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2009 PHILIPPINE NURSE LICENSURE EXAMINATION REVIEW

Directions: Read each item carefully. Select the best answer from the given choices. AVOID ERASURES.

PROFESSIONAL ADJUSTMENT

SITUATION 1: Martha just passed the Philippine Nurse Licensure Examination. She plans to apply for her new job as a staff nurse in a tertiary hospital.

1. During the interview, the Director of Nursing asks Martha about the key areas of responsibilities that she can do as a beginning professional. Which of the following is a correct response of Martha? “ I can…

a. administer medications to patients”b. deliver safe and quality care to patients”c. discuss the pathophysiology of the patient’s disease process”d. set priorities in rendering care to patients”

2. Which of the following key areas of responsibilities is included in the empowering competencies of a nurse like Martha?

a. Researchb. Management of resources and environmentc. Personal and professional developmentd. Collaboration and teamwork

3. Which of the following qualifications is NOT mandated in order for Martha to be accepted to the position of a staff nurse?

a. BSN graduateb. Licensed and registered nursec. Must be physically and mentally fitd. With 60 credit units in CPE

4. Which THREE of the following core competencies should Martha demonstrate under safe and quality care?

of 35 Noelito Alejandro Luzon, RNReviewer


1. Demonstrates knowledge base on the health /illness status of individual

2. Utilizes resources to support patient care3. Promotes safety and comfort of patients 4. Responds to the urgency of the patient’s

condition a. 1, 2, 3b. 1, 3, 4c. 2, 3, 4d. 1, 2, 4



5. This key area of responsibility allows Martha to enhance the delivery of effective and efficient care to patients



a. Researchb. Communicationc. Health educationd. Record management



6. In performing her enabling competencies, Martha should demonstrate which of the following competencies?

a. Management of resources an environmentb. Researchc. Collaboration and teamworkd. Ethico-moral responsibility

7. She is aware that the BON Resolution No. 112 was promulgated by the Board of Nursing to a. set the standards for safe nursing practice in the countryb. guide practitioners on continuing professional educationc. Adopt the core competency standards for nursing practiced. set the ethical standards for the nursing profession

8. As a registered nurse, Martha is covered by the Code of Ethics for Registered Nurses in the Philippines which is promulgated in:

a. A. BON Resolution No. 1955 C. BON Resolution No. 220b. B. EO No. 220 D. R.A 9173

9. She knows that the implementing rules and regulations (IRR) of the Nursing Law was passed through:



a. BON Resolution No. 425, s. 2003

b. EO 220c. BON Resolution No. 459 s.

2002d. BON Resolution No.220 s. 2004



10. Martha is aware that if she violates any provision of the Code of Ethics she would likely face certain consequences. Which of the following is most likely?

a. Fine of not more than P100,000.00b. Suspension or revocation of certificate of registrationc. Imprisonment of not less than one monthd. Either imprisonment or fine of not less than P50, 000.00 or both

SITUATION 2: Kamille successfully passed the PNLE. She has just received her professional identification card as a registered nurse.

11. As a nurse, she should be guided by the nursing law in the country. Which is NOT a provision of this law?

a. Increases the composition of the Board from five to seven representing nursing education, service and community health nursing

b. Requires those nurses who have been away from practice to undergo one month of didactic training and five months of practicum before returning to the workforce.

c. Recognition of nursing specialty organizations in coordination with the accredited professional organization

d. Provides for incentives and benefits system for nurses and their dependents.

12. Which TWO of the following statements are NOT TRUE about the new nursing law?1. It guarantees the delivery of quality basic health services through an adequate nursing

personnel system throughout the country. 2. Requires the member of the Board to resign from any employment both in the

government and private institutions3. Requires the Chairman of the Board to be a holder of a doctorate degree4. Amends the Philippine Nursing Act of 1991a. 1 & 2 b. 2 &3c. 3 & 4d. 1 & 4

13. Which of the following is the correct provision of the law regarding IV therapy?a. IV therapy training according to protocol established is mandated.b. A nurse who has not been trained in IV therapy is prohibited to perform IV therapyc. The present law is silent on the provision for mandatory training for IV therapyd. The nurse can perform IV administration in the presence and supervision of a physician

