Professional Adjustment and Nursing Care Management Practice Exam Answer Key
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Transcript of Professional Adjustment Nursing edited
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8/7/2019 Professional Adjustment Nursing edited
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Professional Adjustment Nursing
1. When asked about the
characteristic of nursing profession, the
nurse characterizes nursing as:
a. A profession with a service orientation
b. Profession with a guide which delineates
the roles and responsibilities of its
members
c. Profession with a deciding power over
standard of practice
d. profession with a scientific base
2. As a member of the healthcareteam, the nurse collaborates with his co-
workers. In the absence of the physician
or the leader of the team, the nurse
should institute measures for the welfare
of the patient under of his care. This
demonstrate:
a. Independence b.Accountability
c. Autonomy d. All of the above
3. Reginald, a staff nurse knows that
his most important function is to ensure:
a.Proper documentation
b. Administration of care
c. Institution of comfort measure
d. Promotion of spiritual health of the client
4. Reginald knows that as a
professional nurse, he should posses
an/a:
a. Warm personality and concern
b. Strong urge to gain opulence and
fame in practice
c. Vision of continous improvement of the
practice of one self
d. Ability to make ethically and morally
sound decision
5. Reginald knows that nurses motivate
their patients. Included as patients are
individuals, families, groups and
communities. She knows that this type
of motivation is properly labeled as:
a. self-reliance
b. collaboration with patients
c. partnership
d. all of the above
6. A nursing theory is a group ofconcepts that form a pattern of reality. A
concept can be defined as:
a. An idea b. An outcome
c. A philosophy d. A process
7. A concepts most important purpose in
professional nursing is to:
a.determine nursing action that is appropriate
in a variety of situation
b.help mentally store knowledge so it doesnt
have to be written down
c.help recall facts in clinical area
d.use Neumans model in the work setting
8. The four concepts common in all
nursing theories are person,
environment, health and nursing. Of
these four, the most important concept
is:
a. environment b. health
c. Nursing d. person
9. When the new nurse after her tour of
the physical facilities of the hospital tell
her head nurse that the building is
suffering from the Sick Building
Syndrome, the nurse is trying to say
that:
a.That the health of the house does not meet
the basic requirements of Nightingales
need for adequate ventilation, cleanlinessand lighting
b.The building is filled with sick people that
make the hospital appear sick too
c.The building is unfit for caring for people
d.That an unhealthy building creates
unhealthy inhabitants
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10. Which of the ff. individuals
demonstrate Florence Nightingales
concept of health?
a. A masters degree holder in nursingworking as a staff nurse in a community
hospital
b. A polio victim during his childhood who justpassed the Bar exams and is now practicing
his profession and is fighting for equal rights
for the physically-challenged citizenry
c.A Masters Degree holder in nursing working
as a staff nurse in medical center in the city
d.A dead mute-person who uses his gift of art
to paint beautiful artworks and engage in
arts exhibits here and abroad
Situation: You are a newly hired nurse in
a tertiary hospital. You have to finish
your orientation program recently and
you are beginning to assimilate the
culture of the profession.
11. Using Benners stages of nursing
expertise, you are a beginning nurse
practitioner. You will rank yourself asa/an:
a. competent nurse b. novice nurse
c. proficient nurse d. advanced
beginner
12. Benners proficient nurse level is
different from the other levels in nursing
expertise in the context of having:
a.The ability to organize and plan activities
b.Having attained an advanced level of
education
c.A holistic understanding and perception of
the client
d.Intuitive and analytic ability in new
situations
13. As you become socialized into nursing
culture you become a patient advocate.
Advocacy is explained in the ff. except:
a.Respecting persons right to autonomous
b.Demonstrating loyalty to the institutions
right
c.Shared respect, trust and collaboration in
meeting health needs
d.Protecting and supporting another persons
right
14. Modern day nursing has led into the
development of the expanded role of the
nurses as in the function of a:
a.clinical nurse specialist b.
critical nurse
c. community health nurse d. staff nurse
15. You can join continuing education
program to help you:
a. earn credit for license renewal
b. get in touch with colleagues in
nursing
c. enhance your basis knowledge
d. update your knowledge and
skills related to field of interest
Situation: Errors while providing nurse care to
patients must be avoided and minimized at all
times. Effective management of available
resources enables the nurse to provide safe,
quality patient care.
16. In the hospital where you work,
increased of medication error was
identified as the number one in the unit.
During the brainstorming session of the
nursing service department, probable
causes were identified. Which of the ff. is
process related?
a. interruptions
b. use of unofficial abbreviation
c. lack of knowledge
d. failure to indentify client
17. Miscommunication of drug order wasidentified as a probable cause of
medication error. Which of the ff. is a safe
medication practice related to this?
a.maintain medication in its unit dose
package until point of actual
administration
b.note both generic and brand name of the
medication in the Medication
Administration Method
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c.The physician should use an approved
universal abbreviation
d. encourage clients to ask question
about their medication
18. To provide safe, quality nursing care
to various clients in any setting, the mostimportant of the nurse is:
a.critical thinking to decide appropriate
nursing action
b.understanding of various nursing
diagnosis
c.observation skills for data collection
d.possession of scientific knowledge about
client needs
19. You ensure the appropriateness and
safety of your nursing interventions while
caring for various groups by:
a. creating plans of care for particularclient
b.identifying the correct nursing diagnosis
for the client
c.making a thorough nursing assessment of
the client needs and problems
20. The effectiveness of your nursing care
plan for your client is determined by:
a.the number of nursing procedures
performed to comfort the client
b.The amount of medication administered
to the client as ordered
c.The number of time the client calls the
nurse
d.the outcome of nursing interventions
based on plan of care
21. The role of health worker in health
education is to:
a.report incidence of non-communicable
disease to community health center
b.educate as many people about warning
signs of non-communicable diseases
c. focus on smoking cessation problem
d.monitor client with hypertension
22. How does the nurse promote ones
well-being?
a. periodic travels and recreations
b. faithful and observance of healthy
simple lifestyle
c. run away from polluted, stressful area
d. avoid sleepiness over fatigue nights
23. The nurse involve in health promotion
of the family by:
a. become a better family
b. prevent disease
c. control their symptoms
d. modify health primitive behaviors
24. Why should you not leave medications
in the bedside table of the patient?
a. bedside table is not sterile
b. it is convenient to the nurse
c. the nurse will not accurately document
that the patient actually took the
medication
d. the patient may forget to take it
Situation: While working in the tertiary
hospital, you are assigned to the medical ward.
