NURSING - PALMER 1

Situation: Harry a new research staff of the Research 8. He develops methods for data gathering. Which of
and Development Department of a tertiary hospital is the following criteria of a good instrument refers to the
tasked to conduct a research study about the in- ability of the instrument to yield the same results upon its
creased incidence of nosocomial infection in the hospi- repeated administration?
tal. A. Validity C. Sensitivity
B. Specificity D. Reliability
1. Which of the following ethical issues should he con-
sider in the conduct of his study? 9. Harry is aware of the importance of controlling
1. Confidentiality of information given to him by the threats to internal validity for experimental research,
subjects which include the following examples EXCEPT:
2. Self-determination which includes the right to with- A. History C. Attrition
draw from the study group B. Maturation D. Design
3. Privacy or the right not to be exposed publicly
4. Full disclosure about the study to be conducted 10. His colleague asks about the external validity of the
A. 1, 2, 3 C. 2, 3, 4 research findings. Which of the responses of Harry is ap-
B. 1, 3, 4 D. 1, 2, 3, 4 propriate? The research findings can be
A. generalized to other settings or samples
2. Which of the following is the best tool for data gath- B. shown to result only from the effect of the independ-
ering? ent variable
A. Interview schedule C. reflected as results of extraneous variables
B. Questionnaire D. free of selection biases
C. Use of laboratory data
D. Observation Situation: You are fortunate to be chosen as part of the
research team in the hospital. A review of the following
3. During data collection, Harry encounters a patient IMPORTANT nursing concepts was made:
who refuses to talk to him. Which of the following is a
limitation of the study? 11. A professional nurse can do research for varied rea-
A. Patient’s refusal to fully divulge information. sons except:
B. Patients with history of fever and cough a. Professional advancement through research
C. Patients admitted or who seeks consultation at the participation
ER and doctors offices b. To validate results of new nursing modalities
D. Contacts of patients with history of fever and cough c. For financial gains
d. To improve nursing care
4. What type of research is appropriate for this study?
A. Descriptive- correlational C. Quasi-experiment 12. Each nurse participant was asked to identify a prob-
B. Experiment D. Historical lem. After the identification of the research problem,
which of the following should be done?
5. In the statement, “Frequent hand washing of health a. Methodology
workers decreases the incidence of nosocomial infec- b. Review of related literature
tions among post-surgery patients”, the dependent var- c. Acknowledgement
iable is d. Formulate hypothesis
A. incidence of nosocomial infections
B. decreases 13. Which of the following communicate the results of
C. frequent hand washing the research to the readers? They facilitate the de-
D. post-surgery patients scription of the data.
a. Hypothesis
6. Harry knows that he has to protect the rights of hu- b. Statistics
man research subjects. Which of the following actions c. Research problem
of Harry ensures anonymity? d. Tables and graphs
A. Keep the identities of the subject secret
B. Obtain informed consent 14. In quantitative data, which of the following is de-
C. Provide equal treatment to all the subjects of the scribed as the distance in the scoring units of the var-
study. iable from the highest to the lowest?
D. Release findings only to the participants of the study a. Frequency
b. Mean
7. He is oriented to the use of electronic database for c. Median
nursing research. Which of the following will he likely ac- d. Range
cess?
A. MEDLINE 15. This expresses the variability of the data in reference
B. National Institute of Nursing Research to the mean. It provides as with a numerical estimate
C. American Journal of Nursing of how far, on the average the separate observation
D. International Council of Nurses are from the mean:
a. Mode
b. Standard deviation
c. Median
d. Frequency
 NURSING - PALMER 2
Situation: Survey and statistics are important part if re-
search that is necessary to explain the characteristics of 24. Which of the following is not true about a pure ex-
the population. perimental research?