14. Which of the following actions will shield her from possible lawsuits?1. Knowledge and implementation of standards/protocol of care2. Documentation of actions accurately and concisely3. Document outcomes of care4. Following all doctors orders that are legal and in writing

a. 1, 2, 4 b. 2, & 3c. 1, 2, & 3 d. 2, 3, & 4

15. She assessed a three- year old boy for fever, but the boy would not want to go near her. Which of the following remarks of Kamille would constitute an assault?

a. “You don’t want to have your temperature taken? I will call the guard to hold you and give you an injection instead!”

b. “Alright, just tell me when you are ready to have your temperature taken.”c. “This will not hurt you; just put it under your tongue.”d. “If you will let me take your temperature your fever will be gone.”

16. Which of the following conditions would BEST prevent Kamille from a malpractice suit?a. Performs her duty as prescribed in her job descriptionb. Records the intervention and outcomes of carec. Does not allow patient’s relatives to participate in the care of her patients.d. Performs her functions pursuant to the law.

17. If Kamille divulges the information that she is caring for the child of a patient with sexually transmitted disease, she can be liable for unprofessional conduct specifically:



a. Libelb. Slanderc. Breach of Confidentialityd. Invasion of privacy



18. Which of the following information is NOT indicated in the professional identification card issued to Kamille?

a. A Signature of the Chairman of the Boardb. Registration datec. Date of issuance and expirationd. License number

19. Kamille knows that she is duty-bound to renew her professional identification card every how often?



a. Every five yearsb. Every three yearsc. Annuallyd. Biannually



20. Kamille is aware that as a professional nurse, she must submit to the Professional Regulation Commission proof of participation to CPE activities. How many credit units are needed for her to submit for a three-year-period?

a. 60 C. 30b. 20 D. 40

SITUATION 3 – Ms. Sheena Perez is the Health Education Program Officer of the Municipal Health Office. She plans to develop programs based on the various laws and directives from the DOH.

21. She knows that all prescriptions of the municipal health officer should be in generics. What law provides for this mandate?



a. R.A 9173b. R.A. 6675c. R.A. 1080d. R.A. 7160



22. Sheena has to consider managing the resources of the MHO. She knows that the delivery of basic services and facilities of the national government was transferred to the local government units. Which of the following laws mandated this?



a. R.A 7305b. R.A. 7160c. R.A.1080d. R.A. 8423



23. Which of the following provisions does NOT apply to R.A 7305?a. Promotes and improves the socio-economic well being of health workersb. Develop their skills and capabilitiesc. Encourage those qualified and with abilities to remain in government service.d. Standardizes the salaries of nurses working in the government

24. She deems it necessary for her to undergo continuing professional education. Which of the following supports this objective?

a. PRC Resolution No. 2004 -179b. BON Resolution No. 220 s.2004c. EO No. 220d. BON Resolution No. 425 s. 2003

25. She emphasized to her team that they should be careful in the practice of their profession to avoid legal entanglements. Which of the following could be a cause for revocation/suspension of license?

1. Unprofessional or unethical conduct2. Gross incompetence or serious ignorance3. Malpractice or negligence4. Use of fraud, deceit, or false statements in obtaining a certificate of

registration/professional license or a temporary/special permita. 1, 2, & 3b. 2, 3, & 4c. 1, 3, & 4d. 1, 2, 3, & 4

26. She encourages patients to make use of traditional and alternative medicines as recommended by the DOH. Which of the following laws created the Philippine Institute of Traditional and Alternative Health Care (PITACH)?



a. RA 7392b. RA 8423c. RA 1082d. RA 7305



27. She develops programs on Drug Prevention. As a basis for her program, she quoted which of the following acts?



a. RA 9165b. RA 6125c. RA 6675d. RA 2382



28. Which of the following is NOT considered a dangerous drug?



a. Ecstacyb. Opiumc. Shabud. Morphine



29. Ms. Perez conducts counseling to parents of newborns about heritable diseases. Which of the following procedures is covered by RA 9288?

a. Newborn Apgar Scoreb. Newborn Screeningc. Denver Developmental Screening Testd. Metro Manila Developmental Screening Test

30. RA 9257 provides for the following benefits of a senior citizen, which one is NOT included?a. Exception from payment of income taxesb. Free medical and dental services, diagnostic and laboratory fees in government and

private facilitiesc. 20% discount in fare for domestic air and sea travel, public railways, skyways and bus

faresd. Provision for express lanes for senior citizens

SITUATION 4: Genevieve just passed the licensure examination and was accepted as a trainee in a tertiary hospital. One area of competency that she must develop is on ethico-moral responsibility.

