompanying problems
B. Pharmacotherapy D. Feel to be embarrassed to introduce the topic of
C. Mindful meditation sex
D. Guided imagery
72. A patient tells you that he is transsexual.
SITUATION Knowledge of which of the following is MOST
Mr. Elmo, a 43 years old writer, was diagnosed representative as the basis for APPROPRIATE care
with narcolepsy. for this patient?
A. Sexual anatomy is not consistent with gender
66. All of the following are characteristic identity
signs/symptoms of Narcolepsy EXCEPT: B. Sexual attraction is to the individuals with different
A. Excessive daytime sleepiness gender
B. Sleep-onset Rapid Eye Movement (REM) periods C. Gonadal gender, internal organs, and external
C. Disturbed nocturnal sleep genitals are contradictory
D. Cessation of breathing for 10 seconds D. Gender identity is altered by acute psychosis
67. Patients diagnosed with Narcolepsy are given
Methylphenidate (Ritalin). The rationale for giving this 73. A patient tells you he has a problem related to
drug is to _______. masturbation. Which of the following is TRUE
A. Lengthen sleep hours regarding masturbation?
B. Improve alertness A. Masturbation is a manifestation of psychological
C. Improve daytime drowsiness imbalance
D. Control cataplexy B. Masturbation is a way people learn about their
sexual response
68. Good sleep hygiene is given emphasis when C. Most people do not masturbate when they become
counseling a narcoleptic patient. Which of the adults
following is NOT considered as such? Encourage the D. Teen-age masturbation affects academic
patient to _______. achievement
A. Do active exercises
B. Ensure a quality sleep environment
C. Avoid daytime naps 74. A male patient is beginning to take an
D. Avoid stimulants such as caffeine, nicotine and antidepressant medication. What information should
alcohol near bedtime. the nurse include in her health teaching as to its side
effects?
69. Depression and decreased quality of life are A. Decreased sexual desire
frequently reported to be experienced by narcoleptic B. Better performance in sexual activities
patients. Which of the following is NOT a major C. Premature ejaculation
contributory factor to these two conditions? D. Better performance in bed
A. A healthy ego
B. Disrupted social and occupational roles 75. A female patient reports having dyspareunia. The
C. A strong superego MOST APPROPRIATE for the nurse to ask is ______.
D. Low self-esteem A. “Do you have pains in your breast when you have
coitus?”
70. Cataplexy is experienced by many narcoleptic B. “Have you had these spasms since you became
patients. Which of the following BEST DESCRIBES sexually active?”
this condition? C. “Do you usually have pains before your period
A. Lapse of awareness begins?”
B. Occurs at sleep onset
D. “Have you talked with your partner about this D. Identify yourself as you approach Mr. Rancap
discomfort?” and before you make a physical contact.

SITUATION 82. Which of the following ethical principles are in

Mrs. Nunez, a 77 year old widow came in with the conflict with this case?
chief complaints of difficulty hearing high pitched A. Autonomy and non-maleficence
sounds. Ear examination revealed damage to the B. Respect for person and non-maleficence
middle ear. C. Distributive justice and respect for person
D. Autonomy and beneficence
76. Which of the following ear assessments is a rough
estimate of the ability to hear?
A. Weber test 83. Mr. Rancap’s driving without license can result in
B. Whisper test
a violation of which ethical principle?
C. Audiometry
A. Respect for person
D. Rinne test
B. Beneficence
77. When there is damage to the middle ear it will C. Autonomy
result to: D. Non-maleficence
A. Conductive loss 84. Mr. Rancap had a fall needing hospitalization. All
B. Nerve deafness his benefits were given to him just like any senior
C. Mixed loss citizen with the same condition. This ethical principle
D. Sensorineural loss is upheld in this situation:
A. Beneficence
78. Which of the following is a predisposing factor for B. Respect for person
a sensorineural hearing loss? C. Autonomy
A. Perforation of the eardrum D. Distributive justice
B. Ototoxic agents
C. Otosclerosis
D. Serous otitis media
85. Which principle should have pre-eminence as you
79. Which of the following statements is TRUE in proceed to work with Mr. Rancap
correcting a sensorineural hearing loss? A. Autonomy
A. Sensorineural hearing loss is irreversible B. Respect for person
C. Nonmaleficence
B. Sensorineural hearing loss can be corrected by D. Beneficence
stapedectomy
SITUATION
C. Sensorineural hearing loss can be corrected by
As a beginning professional nurse one of the
ossicular reconstruction
competencies expected of you is to engage in
D. Sensorineural hearing loss can be corrected by
research. Basic knowledge in research, therefore,
myringotomy
is very important. The following questions related
80. What is a high priority risk for the older adult with to these statements.
age-related changes in the vestibular structure of the
86. What element distinguishes a true experimental
ear?
research from a quasi-experimental research?
A. Infection
A. The use of non-probability sampling
B. Medication errors
B. Lack of random assignment of subject to group
C. Falls
C. Size of the sample
D. Food intolerance
D. The introduction of experimental treatment.
SITUATION
87. You want to determine the effect of a planned
Mr. Rancap, a 75 year old retired politician has
exercise on low-back pain. Which of the following
been recently diagnosed as legally blind. His
research designs would be MOST APPROPRIATE to
driver’s license has been revoked. You have seen
use in this study?
him driving alone to the local grocery store
A. Posttest only control group design
several times.
B. One-shot case study
C. Pretest-posttest control group design
81. Which of the following nursing actions would be D. One group pretest-posttest design
your priority during your initial interaction with Mr.
88. Which of the following is a type of probability
Rancap?
sampling?
A. Free the environment obstacles
A. Cluster
B. Offer to read written information
B. Purposive
C. Ask Mr. Bang, “How can I help you?”
C. Quota
D. Convenience D. Diazepam