a. There is a control group
16. All but one of the following is a measure of central b. There is an experimental group
tendency: c. Selection of subjects in the control group is ran-
a. Mode domized
b. Mean d. There is a careful selection of subjects in the ex-
c. Median perimental group
d. Range
25. The researcher implemented a medication regimen
16. All but one of the following in not a measure of cen- using a new type of combination drugs to manic pa-
tral tendency: tients while another group of manic patients re-
a. Mode ceives the routine drugs. The researcher however
b. Variance handpicked the experimental group for they are the
c. Standard deviation clients with multiple episodes if bipolar disorder. The
d. Range researcher utilized which research design?
a. Quasi experimental
18. In the values: 87, 85, 88, 92, 90, what is the mean? b. Pure experimental
a. 88.2 c. Phenomenological
b. 88.4 d. Longitudinal
c. 87
d. 90 Situation: As a nurse, you are expected to participate in
initiating or participating in the conduct of research stud-
19. In the values: 80, 80, 80, 82, 82, 90, 90, 100, what is the ies to improve nursing practice. You have to be updated
mode? on the latest trends and issues affecting the profession
a. 80 and the best practices arrived at by the profession.
b. 82
c. 90 26. You are interested to study the effects of mediation
d. 85.5 and relaxation on the pain experienced by cancer
patients. What type of variable is pain?
20. In the values: 80, 80, 10, 10, 25, 65, 100, 200, what is a. Dependent
the median? b. Correlational
a. 71.25 c. Independent
b. 22.5 d. Demographic
c. 10 and 25
d. 72.5 27. You would like to compare the support system of pa-
tient with chronic illness and those with acute illness.
21. Draw lots, lottery, table of random numbers or a How will you best state your problem?
sampling that ensures that each element of the a. A descriptive study to compare the support sys-
population has an equal and independent chance tems of patients with chronic illness and those
of being chosen is called: with acute illness in terms of demographic data
a. Cluster and knowledge about intervention
b. Simple b. The effects of the types of support system of pa-
c. Stratified tients with chronic illness and those with acute
d. Systematic illness
c. A comparative analysis of the support system of
22. An investigator wants to determine some of the patients with chronic illness and those with
problems experienced by diabetic clients when us- acute illness
ing insulin pump. The investigator went to a clinic d. A study to compare the support system of pa-
where he personally knows several diabetic clients tients with chronic illness and those with acute
having problem with insulin pump. The type of sam- illness
pling done by the investigator is called: e. What are the differences of the support system
a. Probability being received by patient with chronic illness
b. Purposive and patients with acute illness?
c. Snowball
d. Incidental 28. You would like to compare the support system of pa-
tients with chronic illness to those with acute illness.
23. If the researcher implemented a new structured Considering that the hypothesis was: “Clients with
counselling program with a randomized group of chronic illness have lesser support system than clients
subject and a routine counseling program with an- with acute illness.” What type of research is this?
other randomized group of subject, the research is a. Descriptive
utilizing which design? b. Correlational, non experimental
a. Quasi experimental c. Experimental
b. Experimental d. Quasi experimental
c. Comparative
d. Methodological
 NURSING - PALMER 3
29. In any research study where individual persons are 35. “A supposition or system of ideas that is proposed to
involved, it is important that an informed consent of explain a given phenomenon”, best defines:
the study is obtained. The following are essential in- a. A paradigm
formation about the consent that you should dis- b. A concept
close to the prospective subjects except: c. A theory
a. Consent to incomplete disclosure d. A conceptual framework
b. Description of benefits, risks, and discomforts
c. Explanation of procedure Situation: Mastery of research design determination is es-
d. Assurance of anonymity and confidentiality sential in passing the NLE.

30. In the hypothesis: “The utilization of technology in
teaching improves the retention and attention of
the nursing students,” which is the dependent varia-
ble?
a. Utilization of technology
b. Improvement in the retention and attention
c. Nursing students
d. Teaching
Situation: You are an actively practicing nurse who has
just finished your graduate studies. You learned the value
of research and would like to utilize the knowledge and
skills gained in the application of research to the nursing
service. The following questions apply to research.