31. Which of the following ethical responsibilities is a priority for Genevieve?a. Promote life at all costb. Respect the individuality of patientsc. Promote the image of the professiond. Maintain a healthy environment

32. When there is a conflict in the care of patients, which of the following must Genevieve use to guide her action?

a. Patient’s rightsb. Decision of the relativesc. Judgment of the attending physiciand. Court ruling

33. One of her patients is terminally-ill with lung cancer. The patient’s relatives signified their intention to stop the nasogastric tube feeding of the patient. Which of the following responses of Genevieve is ethical?

a. ” You have to sign a waiver of responsibility”b. “The patient needs nasogastric tube feeding even if he is dying”c. “I suggest that you consult first your physician on this matter”d. “I agree with you that will just prolong the agony of the patient”

34. She works with a senior staff that is perceived to be bad-tempered and dislikes teaching newcomers. Which of the following actions of Genevieve is inappropriate?

a. Refrain from making comments on the conduct of the senior staffb. Discuss the behavior of the staff with the other staff of the unit.c. Safeguard the reputation and dignity of the senior staff.d. Refrain from doing anything that will discredit the senior staff.

35. Genevieve has responsibilities towards the practice of her profession. Which of the following is the hallmark of accountability in nursing practice?

a. Promotion of the dignity of the nursing professionb. Quality and excellence in the care of patients c. Accurate documentation of actions and outcomes of delivered care.d. Strict compliance to the principles of safe practice.

36. Dr. So made his rounds early in the morning and noticed that the medicine he ordered the previous day has not been started. He shouted and berated Genevieve in front of the other staff nurses. Which of the following actions of Genevieve is appropriate?

a. She shouts back at Dr. So and tells him that his behavior is not acceptable.b. She explains to him that the drug is not available in the hospital pharmacy and had to

be purchased from another drugstore.c. She cries and reports the incident to the nursing office.d. She blames the staff of the previous shift for not endorsing the unavailability of the

drug.

37. One of the patients expressed dissatisfaction with the care she received from a particular staff. Which of the following is the BEST action that Genevieve would take?

a. She asks the specific cause of dissatisfaction from the patient and informs the particular staff about it.

b. Apologizes for the inconvenience that the incident brought the patient and asks for the details of the incident.

c. Instruct the particular staff to write an incident reportd. Inform the staff that this is not tolerated and this will be documented in her 201 file.

38. She knows that she needs to pursue continuing education to ensure her personal and professional development. Whose responsibility is it to make sure that this is implemented?

a. Genevieve herselfb. The institution where she is employed



c. Nursing service Officed. Board of Nursing

39. Which of the following actions of Genevieve demonstrates her responsibility towards her profession?

a. Engage in medical missions in depressed areas.b. Be an active member of the Philippine Nurses Associationc. Promote a healthy environment by campaigning for “No Smoking”d. Maintain a collaborative relationship with her co-workers.

40. The following are the ethical responsibilities of Genevieve towards society and environment. Which one is NOT included?

a. Be involved in community concernsb. Leads her life in conformity with the principles of right conduct and proper decorumc. Projects an image that will uplift the nursing profession at all timesd. Be a member of the accredited professional organization

SITUATION 5: Christine just graduated from college with a degree of Bachelor of Science in Nursing from a recognized college of nursing. She intends to take the Philippine Nurse Licensure Examination so she can practice her profession after passing the said examination. 41. Which of the following requirements is NOT needed by Christine to qualify for the said

examination?a. A holder of Bachelor ‘s Degree in Nursing from a college or university that complies

with the standards of nursing education duly recognized by the proper government agency

b. Must be of good moral characterc. A citizen of the Philippinesd. A member of the accredited professional organization.