25. Your client, Mr. Diaz, concerned that
he cannot pay his hospital bills and
professional fees. You refer him to a:
a. nurse supervisor
b. social worker
c. bookkeeping department
d. physician
26. Mr. Magno has lung cancer and his
going through chemotherapy. He is
referred by the oncology nurse to a self-
help group of clients with cancer to:
a. receive emotional support
b. to be part of research study
c. provide financial assistant
d. assist with chemotherapy
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27. A diabetic, hypertensive patient, Mrs.
Linao, needs a change in her diet to
improve her health status. She should be
referred to a:
a. nutritionist b. dietician
c. physician d. medical pathologist
28. When collaborating with other health
care team members, the best description
of Nurse Ritas role is:
a. encourages the client involvement in
his care
b. shares and implements orders of the
health team to ensure quality care
c. she listen to the individual views of the
health team members
d. help client set goals of care and
discharge
29. In the Philippines, this law is:
a. Code of ethics for Filipino nurses
b. The Philippine nursing act of 2002 or
RA 9173
c. Republic act 8981
d. IRR, Resolution 425v of 2003
30. The Philippine Nursing Act delineates
the scope of nursing. It specifies that as
independent practitioners, nurses areresponsible for:
a. rehabilitative aspect of the care
b. administration of written prescription
for treatment and therapies
c. collaborating with other health care
providers for health restoration and
alleviation of suffering
d. health promotion and prevention of
illness
31. Group of Filipino Nurses that
formulates the Code of Ethics for Filipino
nurses.
a. Association of Nursing Service
Administrator of the Philippines
(ANSAP)
b. Philippine Ethicist Nurses Association
(PENA)
c. Philippine Nurses Association (PNA)
d. Association of Dean of Colleges of
Nurses (ADPCN)
32. In October 1982, she authored the
Code of Ethics for Filipino Nursestogether with the Iloilo PNA Chapter
a.Dr. Consuelo Gomez-Arabit
b.Dr. Annie Sand
c.Dr. Julita V. Sotero
d.None of the above
33. Which of the ff. about the FilipinoNurses Code of Ethics is not correct?
a. it serve as a guide in making moral and
ethical decision in practice
b. it emphasizes the four -fold mission of
the nurse with the adage that the
nurse should also promote the spiritual
health of the person
c. is serve as a strong and absolute
protection against any lawsuit as it is
instituted by the professional
regulatory board and the accredited
professional organization
d. it contains ethical and moral principles
that will serve as a guide for the day to
day conduct of the professionals
34. PNA code of ethics is an expression of
moral concerns, goals and values of
nursing. Which is the correct
characteristic of the code of ethics for
nurses?
a. it emphasizes the independent and
collaborative roles of the nurse
b. it describes the professional standards
of nursing practice
c. it has a legal guarantee
d. it is used as a guideline in nursing
standard
35. The Code of Ethics for Filipino Nurses
is a set of principle set by the profession
to be used by the individual to ensure
safe practice. In the Philippines, the Code
of Ethics is legally binding. In the case of
violation, the nurse may be sanctioned
by:
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a. filing a criminal case
b. termination from employment
c. revocation or suspension of license
d. all of the above
36. The Code of Ethics for the Filipino
Nurses follow a framework in which their
ethico-moral responsibility is divided into
sectors of the populace. Which of the ff.
is not an element of the Code of Ethics?
a. Nurses and People
b. nurses and Practice
c. Nurses and Co-workers
d. Nurses and Progress
e. Nurses and Profession
37. In ff. the Code of Ethics, a registered
nurse demonstrate a concept of
transcultural nursing into practice
wherein he takes into consideration the
culture and values of his patient. This is
inline in which framework of the Code of
Nursing?
a. Nurses and People
b. Nurses and Practice
c. Nurses and Co-workers
d. Nurses and Progress
e. Nurses and Profession
38. In ff. the Code of Ethics, a registered
nurse declines to receive any gifts,
commission or hospitality from the
patient or any recommendations made.
This is inline in which framework in the
Code of Ethics?
a. Nurses and People
b. Nurses and Practice
c. Nurses and Co-workers
d. Nurses and Progress
39. In ff. the Code of Ethics, RC Pineda
joined the Society of Young Professional
Nurses andactively participates in its
activities. This is inline in which
framework in the Code of Ethics?
a. Nurses and People
b. nurses and Society and Environment
c. Nurses and Co-workers
d. Nurses and Progress
e. Nurses and Profession
40. In ff. the Code of Ethics, the chief
nurse of a certain actively listens and
champions the just causes of his
subordinates. This is inline in which
framework in the Code of Ethics?
a. Nurses and People
b. nurses and Society and Environment
c. Nurses and Co-workers
d. Nurses and Progress
e. Nurses and Profession
41. A registered nurse is actively seeking
out prominent figures in nursing
profession in seminars and conventions
where he attends in order to establish
connections and linkages. This is inline in
which framework in the Code of Ethics?
a. Nurses and People
b. nurses and Society and Environment
c. Nurses and Co-workers
d. Nurses and Progress
e. Nurses and Profession
42. Ethics is not concerned with which of
the ff.?
a. personal standard of right and wrong
b. practice or believe of certain group
c. investigating issues about humanbehavior
d. exercising critical and rationaljudgment in ones choice or decision
43. Which of the ff. is the primary
purpose of the Nurses Code of Ethics?
a. a reference material of the desirable
attitudes a nurse may possess and
develop
b. aid the nurse in identification oflegalities of the nursing practice
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c. serve as a guide in making sound
nursing decisions necessary in making
nursing situation, caring situation
d. provide sanctions for those who violate
the delineation and scope of the
practice
44. Which of the ff. provides that nurses
must adopt the Filipino Nurses Code of
Ethics?
a. BON Resolution No. 14
b. BON Resolution No. 20
c. R.A. 9173
d. R.A. 7164
45. Which of the ff. best describes the
purpose/s of the Amended Code of Ethics
for Nurses?