31. Which type of research inquiry investigates the issues
of human complexity (e.g. understanding the hu-
man expertise)?
a. Logical position
b. Naturalistic inquiry
c. Positivism
d. Quantitative Research
36. Monette wants to know if the length of time she will
study for the board examination is proportional to
her board rating. During the November 2017 board
examination, she studied for six months and gained
68%. On June 2018 board exam, she studied for 6
months again for a total of one year and gained
74%. On November 2018, she studied for 6 months
for a total of one and a half year and gained 82%.
The research design she used is:
a. Comparative
b. Correlational
c. Experimental
d. Qualitative
37. Rodrigo was always eating high fat diet. You want
to determine if what will be the effect of high cho-
lesterol food to Rodrigo in the next 10 years. You will
use:
a. Comparative
b. Correlational
c. Historical
d. Longitudinal

32. Which of the following studies is based on quantita- 38. Community A was selected randomly as well as
tive research? Community B, nurse Crystal conducted teaching
a. A study examining the bereavement process in both and assessed if Community A will have a better
spouses of clients with terminal cancer status than Community B. This is an example of:
b. A study exploring factors influencing weight a. Comparative
control behavior. b. Correlational
c. A study measuring the effects of sleep depriva- c. Experimental
tion on wound healing d. Qualitative
d. A study examining client’s feeling before, during
and after a bone marrow aspiration 39. Faye researched in the development of a new way
to measure intelligence by creating a 100-item
33. Which of the following studies is based on qualitative questionnaire that will assess the cognitive skills of an
research? individual. The design best suited for this study is:
a. A study examining clients reactions to stress after a. Historical
open heart surgery b. Methodological
b. A study measuring nutrition and weight loss/gain c. Survey
in clients with cancer d. Case study
c. A study examining oxygen levels after endotra-
cheal suctioning 40. Jay is conducting a research study on how Ralph, an
d. A study measuring differences in blood pressure AIDS client lives his life. A design suited for this is:
before, during and after a procedure a. Historical
b. Case study
34. An 85-year old client in a nursing home tells a nurse, c. Phenomenological
“I signed the papers for that research study because d. Ethnographic
the doctor was so insistent and I want him to con-
tinue taking care of me”. Which client right is being 41. Maecee is to perform a study about how nurses per-
violated? form surgical asepsis during World War II. A design
a. Right of self determination best for this study is:
b. Right to privacy and confidentiality a. Historical
c. Right to full disclosure b. Case study
d. Right not to be harmed c. Phenomenological
d. Ethnographic
 NURSING - PALMER 4
42. Medel conducts sampling at Barangay Maligaya.
He collected 100 random individuals and determine 48. The recipients of experimental treatment in an ex-
who is their favorite actor. 50% said Piolo, 20% said perimental design or the individuals to be observed
John Lloyd, while some answered Sam, Dingdong, in a non-experimental design are called:
Richard, and Derek. Medel conducted what type of a. Setting
research study? b. Subjects
a. Phenomenological c. Treatment
b. Case study d. Sample
c. Non experimental
d. Survey 49. The device or techniques that Vinz employs to col-
lect data is called:
43. Mark and Robert visited a tribe located somewhere a. Sample
in China, it is called Shin Jea tribe. They studied the b. Instrument
way of life, tradition, and the societal structure of c. Hypothesis
these people. They will best use which research de- d. Concept
sign?
a. Historical 50. The use of another person’s ideas or wordings with-
b. Case study out giving appropriate credit results from inaccurate
c. Phenomenological or incomplete attribution of materials to its resources.
d. Ethnographic Which of the following is referred to when another
person’s idea is inappropriately credited as one’s
44. Jezza and Jenny researched about TB – its transmis- own?
sion, causative agent and factors, treatment, signs a. Plagiarism
and symptoms, as well as medication and all other b. Quotation
in-depth information about tuberculosis. This study is c. Assumption
best suited for which research design? d. Paraphrase
a. Historical
b. Case study 51. Centralized organizations have some advantages.
c. Phenomenological Which of the following statements are TRUE?