42. The license to practice nursing in the Philippines is obtained througha. Examination and registrationb. Accreditation c. Competency assessment d. Credentialing

43. Should she fail in one subject, but obtained the required general average, which of the following should she do?

a. Takes the whole set of examination all over againb. Takes the examination on the subject where he is rated below the required passing

ratec. Makes an appeal to the Board for the rechecking of his examination papers.d. Enroll in a refresher course for one year.

44. Upon passing the licensure examination, which of the following is a priority action for Christine?

a. Take an oath of profession before the Board of Nursingb. Review for the foreign examinations c. Apply for membership to the Philippine Nurses Associationd. Prepare credentials for job application.

45. 45. She was issued a certificate of registration by the Board of Nursing. Which of the following information should be shown in the certificate?

1. Full name of the registrant2. Serial number3. Signature of the Chairperson of the commission and the members of the Board4. Official seal of the Commission5. Signature of the President of the accredited professional organizationa. 1, 2, 3b. 1, 2, 4, 5c. 1, 2, 3, 4d. 1, 2, 3, 5

SITUATION 6: Macy is a staff nurse in the Critical Care Department. She sets her eyes to be the nurse manager of the department someday.46. Which of the following requirements is NOT a legal requirement for her to qualify for the

position?a. Membership in the accredited professional organization]b. Has at least 2 years experience in general nursing administrationc. Nine units in administration and management in the graduate level.d. Masters degree in nursing

47. On a long term basis she dreams of becoming the director of nursing of the hospital after 10 years of practice. Which of the following does she need to possess in order to qualify for the position?

1. Passed the written comprehensive examination for the master’s degree2. Five years of experience in supervisory or managerial position in nursing3. Master’s degree in nursing4. Member of good standing of the accredited professional organization5. Be a registered nurse in the Philippinesa. 1, 2, 4, 5



b. 2, 3, 4, c. 2, 3, 4, 5d. 1, 3, 4, 5

48. Macy pursues continuing professional education in emergency care in order to be certified as a nurse specialist in critical care. Which of the following agencies are mandated by law to formulate and develop the comprehensive specialty program?



1. Board of Nursing2. Accredited Professional Organization3. Department of Health4. Specialty organizationsa. A. 1, 2, 3b. B. 1, 2, 4c. C. 1, 3, 4

d. 1, 2, 3, 4

49. She is aware that as a professional nurse, Macy must submit to the Professional Regulation Commission proof of participation to CPE activities. How many credit units are needed for her to submit for a three-year-period?

a. 60b. 20c. 30d. 40

50. She is offered a part-time job as a clinical instructor in the medical ward. Which of the following requirements is NOT mandated?

a. One year clinical experience in the medical unitb. Registered nurse in the Philippinesc. Master’s degree in nursing, education or any medical or allied health courses.d. Member of good standing of the Critical Care Nurses of the Philippines

SITUATION 7: Sandra is a nurse assigned at the Women and Child Unit. A 16 year-old primigravida was admitted for Primary CS due to cephalo-pelvic disproportion (CPD).

51. Sandra prepares the consent for surgery. Who among the following is legally responsible for securing the consent for the contemplated procedure?

a. Dr. Rivera, the obstetrician of the patientb. Mrs. Castro, the head nurse of the unitc. Dr. Cortez, the anesthesiologistd. Ms. Josue, the nurse assigned to take care of the patient in the unit

52. She knows that the patient and her husband are both emancipated. When securing for an informed consent, Sandra should remember that:

a. either the husband or the patient can sign the consentb. the consent should be signed by the parents of the patient because she is a minor.c. if the patient signed that consent herself, there is no need for a witness.d. it is her duty to obtain the informed consent.

53. Sandra was pulled out from the unit and was asked to assist in the OR. The anesthesiologist asked her to inject Penthotal Na by IV. Which of the following actions should be done by Sandra?

a. Follow the anesthesiologist since he is around to supervise her.b. Explain to the doctor that it is not permissible by law.c. If the order is written she can administer the drug.d. If the manager of the department allows it, she would follow the order.