89. You want all people who are currently 95. You want to find out the coping skills among
institutionalized for psychiatric problems to participate young adults with substance abuse disorder. Which
in your study. This is an example of ____________. research method will you utilize to answer the
A. Universal population research question?
B. Target population A. Survey
C. Element B. Mixed methods
D. Sample C. Quantitative
D. Qualitative
90. You want to determine the difference of the
SITUATION
anxiety level between male and female patients
Your patient, Mrs. Edna, who was diagnosed with
scheduled for abdominal surgery. The first 30 males
Alzheimer’s Disease, is soon to be discharged.
and the first 30 females who are admitted to the
You scheduled a family conference to discuss
hospital at the time of the study would be asked as
some concerns regarding Mrs. Edna’s condition.
study participants. This is an example of what
sampling technique? 96. You explained to the family members that there
A. Fish ball technique will be times Mrs. Edna will feel agitated and fatigued.
B. Simple random To MINIMIZE if not totally prevent this situation, you
C. Quota sampling would suggest to _______.
D. Purposive sampling A. Make mealtime pleasant
B. Provide activities for her
SITUATION
C. Avoid noisy activities in the house and schedule
Mr. Josh, a 35 year old dancer consulted at the
rest period for her
Out-Patient Department with the chief complaints
D. Provide a consistent routine for her
of disorientation, abdominal pain, nausea, and
excessive perspiration. He claimed to be seeing
97. A family member asked how they can help
his mother and heard her calling his name. Upon
minimize Mrs. Edna’s disorientation to time. Your
admission the vital signs were: T = 38.5 degrees
answer would be to:
centigrade; PR = 110/min; BP = 130/90. Mr. Josh is
A. Encourage talking with friends on the phone
a known alcoholic.
B. Place clocks and calendars at prominent places
C. Keep windows wide open
91. Which of the following frameworks does not D. Provide adequate lighting especially in hallways,
support the cause of substance abuse? stairways and bathrooms
A. Physiologic framework
98. A concern regarding physical safety came up
B. Psychological framework
during the conference. You would recommend
C. Biologic framework
to________.
D. Socio-cultural framework
A. Always close the doors and windows
92. For the nurse to establish a therapeutic B. Provide adequate lighting especially in
relationship with and providing treatment for a client hallways, stairways and bathrooms
with substance related disorder, he/she must have: C. Use non-verbal communication
A. Knowledge of assessment tools used to determine D. Reduce noises and distractions
if substance abuse exist
99. A family member expressed that they may not
B. Knowledge of existing programs to help people
have the ability to care for Mrs. Edna. Your MOST
with substance abuse disorder
APPROPRIATE answer would be ________.
C. Self-awareness about substance use and
A. “I will call Mrs. Edna’s doctor to explain to you more
abuse
about Alzheimer’s Disease”.
D. Information on patient’s beliefs about drug and
B. “What information regarding Alzheimer Disease
alcohol use
has been given to you by her doctor.
93. Mr. Josh’ clinical manifestation were C. “Do you want to discuss with me specific
manifestations of: concerns that bother you most?”
A. Impending brain attack D. “I will refer your case to the social worker”
B. Impending heart attack
100. You pointed out to the family that an important
C. Severe alcohol withdrawal
aspect of Mrs. Edna’ is the promotion of adequate
D. Severe anxiety
nutrition. To address this concern, you would suggest
94. For cases like that of Mr. Josh’, the physician will to:
most likely order ______. A. Provide adequate lightning in the dining room
A. Ativan B. Reduce noises and distractions during mealtime
B. Serax C. Do some active exercise before mealtime
C. Naltrexone
D. Keep mealtime pleasant and serve foods
similar to her