d. Ethnographic 1. Highly cost-effective
2. Makes management easier
45. Diana, Arlene, and Sally are to conduct a study 3. Reflects the interest of the worker
about relationship of the number of family members 4. Allows quick decisions
in the household and the electricity bill, which of the A. 1 & 2
following is the best research design suited for this B. 2 & 4
study? C. 2, 3& 4
1. Descriptive D. 1, 2, & 4
2. Exploratory
3. Explanatory 52. Stephanie delegates effectively if she has authority
4. Correlational to act, which is BEST defined as:
5. Comparative A. having responsibility to direct others
6. Experimental B. being accountable to the organization
C. having legitimate right to act
a. 1 and 4 D. telling others what to do
b. 2 and 5
c. 3 and 6 53. Regardless of the size of a work group, enough staff
d. 1 and 5 must be available at all times to accomplish certain
e. 2 and 4 purposes. Which of these purposes in NOT included?
A. Meet the needs of patients
Situation: As a nurse researcher, Vinz must have a very B. Provide a pair of hands to other units as needed
good understanding of the common terms of concept C. Cover all time periods adequately.
used in research. D. Allow for growth and development of nursing staff.

46. The information that an investigator like Vinz collects 54. Which of the following guidelines should be least
from the subjects or participants in a research study considered in formulating objectives for nursing care?
is usually called: A. Written nursing care plan
a. Hypothesis B. Holistic approach
b. Data C. Prescribed standards
c. Variable D. Staff preferences
d. Concept

47. Which of the following usually refers to the inde-

pendent variables in doing research?
a. Result
b. Cause
c. Output
d. Effect

55. Stephanie considers shifting to transformational
leadership. Which of the following statements best de-
scribes this type of leadership?
A. Uses visioning as the essence of leadership.
B. Serves the followers rather than being served.
C. Maintains full trust and confidence in the subordi-
nates
D. Possesses innate charisma that makes others feel
good in his presence.
56. As a manager, she focuses her energy on both the
quality of services rendered to the patients as well as
the welfare of the staff of her unit. Which of the follow-
ing management styles does she adopt?
A. Country club management*
B. Organization man management
C. Team management
D. Authority-obedience management
57. Katherine is a young Unit Manager of the Pediatric
Ward. Most of her staff nurses are senior to her, very ar-
ticulate, confident and sometimes aggressive. Kathe-
rine feels uncomfortable believing that she is the scape-
goat of everything that goes wrong in her department.
Which of the following is the best action that she must
take?
A. Identify the source of the conflict and understand
the points of friction
B. Disregard what she feels and continue to work inde-
pendently
C. Seek help from the Director of Nursing
D. Quit her job and look for another employment.
58. As a young manager, she knows that conflict occurs
in any organization. Which of the following statements
regarding conflict is NOT true?
A. Can be destructive if the level is too high
B. Is not beneficial; hence it should be prevented at all
times
C. May result in poor performance
D. May create leaders
59. Katherine tells one of the staff, “I don’t have time to
discuss the matter with you now. See me in my office
later” when the latter asks if they can talk about an is-
sue. Which of the following conflict resolution strategies
did she use?
A. Smoothing
B. Compromise
C. Avoidance
D. Restriction
60. Kathleen knows that one of her staff is experiencing
burnout. Which of the following is the best thing for her
to do?
A. Advise her staff to go on vacation.
B. Ignore her observations; it will be resolved even with-
out intervention
C. Remind her to show loyalty to the institution.
D. Let the staff ventilate her feelings and ask how she
can be of help.
NURSING - PALMER 5
61. She knows that performance appraisal consists of all
the following activities EXCEPT:
A. Setting specific standards and activities for individual
performance.
B. Using agency standards as a guide.
C. Determine areas of strength and weaknesses
D. Focusing activity on the correction of identified be-
havior.
62. Which of the following statements is NOT true about
performance appraisal?
A. Informing the staff about the specific impressions of
their work help improve their performance.
B. A verbal appraisal is an acceptable substitute for a
written report
C. Patients are the best source of information regarding
personnel appraisal.
D. The outcome of performance appraisal rests primar-
ily with the staff.