54. To protect her from legal suit, Sandra should see to it that orders of Pentothal Na and some related drugs should be made by:

a. narcotic licensed physiciansb. any resident physiciansc. anesthesiologistsd. interns

55. After the procedure, the patient was brought back to the ward. Sandra noticed that the post-op orders were written by the surgical intern who assisted during the procedure. Which of the following actions is most appropriate for Sandra to do:

a. Call the attention of the intern and ask him to secure the signature of the surgeon.b. Refer the matter to the head nurse.



c. Ignore the order because it is not legal.d. Remind the surgeon about the policy on doctors’ orders

SITUATION 8: Nurse Trisha is assigned at the Safe Motherhood Program of the Department of Health. As a new nurse she needs to keep abreast with the laws affecting the practice of her profession. 56. Which of the following laws prohibits the practice of midwifery without the license to practice?

a. R.A 7392b. R.A. 7305c. R.A. 7600d. R.A. 7432

57. As a registered nurse, which of the following can Trisha perform within the meaning of the Nursing Act of 2002?

1. Internal examination during labor and delivery in the absence of antenatal bleeding2. Suturing of perineal lacerations after undergoing special training according to established protocol3. Administration of medications and therapies including IV4. Nursing care during pregnancy, labor and deliverya. A. 1, 2, 3b. B. 2, 3, 4c. C. 1, 3, 4d. D. 1, 2, 3, 4

58. She knows that she needs to follow the provisions of P.D. 651. Which of the following is mandated in this law?

a. Decrees the registration of the birth of a child within 30 days with the Civil Registrarb. Protects and promotes the rights and welfare of children and youthc. Milk Code of the Philippinesd. Family Code of the Philippines

59. Trisha knows that she has to adhere to the standards of practice in the care of the mother and child. Which of the following laws refer to this?

a. BON Res. # 459b. EO # 220c. BON Res. # 425d. R.A. 9173

60. One of her patients had an excessive bleeding and needs to be transfused with blood. She knows that the Blood Bank Act is

a. R.A 7875b. R.A. 7719c. R.A. 6675d. R.A. 4226

61. EO # 51 is enforced in all hospitals, both government and private. Which of the following is the title of this act?

a. Sanitation Code of the Philippinesb. Family Code of the Philippinesc. Milk Code of the Philippinesd. Generics Code of the Philippines

62. Trisha conducts a lecture on family planning among the postpartum patients. As legal bases of this activity she mentioned two laws, which are:

1. P.D. # 482. P.D # 693. P.D.#9964. P.D.# 965 a. 1 & 2b. 2 & 3c. 3 & 4d. 1 & 4

63. When Mrs. Mendez refused to receive her next dose of Nordette and Trisha injected it just the same, she can be sued for what kind of legal case?

a. Batteryb. Assaultc. Invasion of privacyd. Misdemeanor



64. She remarks to those who refuse to undergo bilateral tubal ligation as irresponsible and “good-for nothing” who just want to get pregnant all the time within the hearing distance of other patients in the OPD. If a case is filed against Trisha, what case would it be?

a. Assaultb. Harassmentc. Slanderd. Battery

65. During the rounds, she showed to a group of students the proper way of doing a perilite without asking permission from the patient. This act is a violation of the patient’s right to:

a. Privacyb. self-determinationc. confidentialityd. anonymity

SITUATION 9: Ms. Erin Gomez is a newly-appointed manager of a primary hospital in Sta. Maria, Zamboanga City. As a new manager, she deems it appropriate that she gains competence in he professional responsibilities.