1. serves as standards of conduct and values
as defined by the profession
2. to inform the nurses about their role in the
organization
3. to serve as a basis for ethical decision-
making by a profession
4. serve as a legal basis for nurses liability
A. 1,2&4 B. 1,2&3
C. 2&3 D. 1&3
45. The principle that govern right and
proper conduct of a person regarding life,
biology and the health professions is
referred to as:
a. morality b. religion
c. bioethics d. values
46. The universal ethical principle ofutilitarianism is chiefly concerned with:
a. keeping promises b. doing good
c. doing no harm d. all of the above
47. Specific domain of ethics that focuses
on moral issues and dilemmas in the field
of healthcare.
a. ethics b. professional ethics
c. bioethics d. health care ethics
48. Bioethics though already realm of
ethics has a wide scope. Its scope
includes the ff. except:
a. pollution
b. lifestyle modification
c. biotechnological advancements
d. fiscal legislation
49. When a registered nurse performs
only functions that is within the scope of
his practice and when he adheres to rules
and regulations of his institution, he is
applying in practice which major ethicalprinciple?
a. autonomy b. confidentiality
c. justice d. non-maleficence
50. When a registered nurse ensures that
he has provides all necessary information
to his patient and all impending
procedures have been explained
thoroughly and have been properly
consented to, he is applying in practice
which major ethical principle?
a. autonomy b. confidentiality
c. justice d. non-maleficence
51. When a registered nurse ensures that
he has provides all necessary informationto his patient who is interested in making
an anatomical gift after his death, he is
applying in practice which major ethical
principle?
a. stewardship b. confidentiality
c. respect d. non-maleficence
52. When a registered nurse ensures thathe has provides all necessary information
to his patient who is interested in making
an anatomical gift after his death, he is
applying in practice which minor ethical
principle?
a. stewardship b.
confidentiality
c. respect d. non-maleficence
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53. When a registered nurse attends to
the patients preparation towards a
removal of a disease organ, he is applying
in practice which major ethical principle?
a. utilitarianism b. totality
c. respect d. non-maleficence
54. When a registered nurse attends to a
patient and reminds himself of the
inappropriate use of technology while
rendering care, he is applying in practice
which minor ethical principle?
a. utilitarianism b. totality
c. respect d. non-maleficence
55. When a registered nurse provides
safe and quality emergency care to
unconscious client, he is applying in
practice which minor ethical principle?
a. veracity b. respect
c. paternalism d. utilitarianism
56. When a registered nurse admits
mistakes promptly and offers to do
whatever necessary to correct them, he is
applying in practice which minor ethical
principle?
a. veracity b. respect
c. paternalism d. utilitarianism
57. When a registered nurse ensures thatcontract between him and the patient has
been satisfactory completed, he is
applying in practice which minor ethical
principle?
a. epikia b. double-effect
c. totality d. fidelity
58. When a registered nurse prioritizes
the vaccination of pregnant women and
children during an epidemic, he is
applying in practice which minor ethical
principle?
a. veracity b. respect
c. paternalism d. utilitarianism
59. When a registered nurse prioritizes
the vaccination of pregnant women and
children during an epidemic, he is
applying in practice which minor ethical
principle?
a. veracity b. respect
c. paternalism d. utilitarianism
60. A couple who is trying to conceive a
child for many years now are opted for
zygote implantation into the fallopian
tube, the registered knows that which
of the ff. ethical principle does not
apply?
a. respect b. stewardship
c. epikia d. non-maleficence
61. As observed by experts, nurses
oftentimes find it difficult to resolve
ethical issue because:
1. They (nurses) lack the sensitive to recognize
ethical problems and conflicts
2. They (nurses) lack the needed knowledge or
experience to tackle the situation they are in
3. They (nurses) have difficulty separating their
personal characteristics from their professional
characteristic
4. They (nurses) neglect the use of universal
ethical principles and utilize self-device
principles and approached instead.
A. 1,2,3 b. 2,3 c. 3,4 d.
1,2
Matching Type:
62. duty of fidelity
63. duty of reparation
64. duty of gratitude
65. duty of justice
66. duty of beneficence
67. duty of self-improvement
68. duty of non-malefiscence
69. duty of veracity
Options:
a. Giving what is due based on merits earned
b. Truth-telling
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c. Drive to enhance and empower ones self
d. Penance; reconciliation
e. first, do no harm
f. Being cognizant of other service
g. Promise-keeping
h. Shown in act of charity
70. Nurse Neil would know that any
misconduct or lack of skill in carrying out
professional responsibilities.
a. negligence b. malpractice
c. standard of practice d. assault and
battery
71. When carelessness happens resulting
to an accident that is preventable, the
nurse can be charged of:
a. tort b. malpractice
c. negligence d. crime
72. When a nurse prescribe a medication
to a patient and have done something
that is out of the scope of nursing
practice, he could be accountable for:
a. tort b. malpractice
c. negligence d. crime
73. The nurse knows that the ff. are
component or element of negligence,
EXCEPT:
a.existence of duty on the part of the person
charged to protect the complaining party
from the injury received
b.failure to do duty
c. foreseeable of harm from failure to do duty
d.a damage or injury resulting from breach of
duty
e. compensation received by the accuse from
the plaintiff
74. When asked by Rhoda about the most
important and the most defining elementof negligence, weng answers:
a. existence of duty on the part of the
person charged to protect the
complaining party from the injury
received
b. failure to do duty
c. foreseeable of harm from failure to do
duty
d. a damage or injury resulting from
breach of duty
e. compensation received by the accuse
from the plaintiff
75. When as a scrub nurse, you left a
laparotomy pack inside the patients
abdomen and after sometime the patient
begin to complain abdominal pain and it
was recovered, you could be liable due to
the:
a. doctrine of force majeure
b. doctrine of Res Ipsa Loquitor
c. doctrine of respondeat superior
d. malpractice
76. While plotting and schedule and
staffing in the hospital, it was found out
that the hospital hired under board
nurses and midwives to cut cost and
compensate in the lack of sufficient man
power. They carried out usual nursing
duties like giving medication. Should any
unlikely incident arise from their
erroneous administration of medication,the hospital will be liable due to the:
a.doctrine of force majeure
b.doctrine of Res Ipsa Loquitor
c.doctrine of respondeat superior
d.malpractice
77. Berting, 30 years old male was
brought to the hospital due to the injuries
sustain due to vehicular accident. While
being transported to the x-tray
department, the straps accidentally broke
and the client fell on the floor hitting his
head. In the situation, the nurse is:
a. not responsible because of the doctrineof respondeat superior
b. free from any negligence that causedharm to the patient
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c. liable along with the employer for the
use of defective equipment that harms
the client
d. totally responsible for the negligence
78. In the abovementioned situation, the
hospital and the nurse will be specificallyliable under what doctrine of negligence?