63. There are times when Katherine evaluates her staff
as she makes her daily rounds. Which of the following is
NOT a benefit of conducting an informal appraisal?
A. The staff member is observed in natural setting.
B. Incidental confrontation and collaboration is al-
lowed.
C. The evaluation is focused on objective data system-
atically.
D. The evaluation may provide valid information for
compilation of a formal report.
64. She conducts a 6-month performance review ses-
sion with a staff member. Which of the following actions
is appropriate?
A. She asks another nurse to attest the session as a wit-
ness.
B. She informs the staff that she may ask another nurse
to read the appraisal before the session is over.
C. She tells the staff that the session is manager-cen-
tered.
D. The session is private between the two members.
65. She came across a theory which states that the
leadership style is effective dependent on the situation.
Which of the following styles best fits a situation when
the followers are self-directed, experts and are matured
individuals?
A. Democratic
B. Authoritarian
C. Laissez faire
D. Bureaucratic
66. She decides to illustrate the organizational structure.
Which of the following elements is NOT included?
A. Level of authority
B. Lines of communication
C. Span of control
D. Unity of direction
67. She plans of assigning competent people to fill the
roles designed in the hierarchy. Which process refers to
this?
A. Staffing
B. Scheduling
C. Recruitment
D. Induction

68. She checks the documentary requirements for the
applicants for staff nurse position. Which one is NOT
necessary?
A. Certificate of previous employment
B. Record of related learning experience (RLE)
C. Membership to accredited professional organization
D. Professional identification card
69. Which phase of the employment process includes
getting on the payroll and completing documentary re-
quirements?
A. Orientation
B. Induction
C. Selection
D. Recruitment
70.In a horizontal chart, the lowest level worker is lo-
cated at the
A. Leftmost box
B. Middle
C. Rightmost box
D. Bottom
71. A nurse who would like to practice nursing in the
Philippines can obtain a license to practice by:
A. Paying the professional tax after taking the board ex-
ams
B. Passing the board exams and taking the oath of pro-
fessionals
C. Paying the examination fee before taking the board
exams
D. Undergoing the interview conducted by the Board
of Nursing and taking the board exams
72. Reciprocity of license to practice requires that the
country of origin of the interested foreign nurse com-
plies with the following conditions:
A. The country of origin has similar preparation for a
nurse and has laws allowing Filipino nurses to practice in
their country.
B. The Philippines is recognized by the country of origin
as one that has high quality of nursing education
C. The country of origin requires Filipinos to take their
own board examination
D. The country of origin exempts Filipinos from passing
their licensure examination
73. Which of the following is TRUE about membership to
the Philippine Nurses Association (PNA)?
A. Membership to PNA is mandatory and is stipulated in
the Philippine Nursing Act of 2002
B. Membership to PNA is compulsory for newly regis-
tered nurses wanting to enter the practice of nursing in
the country
C. Membership to PNA is voluntary and is encouraged
by the PRC Code of Ethics for Nurses
D. Membership to PNA is required by government hospi-
tals prior to employment
74. When the license of the nurse is revoked, it means
that the nurse:
A. Is no longer allowed to practice the profession for
the rest of her life
B. Will never have her/his license re-issued since it has
been revoked
C. May apply for re-issuance of his/her license based
NURSING - PALMER 6
on certain conditions stipulated in RA 9173
D. Will remain unable to practice professional nursing
75. The Board of Nursing has quasi-judicial power. An
example of this power is:
A. The Board can issue rules and regulations that will
govern the practice of nursing
B. The Board can investigate violations of the nursing
law and code of ethics
C. The Board can visit a school applying for a permit in
collaboration with CHED
D. The Board prepares the board examinations
76. When a nurse causes an injury to the patient and
the injury caused becomes the proof of the negligent
act, the presence of the injury is said to exemplify the
principle of:
A. Force majeure
B. Respondeat superior
C. Res ipsa loquitur
D. Holdover doctrine
77. Ensuring that there is an informed consent on the
part of the patient before a surgery is done, illustrates
the bioethical principle of:
A. Beneficence
B. Autonomy
C. Truth telling/veracity
D. Non-maleficence
78. When the doctor orders “do not resuscitate”, this
means that
A. The nurse need not give due care to the patient
since s/he is terminally ill
B. The patient need not be given food and water after
all s/he is dying
C. The nurses and the attending physician should not
do any heroic or extraordinary measures for the patient
D. The patient need not be given ordinary care so that
her/his dying process is hastened
79. Which of the following statements is TRUE of abortion
in the Philippines?