a. doctrine of force majeure
b. doctrine of Res Ipsa Loquitor
c. doctrine of corporate liability
d. doctrine of respondeat superior
79. Which of the ff. situations would
possibly caused a nurse to be sued due to
negligence?
a. nurse gave the client a wrong
medication and an hour later, client
complained of dyspnea
b. while preparing the medication, instead
of 1 tablet, the nurse noticed that she
placed 2 tablets in the medication cup
c. as the nurse was about to give themedication, the client asked why the
medication is still to be given when in
fact the physician already discontinued
d. nurse administered 2 tablets of
analgesic instead of 1
80. In the O.R., who directs and answers
the actions of the surgical team?
a. internist b. surgeon
c. scrub nurse d. anesthesiologist
81. If any mishap involving the care given
to the patient should happen while inside
the O.R. and while the operation is going
on, the team leader would be accountable
to:
a. captain-of-the-ship doctrine
b. doctrine of Res Ipsa Loquitor
c. doctrine of corporate liability
d. doctrine of respondeat superior
82. Nurse Mykaela, is a staff nurse
assigned to the schizophrenia ward of
NCMH. One sunny afternoon, while on
duty, a great earthquake shocks the
country. Nurse Mikaela, tried to direct her
patient out of the building but they
mistock the earthquake for a bumpy ride
in the carnival and was shouting and
clapping in joy as the building collapsed
killing them but the nurse was able to
escaped. What doctrine applies?
a. doctrine of force minore
b. doctrine of Res Ipsa Loquitor
c. doctrine of corporate liability
d. a. doctrine of force majeure
83. Which of the ff. is not a legally
binding document but nonetheless very
important in the care of all patients in
any setting?
a.Board of Nursing Resolution Adopting the
Code of Ethics
b.Bill of Rights as provided in the Philippine
Constitution
c.Patients Bill of Rights (as adopted by the
American Nurses Association)
d.Scope of Nursing Practice as defined by RA
9173
Situation: Mr. Joses chart is the permanent
legal recording of all information that relates to
his health care management. As such, the
entries in the chart must have accurate data.
84. Mr. Joses chart contains all
information about his health care. The
function of record includes all, EXCEPT;
a. means of communication that health
care team members use to communicate
their contributions to the clients health
care
b. the clients record also shows adocument of how much health care
agencies will be reimbursed for their
services
c. educational resource for the student of
nursing and medicine
d. recording of action in advance to save
time
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85. An advantaged of computerized client
care system is:
a. the nursing diagnosis for a clients data
can be accurately determine
b. cost of confinement will be reduced
c. information concerning the client canbe easily updated
d. the number of people to take care the
client will be reduced
86. Information in the patients chart is
inadmissible in court as evidenced when:
a. the client family refuses to have it used
b. the client object to its used
c. the handwriting is not legible
d. it has many aberrations that are
unofficial
87. Nursing audit aims to:
a.provide research data to hospital
personnel
b.study clients illness and treatment
regimen closely
c.compare actual nursing done to
established standards
d.provide information to the health care
provider
88. A telephone order is given for a client
in your ward. What is your most
appropriate action?
a.copy the order in the chart and sign the
physicians name as close to his original
signature as possible
b.repeat the order back to the physician,
copy onto the order sheet and indicate
that it is a telephone order
c.write the order in the clients chart and
have the head nurse co-sign it
d.tell the physician that you cannot take
the order but you will call the nurse
supervisor
Situation: Mr. Martin, 71 years old wassuddenly rushed to the hospital because of
very severe chest pain. On the admission, he
was diagnosed to have a acute MI and was
placed in the ICU.
89. While in the ICU, he executes the
document that list the medical treatment
he chooses to refuse in the case his
condition becomes severe to the point
that he will be unable to make decisionsfor himself. This document is:
a. living will b. informed
consent
c. last will and testament d. power of attorney
90. After one day, the patients condition
worsen and feeling hopeless. He
requested the nurse to remove theoxygen. The nurse should:
a. follow the patient because it is his right to
die gracefully
b. follow the patient, as it is his right to
determine the medical regimen he needs
c. refuse the patient and encourage
d. refuse the patient since euthanasia is not
accepted in the Philippines
91. Euthanasia is an ethical dilemma
which confronts nurses on the ICU
because:
a. the choices involve do not appear to be
clearly right or wrong
b. A clients legal right co-exists with the
nurses professional obligation
c. decision has to be made based on
societal norms
d. a decision has to be made quickly,
often under stressful conditions
92. A nurse who supports the patient and
familys need to make decision that is
right for them is practicing which of the
ff. ethical principles?
a. autonomy b. confidentiality
c. privacy d. truthfulness
93. Mr. Martin felt better after 5 days but
recognizing the severity of his illness, he
executes a document authorizing the wife
to transact any form of business in his
behalf inaddition to decisions relative to
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his confinement. His document refers to
as:
a. power of attorney b. living will
c. informed consent d. medical record
94. Clients right should be protectedwhen doing research using human
subjects. Martha identifies these rights as
follows, except:
a. right to self-determination
b. right to compensation
c. right to privacy
d. right to obtain information about
another patient
Situation: RNs should always be conscious that
the contents in the chart are admissible in
court as evidence.
95. The nurse knows that the chart and
the information pertaining to client care
in it are owned by the:
a. patient b. hospital
c. nurse d. all of the
above
96. The nurse knows that the chart and
the medical records pertaining to client
care in it are owned by the:
a. patient b. hospital
c. nurse d. all of theabove
97. The chart is admissible in court as
evidence because it is:
a. a legal document
b. a scientific document
c. a privileged communication
d. it is written in medical terminology
98. The chart can only be read by
members of the health care team because
it is:
a. a legal document
b. a scientific document
c. a privileged communication
d. it is written in medical terminology
99. The chart contains progress notes
written by health care professionals. This
makes the chart:
a. legal document b. scientific
document
c. privileged communication d.
complex document
100. Documentation of all nursing
activities performed is legally and
professionally vital. Which of the ff.
should not be included in the patients
chart?
a. presence of prosthetic devices such as
dentures, artificial limbs, hearing aids,
etc.
b. baseline physical, psychosocial and
emotional data
c. argument between the staff nurses and
the resident regarding treatment
modalities
d. observed outward signs and symptoms
and interventions including
concomitant intervening factors
101. Marimaw is one of your patients. Her
uncle Mr. Santibanyo, who is a doctor,
wants to read her chart. Your appropriate
action would be:
a. instruct Marimaw uncle to present a
written authorization signed by the
patient herself
b. refer the matter to the hospital director
c. instruct Mr. Santibanyo to present a
written request to the Medical Record
sction of the hospital
d. refer to the attending physician
102. Erasures, alterations and addition in
medical records and the nurses notes can
be avoided. The ff. are some tips, except:
a. cross out blank spaces
b. cross out the wrong word or phrase
with one or two lines making the cross
out word discernible
c. insert additions or correction
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d. state the reason for any deviation
from normal procedure/ practice
103. If there is any deviation from normal
practice or procedure like if streptomycin
is given via direct IV instead of IM. This
should be documented in the:
a. progress notes b. incident report
c. nurses note d. medical sheet
104. You can communicate hazards to
your co-worker through the use of the ff.,
except:
a. posting IR in the bulletin board
b. formal training
c. educational safety poster
d. use of proper labels and signs
105. After the staff nurse completed the
incident report. The nurse submits this
ideally to the:
a. attaches it to patient chart b. head
nurse
c. supervisor d. risk manager
106. The nurse should also understand
that the incident report:
a. will prevent legal action against the
nurse
b. are not consider legal documents butrather a risk-management tool
c. should be reviewed and approved by
the patient before discharge
d. are maintained by the hospital as an
effective staff evaluation tool
107. You are taking care of critically ill
client and the doctor-in-charge calls toorder medications via the telephone.
Which of the ff. is the appropriate action
when getting a telephone order?
a. Have the RN, MD and family member
sign the order
b. Have one nurse take the order and sign
it and have the MD sign it within
24hours
c. Have the RN, MD and family andsupervisor sign the order
d. Get the telephone order, repeat it back
to the MD, then have the MD sign it
with 24 hours
Situation: Records are vital tools in any
institution and should be properly maintained
for specific use and time
108. The patients medical records can
work as a double-edge sword. When can a
medical record become the doctors/
nurses worst enemy?
a. when voluminous
b. when subpoenaed to the court
c. when it is missing
d. when it is inaccurate, incomplete and
inadequate
109. Disposal of medical records in
government hospitals/agencies should be
done in close coordination with what
agency?
a. DILG b. MMDA c. RMAO d. DOH
110. In the hospital, when you need the
medical record of a discharged patient for
research, you will request permission
through:
a. doctor-in-charge b. hospital director
c. nursing service d. medical record
section
111. You readmitted a client who was in
another department a month ago. Since
you will need another chart, from whom
do you request the old chart?
a. Central Supply section
b. previous doctor clinic
c. department where the patient
previously admitted
d. Medical Record Section
112. The RMAO of the DOH is responsible
in implementing its policies on record
disposal. You know that your institution is
covered by this policy if:
a. your hospital is a tertiary hospital
b. your hospital is in Metro Manila
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c. it obtained a permit to operate from
the DOH
d. your hospital has been accredited by
PhilHealth
113. The nurse would be correct if she
states that a rule of conduct thatprohibits extremes in behavior so that
people can live without for self or
property is called:
a. Nurses Practice Act of 2002 b. a law
c. advanced directive d. a DNR order
114. Type of law that comes from a higher
beinge.g. Ten Commandments
a. Pentateuch b. Torah
c. Divine Law d. Human
Law
115. Humans are legislator by nature.
Laws written by men are said to be:
a. Civil Law b. Commercial
Law
c. Divine Law d. Human Law
116. The nurse knows that the main
function of the court id to:
a.prescribe and legislate
b.administer justice to the people
c.house the judge and clerk of the court
d.serve as a venue for hearings and legal
proceedings
117. The nurse knows that the power of
the court to hear a case is called:
a. venue b. jurispeudence
c. jurisdiction d. jurislation
118. There are two parties in a case, the
one being complained about is also called
the:
a. defendant b. plaintiff
c. mediator d. none of the
above
119. There are two parties in a case, the
one who filed the complaint is also called
the:
a. defendant b. plaintiff
c. mediator d. none of the
above
120. RN Cowberto wanted to make an
appeal regarding his case. RN Cowberto
knows that the meaning of an Appeal is:
a. repetition of what the witness heard
b. a review of the case in a higher court
c. statement uttered in good faith
d. necessary testimony
121. Under this court, decisions made are
said to be final and executor:
a. Municipal Trial Court b. Regional Trial
Court
c. Court of Appeals d. Supreme Court
122. This is the legal term for the harm
inflicted or injury done:
a. damaged b. damages c. damage d.
damaging
123. Nurse Nina knows that the minimum
damages paid to a rape victim are 30k. He
defines damages as:
a. a reward for something good
b. payment for the injury or harm inflicted
c. prize of the victim for being vulnerable
d. all of the above
124. These are actual expenses incurred
by the patient as a supposed victim of the
nurses malpractice:
a. actual damages b. exemplary
damages
c. moral damages d. lost of income
125. This are imposed by the court in
giving the public an example of what not
to follow in the practice of nursing:
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a. actual damages b. exemplary
damages
c. moral damages d. lost of income
126. These are the most popular and the
most expensive ones.
a. actual damages b. exemplary
damages
c. moral damages d. lost of income
127. A risk in obtaining an informed
consent before surgery is:
a. completing the informed consent
papers before all preoperative test
results are in the patients chart
b. completing the informed consent paper
one hour after the preoperative
medication is given
c. completing the informed consent
papers the evening before surgery
d. completing the informed consent
papers with a family member present
128. A diagnostic test is ordered that
required a signed informed consent. The
nurse becomes very busy and she checks
on the patient, discovering that the
patient has already left for the test. The
nurse goes to find the patient just as the
procedure has completed. A procedure
without the proper informed may result in
what type of crime?
a. battery b. challenge
for cause
c. comparative negligence d. slander
129. After delivering a baby with special
needs, the new mother tells the nurse
that the man assumes hes the fatherisnt and ask the nurse to tell the doctor.