A. Induced abortion is allowed in cases of rape and in-
cest
B. Induced abortion is both a criminal act and an un-
ethical act for the nurse
C. Abortion maybe considered acceptable if the
mother is unprepared for the pregnancy
D. A nurse who performs induced abortion will have no
legal accountability if the mother requested that the
abortion done on her.
80. A 92-year-old client fell as he attempted to get out
of bed on his own. Which information should the
nurse include in her documentation of the incident?
A. Describe what she saw and heard and the actions
she took when she reached the client
B. Mention that an incident report was completed
C. Describe what she thinks occurred
D. Describe what the client said occurred

81. A client failed to administer a medication to a client
according to accepted standards. Consequently,
the client suffered adverse effects. Failure to provide
client care and following appropriate standards is
called which of the following:
A. Breach of duty
B. Breach of promise
C. Imprudence
D. Tort
82. A client refuses to take his 9 pm medication. How
should the nurse document this on the medication
administration record?
A. Leave the space blank where her initials would typi-
cally be written
B. Circle the time the drug was to be administered
C. Cross out the time the drug was to be administered
D. Circle the time the drug was to be administered and
record the reason for the omission in the progress notes.
83. In relation to obtaining an informed consent from a
17 y/o adolescent the nurse should remember that
the adolescent:
A. Does not have the legal capacity to give consent
B. Is not able to make an acceptable or intelligent
choice
C. Is not able to give voluntary consent when par-
ents are not available.
D. Will most likely to unable to choose between alterna-
tives when asked to consent.
84. Lorna is a freshman college student with measles.
She has an examination in Ethics and wants to go
to school even if she is contagious. Under the prin-
ciple of double effect, Lorna should:
A. Not go to school and take the exams
B. Continue in taking the exams
C. Ask the teacher for permission
D. Take the exam at the back of the room
85. A client has suffered an extensive brain injury and
can’t make his own treatment choice. Which writ-
ten document is recognized by the law and pro-
vides directions for provision at a time when the cli-
ent can’t make his own choices?
A. Advanced directive
B. Living will
C. Durable power of attorney
D. Last Will and Testament
86. The nurse places a new heating pad on a client and
after 15 minutes realizes that the client has been burned
because the setting were incorrect. Which principle
would legally apply?
A. No one could be held liable for new equipment.
B. The nurse could be held liable for the injury that oc-
curred.
C. The nurse did what a reasonable, prudent nurse
would do.
D. The manufacturer is liable for new equipment.
87. A 92 year old client fell as he attempted to get out of
bed on his own. Which information should the nurse in-
clude in her documentation of the incident?
A. Describe what she saw and heard and the actions
she took when she reached the client
B. Mention that an incident report was completed
NURSING - PALMER 7
C. Describe what she thinks occurred
D. Describe what the client said occurred
88. An RN is orienting a graduate nurse to the unit. A
client is admitted with end-stage leukemia. Which
statement made by the graduate nurse should be
corrected by the RN?
A. “The client can inform the physician that he doesn’t
want CPR if his heart stops beating”.
B. “The client could designate another person to make
end-of-life decisions when he’s no longer able”.
C. “The client can write a living will indicating his
end-of-life preference”
D. “The law dictates that the client must write a new liv-
ing will each time he’s admitted to the hospital”
89. A client refuses to take his 9 pm medication. How
should the nurse document this on the medication
administration record?
A. Leave the space blank where her initials would typi-
cally be written
B. Circle the time the drug was to be administered
C. Cross out the time the drug was to be administered
D. Circle the time the drug was to be administered and
record the reason for the omission in the progress notes.