This medical dilemma is an example of:
a. confidentiality b. conflict of
interest
c. negligence d. slander
131. A law voted on by a legislative body
of government is called:
a. administrative law b. common law
c. constitutional law d. statutory law
132. When a judge interprets a law and
issues a decision, this is called:
a. administrative law b. common law
c. constitutional law d. statutory law
133. A patient has been hospitalized after
a car accident. Hes planning to sue the
driver of the vehicle that hit him. In this
lawsuit, the patient is the:
a. agitator b. defendant
c. litigator d. plaintiff
134. The nurse makes two medication
errors because she didnt use the 5 rights
of medication administration and one
patient has a reaction. This is an example
of:
a. assault b. fraud c. libel d.
malpractice
135. The most common reason for the
loss of a nursing license is:
a. developing a physical deficit
b. drug and alcohol abuse
c. not paying income taxes
d. writing bad checks
136. An appropriate reason for the loss of
a nursing license is:
a. bankruptcy b. decline in health
c. theft d. therapeutic
abortion
137. The doctor orders a very large doseof narcotics. The nurse knows that this
dose could be fatal if administered.
Legally, the nurse:
a. can give the medication after she gets
approval from the nursing supervisor
b. is responsible for any medication she
administer
c. should give the medications, because
the doctor is responsible for his order
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d. should notify authorities immediately
138. The nurse has made assignments
that included a nurse assistant who is an
unlicensed caregiver. Is the nurse legally
responsible for the care the nurse
assistant gives?
a.always because the nurse is her supervisor
b.never because the hospital employs both
the nurse and the nurse assistant, so they
are both responsible
c.not usually if the nurse assistant has been
assigned tasks within the job description of
a nurse assistant
d.possible because the law is so different in
each state that there is no clear answer
139. Nurses should be aware of the
political process because:
a. doctors will take over nursing therapies
b. managed care is becoming the leader
in the pay process for care
c. nurses may be called to war if needed
d. some nursing practices are controlled
by governmental decisions
140. Sometimes a doctor or nurse may
unintentionally harm a patient. This is
called:
a. libel b. malpractice
c. negligence d.
nonmaleficence
141. Fraud can be defined as:
a. false accusations-written, printed or
typed that are made with malicious
intent
b. any words spoken with malice that areuntrue and prejudicial to another person
c. the act of intentionally misleading or
deceiving another person by any means
d. the omission of an act that a prudent
person would have performed
142. A nurse alters a hospital record
because she knows an error has been
committed. Her action may be classifiedas:
a. fraud b. libel
c. malpractice d. slander
143. A nurse gives legal testimony that is
taken and recorded outside the
courtroom. This is called a:
a. certified testimony b. contract
c. deposition d. tort
144. Law is defined as a standard of
conduct established and enforced by the
government. There are several types of
law, and the practice of nursing is
governed by:
a. administrative law b. civil law
c. common law d. public law
145. The Patients Bill of Rights was
published by the:
a. American Hospital Association
b. American Nurses Association
c. Joint Committee of Hospitals
d. Occupational, Safety and Health Act
146. Mr. Marsh wants his son designated
to make his health decisions. What
documentation is needed?
a.A doctors order
b.A durable power of attorney for health
care
c.a living will signed by both parties
d.a signed advance directive
147. The PD that requires that all health
workers to register all births within 30
days from birth:
a. PD 615 b. PD 651
c. PD 561 d. PD 156
148. Which of the ff. is the Code of
Sanitation?
a. PD 825 b. PD 856
c. PD 965 d. PD 791
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149. The nurse should know that all
prescriptions of the municipal health
officer should be in generics. What law
provides for this mandate?
a. RA 9173 b. RA 6675
c. Ra 1080 d. RA 7160
150. Which of the ff. provisions does not
apply to RA 7305?
a.promotes and improves the socio-
economic well being of public health
workers
b.develop their skills and abilities to
remain in government
c.encourage those qualified and those
with abilities to remain in government
service
d.standardized the salaries of nurses
working in the government
151. The delivery of basic services and
facilities of national government was
transferred to the local government units.
Which of the ff. mandated this?
a. RA 7305 b. RA 7160
c. RA 4226 d. RA 9173
152. Comprehensive Dangerous Act of
2002 is:
a. RA 6425 b. RA 9165
c. RA 953 d. RA 6675
153. Under the Narcotic Drug Law, the
nurse handling narcotics may be held
criminally liable if she:
a. has drug in private possession
b. is a patient using duly prescribed drugs
c. administer narcotics orders of a
licensed physician
d. is accounting for the drugs under a
licensed employer
154. Known as the Phil. Nursing Act of
1997.
a. Ra 9173 b. Ra 7164
c. LOI # 1000 d.
Proc# 539
155. Which groups are required to be
immunized as per PD # 996?
a. children with special needs
b. children below 8 years old
c. out of school youth
d. school children
156. Which legislation aims to promote
and improve the social and economic well
being of health workers in government
service?
a. Ra 7164
b. DOH policies and guidelines
c. Alma Ata
d. Magna Carta for Public Health Workers
157. The PD that requires all health
workers to register all births within 30days from birth:
a. PD 615 b. PD 651
c. PD 561 d. PD 156
158. RN Roger Carlitos knows that an
illegitimate child can also be registered.
This has been possible through:
a. RA 9173 b. RA 7164
c. RA 9408 d. RA 9255
169. Based on the family code of 1998,
how many persons are needed in order
for a marriage to be legal and binding?
a. 3 b. 2 c. 5 d. 7
170. If a husband and wife, retain their
marriage status, cannot remarry and/are
only separated in room and board, they
are said to be on:
a. trial separation b. legal separation
c. divorce d. annulment
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171. Dionesia celebrated her 18th birthday
with a grand open party. She met many
new faces during the party but there was
this one guy whom she liked the most.
After the partys over, Dionesia stayed
with him to get to know him better. The
guy liked Dionesia so much but the
birthday celebrator was conservative. The
guy forced sex on powerless Dionesiathat evening. The guy can be penalized
on the basis:
a. RA 7877 b. RA 8485
c. RA 7610 d. RA 8353
172. Which of the ff. is the Code of
Sanitation?
a. PD 825 b. PD 856
c. PD 965 d. PD 791
173. The nurse should know that all
prescriptions of the municipal health
officer should be in generics. What law
provides for this mandate?
a. RA 9173 b. RA 6675
c. Ra 1080 d. RA 7160
174. Weng is a new staff nurse in a
provincial hospital. His appointment
papers were processed at the:
a. Mayors office b. Governors
office
c. Regional Health Office d. DOH
Central Office
175. He was appointed based on the fact
that she was number one in the screening
done by the selection committee. The
committees action is consistent with:
a. Local Government Code
b. Civil Service Law
c. Magna Carta for Public Health Workers
d. Nursing Law
176. A nurse performs cardiopulmonary
resuscitation in an emergency situation
until the ambulance arrives to take the
victim at the hospital. Ideally, where it is
enacted, the nurse may be protected bywhich law?
a. Good Samaritan b. Minimum Standards
c. Nurse Practice Act d. OSHA Act
177. Which of the ff. statements indicates
a trend affecting professional nursing
practice today?
a. hospitals are changing the direct patient
contact mix by hiring more non-
professional personnel, thus decreasing
the number of professional nurses
b. nursing is moving back to internships
instead of formal education
c. psychologist are conducting nursing
research instead of using nurses
d. very few nurses work in the community,
almost work in hospitals
178. A nurse is a lifelong learner. The
most important reason for this is:
a. Accrediting agencies, such as National
League for Nursing require it
b. employers require it to stay employed
c. doctors need to be ensured the nurse
is competent in nursing
e. nurses must remain current in nursing
research, skills and knowledge
179. Health care delivery in the future
must consider what major trend?
a. decreasing competition among
hospitals
b. decreasing emphasis on technology
c. increasing number of nurses in the
profession
d. increasing population over age 70
180. The nurse performs many roles in
the practice of nursing. Which role is
defined as the protection of human or
legal rights and the security of quality
care for each patient?
a. advocate b. communicator
c. counselor d. leader
181. Critical thinking is essential to
because
a. Is constantly used for solving problemsand making sound judgment
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b. Becomes vital in developing nursing
knowledge
c. Forms the basis for the professional
code of ethics for nursing
d. Is needed to successfully pass the
licensure exam
182. Modern day nursing has led to the
development of expanded role of the
nurses in the function of a
a. clinical; nurse specialist b.
critical nurse
c. community health nurse d. staff nurse
183. You can join a continuing education
program to help you:
a. Earn credits for license renewal
b. Get in touch with colleagues in nursing
c. Enhance your basic knowledge
d. Update your knowledge and skill
related to field of interest
SITUATION: RA 9173 also ensures the quality
of nursing work force in the Philippines. It also
ensures the welfare of the nurses through
salaries and other benefits
184. A nurse should be cognizant that
professional programs for specialty
certification by the BON are accredited
through
a. Professional Regulation Commission
b. Nursing Specialty Council
c. Association of Dean of Phil. Colleges of
Nursing
d. Philippine Nurses Association
185. According to the nursing law, whowill spearhead the comprehensive
nursing specialty program?
a. DOH b. BON
c. PRC d. Professional
Specialty Org.
186. Thos will upgrade the level of skill
and competence of specialty nurseclinician in the country
a. NSCC b. CNSC
c. CNSP D. NDCC
187. Mindful that the nurse generalist
prepares for 4 years. In order to
specialize, how many years should the
participant complete the program?
a. 3 years b. 1 year c. 2 years d. 4
years
188. After completing the program, how
many years will the be obliged to serve
the country?
a. 2 years of cumulative service
b. 2 years of intermittent service
c. 2 years of continous service
d. No minimum years required, they can
go out the country anytime
189. Dioning just finished her
specialization. Her friend Gloring is also
interested to specialize as a nurse.Gloring ask what fields of specialization
are available in the Philippines. Dioning
enumerates the following except:
a. critical care nurse b. endoscopy nursing
c. oncology nursing d. renal nursing
190. Glory ask Dona if she will spend any
in the specialization. She further ask her
where the funds will come from. Diona
answers that the funds will come from
a. PCSO b. PAGCOR c. none d. both
a and b
191. Glory just finished her MAN from the
Health Science Gradute School, she has
been in practice for 10 years being the
supervisor of a private medical center.
Diona tell her that she cannot enter CNSP
because she is:
a. Already MAN graduate and that is
already considered a specialization
b. Graduated Man from dubious university
c. In nursing practice and only those in
nursing education can be nurse
specialists
d. Employed in a Medical Center
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192. Glory understands that only how
many percent of RN employed in
participating government hospital can
avail of the program?
a. 15% b. 10% c. 25% d. 100%
193. Diona explains the levels of CNSP to
Gloring. Gloring ask how many program
units are needed to complete 2nd level
a. 60 units b. 120 units c. 150 units
d. 200 units
194. Glory now knows that the highest
level in Clinical Nurse S[ecialist Level. Thelevel would need what kind of program
performance?
a. very satisfactory b. outstanding
c. awesome d. excellent
195. Aside from the DOH and BON, what
agency will help in developing the
incentive system for RNs employed in
government hospital
a. Dept of Labor and Employment
b. Dept of Budget and Management
c. Dept of Internal Revenue
d. Dept of Finance
212. According to ANA definition, Nursing
Informatics is
a. A specialty that optimizes information
management and communication to
improve health of population,
communities, families and individual
b. A specialty that uses technology in the
provision of nursing care, establishing
administrative system, delivering
education, promoting continuing
education research in nursing profession
c. A specialty that integrates nursing
science, computer science and
information science in identifying,
collecting, processing and managing data
and information in support nursing
practice, administration, education,
research and expansion of nursing
knowledge
d. A specilaity that utilizes and applies
computer technology in the provision of
health care
213. Which of the following is the goal of
nursing informatics?
a. Optimizes information management and
communication to improve the health of
the population, communities, families,
and individuals
b. Use technology in the provision of nursingcare, establishing administrative systems,
delivering education, promoting
continuing education research in the
nursing profession
c. Integrate nursing science, computer
science and information science
identifying, collecting, processing and
managing data and information in
support nursing practice, administration,
education, research and expansion of
nursing knowledge
d. utilizes and applies computer technology
in the provision of health care
214. The time period when
consciousness of the significance and
application of computer into nursing
emerged
a. before 1960 b. 1960s c. 1970s
d. 1980s
215. The time period wherein personal
computer emerged and the field of
informatics in nursing emerged
a. 1960s b. 1970s c. 1980s
d. 1990s
216. The time period wherein computer
technology in the Philippines.