90. Upon entering from lunch, the nurse is approached
in the elevator by a hospital employee from another unit.
The employee states that a close friend is a client on the
nurse’s unit. She asks how the friend is doing and if all of
her test were normal. The nurse should
A. Answer the employee’s question softly so other peo-
ple will not hear
B. Decline to discuss her friend’s medical condition and
suggest that she visit her friend
C. Give the employee the name of the client’s physician
and suggest that she call for this information
D. Tell the employee about the results of the client’s test
only if they were within normal limits
91. The professional obligation of the nurse to assume
responsibility for actions is referred to as
A. Accountability
B. Individuality
C. Responsibility
D. Bioethics
Situation – Ninety year old Purita is confined at the
medical unit for respiratory ailment for which a breath-
ing apparatus is prescribed for her to use while she
sleeps. She refuses to wear it continuously though she
fully understands the medical indication for it.
92. Which of these ethical principles can guide the
nurse in her action?
A. Beneficence
B. Fidelity
C. Autonomy
D. Non-maleficence

93. Purita has six children who are already adults. They
differ in their opinion whether or not to allow their
mother to decide for her. The nurse would encour-
age family conference for:
A. The eldest child’s opinion to be given priority
B. Allowing the medical staff to decide in their behalf
C. Majority of the children to decide
D. Consensus building
94. Breathing treatments are given to Purita. In antici-
pation that Purita might refuse, Dinio one of the
children requests that he be the one to sign the
consent in behalf of their mother. The nurse ex-
plains that Purita is rational in her thinking and
which of this client’s right must be regarded?
A. Right to refuse treatment
B. Right to privacy
C. Right to informed consent
D. Right to habeas consent
95. The physician prescribed Digoxin 4 mg I.V. for a client
with rapid Atrial Fibrillation. How should the nurse
proceed?
A. Assess the client’s apical heart rate then
administer the dose
B. Administer 0.4 mg I.V. because the physi-
cian most likely meant to write the dos-
age
C. Question the physician about the order
D. Administer the dose then monitor the cli-
ent closely.
96. A client undergoing bronchoscopy needs to sign an
informed consent form before the procedure. Which of
the following is true about informed consent?
A. The client cannot refuse the procedure
after the consent is signed
B. If the client refuses to sign the consent
form, another family member can sign
for him
C. If the client refuse to sign the consent
form, other treatments will be withdrawn
D. Informed consent should include an ex-
planation of alternative treatments or
procedures
NURSING - PALMER 8
98. A nurse administers a dose of penicillin to a client
who suddenly develop hives and difficulty of breath-
ing. He notifies the physician and takes emergency
measures. Which of the following should the nurse in-
clude in his documentation?
A. Document the time, date, and site which
the dose was administered
B. In addition to normal drug charting infor-
mation, include the information about
the client’s reaction
C. In addition to the normal drug charting
information, include information about
the client’s reaction, and any medical
or nursing intervention taken
D. Include information about the client’s re-
action and any nursing intervention
given.
99. After a medication error is made in her unit, the
nurse-manager will expect to receive which of the
following?
A. Incident report
B. Oral report from the nurse
C. Copy of the medication Kardex
D. Order change signed by the physician
100. A nurse administers a unit of blood to a client with-
out receiving informed consent. Performing a proce-
dure, such as administration of blood products with-
out receiving informed consent can lead to which
of the following charges?
a. Assault and Battery
b. Fraud
c. Breach of confidentiality
d. Harassment
***END***

97. A Jehovah’s Witness is admitted to the hospital with

upper G.I. bleeding. The physician orders: 2 units of
packed RBC to be administered over 2 hours each.
When the nurse tells the client about the order, the
client refuses the transfusion. How should the nurse
proceed?
A. Follow the Physician’s order and admin-
ister the transfusion
B. Tell the client that she is being ridiculous
because she’ll die without the transfu-
sion
C. Refuse to care for the client because you
don’t agree with her religious belief
D. Tell her you understand her religious con-
cerns and notify the physician