a. 1960s b. 1970s c. 1980s
d. 1990s
217. The time period wherein computer
technology was directly integrated and
involved in the direct provision of healthcare
a. 1960s b. 1970s c. 1980s
d. 1990s
218. Nursing informatics is a newly
emerging field in the health care. The
term informatics simply means:
a. a board of academic fieldencompassing information science
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b. the application of information science
c. the study of information science
d. the science of information
219. A nurse knows that the framework in
nursing informatics depends on the ff.except
a. data b. information
c. knowledge d. skills
220. This concept in the framework of
nursing informatics is defined as discrete
entities that are described objectively
without
a. data b. information
c. knowledge d. skills
221. This concept in the framework of
nursing informatics is defined as data
that is ineterpreted, organized or
structured
a. data b. information
c. knowledge d. skills
222 . This concept in the framework of
nursing informatics is defined as
information that has been synthesize so
that the interrelationship are identified
and formalized
a. data b. information
c. knowledge d. skills
223. A new role of nurse who has formal
education, certification and practical
experiences in using computers in patient
care setting is called:
a. nurse information system manager
b. nurse computer technologist
c. nurse information specialist
d. nurse information practitioner
224. Of all the fields wherein informatics
can be applied which of the following has
the highest and most evident benefit?
a. Nursing practice b. Nursing education
c. Nursing administration d. Nursing
Research
225 .The use of Computerize or Electronic
Patient records benefit greatly which area
of nursing?
a. Nursing practice b. Nursing education
c. Nursing administration d. Nursing
Research
226. The use of automatic billing for
supplies or procedure with nursing
documentation benefit greatly which area
of nursing
a. Nursing practice b. Nursing education
c. Nursing administration d. Nursing
Research
227. The use of Email for improved
communication benefit greatly which area
of nursing
a. Nursing practice b. Nursing education
c. Nursing administration d. Nursing
Research
228. The use of computerized literature
searching benefit greatly which area of
nursing
a. Nursing practice b. Nursing education
c. Nursing administration d. Nursing
Research
229. The use of interactive video
technology benefit greatly which area of
nursing
a. Nursing practice b. Nursing education
c. Nursing administration d. Nursing
Research
230. The NARS Program of the Phil.
Government aim to do which of the ff.
except
a. glut in inexperienced nurses
b. decrease in proliferation of volunteer
nurses working in hospitals without
being paid, but instead, they
themselves pay the hospitals to obtain
Certificate of work experience
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c. to promote health of the people and
bring the government closer to them
d. immunize children and mothers
231. Specifically, nurses employed in the
NARS program will do which of the
following except
a. initiate primary health, school nutrition,
maternal health program, first line
diagnosis
b. implement all DOH health program
c. Inform about community water
sanitation practices and also do health
surveillance
d. Immunize children and mothers
233. Generally the NARS program is both
a training and a
a. socio-civic program b. socio-
economic program
c. education program d. development
program
235. NARS nurses will undergo training
and development for competency
enhancement in accordance with the
training program designed by the DOH
and with
a. DOLE b. PRC BON
c. PNA d. DOH alone
236. Completeion of the training program
under NARS program shall be considered
as a substitute for the workexperience
requirement of hospital and other health
facilities both local and overseas. The
Certificate of Completion shall be issued
jointly by
a. DOLE, PNA, NLGN b. DOLE, PRC, PNA
c. . DOLE, PRC, BONd. None of the above
237. The total number of NARS nurses
that will be deployed all throughout the
country will be limited to 1000
municipalities. Strictly speaking, these
municipalities
a. with highest morbidity rate
b. with highest poverty rate
c. with highest mortality rate
d. All of the above
238. How many NARS nurses will be
deploy per municipality?
a. 6 b. 5 c. 4 d. none of the above
239. All of the following are qualifications
of an applicant to the NARS program
except:
a. With valid nurse license issued by PRC
b. Not over 35 years old
c. Resident of the identified municipalities
d. No nursing related practice for past 3
years
240. A NARS under the nurse program will
render 40 work hours per work, this is in
accordance with what legislation of the
country
a. RA 9173 b. Labor Code
c. Code of Ethics for Filipino Nurse d. None
241. This program by ANSAP was
primarily designed to ensure safe practice
of intravenous therapy to uphold quality
nursing practice
a. Basic IVT programb. Advance IVTprogram
c. IVT refresher course d. all of the
above
242. Administration of parenteral
injection is
a. not a duty of a nurse b. duty of a
physician
c. stipulated in RA 9173 d. None of the
above
243. Entrance requirement for Basic IV
therapy training include the following
except
a. BS in Nursing
b. Registered professional nurse withcurrent license from PRC
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c. 3 + 3 + 2 cases
d. None of the above
245. Before the issuance of an IVT
license, a participant should within 6
months of training complete and pass
which of the following
a. None of the above
b. 6 cases of initiating/maintaining
peripheral IV insertion; 6 cases of
administering IV drugs and 2 cases of
administering and maintaining blood and
blood components
c. 3 cases of initiating/maintaining
peripheral IV insertion; 3 cases of
administering IV drugs and 2 cases of
administering and maintaining blood and
blood components
d. 4 cases of initiating/maintaining
peripheral IV insertion; 4 cases of
administering IV drugs and 3 cases of
administering and maintaining blood and
blood components
246. RA 9173 guarantees that a RN can
suture a perineal laceration provided thatspecial training be undertaken. This
training should be offered by MCNAP
together with
a. BON b. ANSAP c. PNA d.
ORNAP
247. The entry requirement for the
suturing program includes a registered
nurse with a current license from thePRC, participating Maternal and Child
Nursing preferably a member of MCNAP
Inc. and has a minimum work experience
of
a. At least 1 year in Labor/Delivery Room
or community health setting
b. At least 6 months in Labor/Delivery
Room or community health setting
c. At least 3 months in Labor/Delivery
Room or community health setting
d. None of the above
248. A participant of the program after
payment of the required fee can now be
issued a certification card. He should also
present the following except
a. 3+3 Practicum Sheet with Signature
b. Photocopy of current PRC license
c. Original/photocopy of Certificate of
Attendance
d. 3R size photo documentation of actual
suturing
249. For renewal or revalidation of the
certification card, a nurse knows that it is
renewed every
a. 2 years b. 3 years c. 4 years
d. 6 years
250. Its renewal or revalidation requires
continuous practice in any health care
setting and a CPE units in any related
obstetrical matters. The nurse knows that
he needs at least how many units?
a. 20 b. 24 c. 60 d. none