66. Erin knows that the he fundamental responsibility is fourfold. Which is the most basic of these responsibilities?

a. Promote healthb. Prevention of illnessc. Restoration of healthd. Alleviation of suffering

67. Which of the following demonstrate the responsibility of Erin towards her profession?1. Participates in the development and implementation of standards of nursing practice in her department.2. Ensures that the core competencies of her staff are enhanced3. Participates in the activities of the local chapter of the PNA and ANSAP.4. Lobbies for the implementation of the incentives and benefit system for nurses and dependents as stipulated in the law.

a. 1, 2, & 3b. 2, 3, & 4 c. 3, & 4d. 1, 2, 3, & 4

68. When Erin is certain that Paula, a new nurse is not competent in taking care of a critically ill patient, she would NOT be ethical if she:

a. Discusses this concern with the Paula herself.b. Assigns another nurse to the patientc. Explains to Paula the nature of the condition of the patient and the need for a

competent nurse to handle the increased demand for care.d. Discusses to the new nurse that Paula is new and lacking in skills for the needs of the

patient.69. Which of the following is considered the primary responsibility of Erin?

a. Assist the doctors in making their roundsb. Attend to the call for help from a patient, who needs total carec. Answer the e-mail of the Director of Nursing who instructed Erin to report about an

incident in the unit.d. Attend to a complaint of a relative about the lack of water supply in their room.

70. A patient refuses to take his antibiotic because he believes that it’s not giving him any good. Which of the following actions of therein is MOST appropriate?

a. Explains to the patient that he needs the medications for his recovery.b. Writes in the chart that the patient refuses to take his medication.c. Refer to the attending physician about his refusal. d. Ask the patient to sign the waiver of responsibility.

SITUATION 10 – Nurse Martha is aware of her ethical and legal responsibilities as a professional nurse. She sees to it that she complies with the ethical principles in the care of her patients.

71. Which of the following principles apply to the action of the Martha to refrain from discussing the disease condition of the patient with those who are not involved in his care?



a. Beneficenceb. Non-maleficencec. Justiced. Autonomy

72. Mr. Garcia is diagnosed to have acute myocardial infarction and is recommended for admission. He refuses to be admitted and asks to be transferred to a tertiary hospital instead. Which of the following principles should Martha use as guide for her action?

a. Autonomyb. Justicec. Non-maleficenced. Beneficence

73. The present Code of Ethics Nurses in the Philippines was approved by the Board of Nursing through:

a. BON Resolution No. 1955b. BON Resolution No. 633c. Bon Resolution No. 110d. BON Resolution No. 220

74. When conflict arises regarding management of patient care, which of the following should be upheld?

a. Physician’s ordersb. Preference of the familyc. Patient’s rightsd. Institutional policy

75. Mr. Gibson, a British national, who is terminally ill, instructed the Martha to refrain from giving him resuscitation in the event that he goes into cardiac arrest. Which of the following actions of Martha is NOT within legal norms?

a. Prepare the form for advanced directives and ask Mr. Gibson to signb. Ask two other persons who are qualified to be witnesses of the signed directivec. Explain to Mr. Gibson that this is not allowedd. Attached the advance directives to the patient’s charts.

76. Which TWO of the following are qualifications of witnesses?1. 18 years of age or older2. Not designated as the patient’s health care representative or alternate3. Relative of the patient4. Attending physician

a. 1 & 2b. 2 & 3c. 1 & 4d. 3 & 4

SITUATION 11 – Kathleen is nurse researcher assigned in a tertiary hospital. She is assigned to collect data about the incidence of infection among admitted patients.

77. Kathleen’s job includes collecting secretions from the surgical site of one of the patients. If the patient refuses and Kathleen still continue to do it she could be liable for:

a. Slanderb. Assaultc. Batteryd. Invasion of privacy

78. She saw the security guard reading the chart of a meningococcemia suspect. Which of the following actions of Kathleen would be appropriate?

a. Tell him that this is not allowed for those not directly involved in the care of the patient.

b. Ask the guard if there is something he needs to know about the patient.c. Inform the supervisor about what she saw.d. Ignore this as this is not against hospital rules.



79. One of the patients confided that his companion is not the legal wife. What liability will Kathleen be exposed when she divulge the information to others?

a. Slanderb. Libelc. Breach of Confidentialityd. Assault

80. Two janitors were having a heated argument as to who shall dispose the infectious waste of a patient with typhoid fever. The first one calling the second one with names like “lazybones”, “incompetent” and “pain in the neck” within the hearing distance of the rest of the nurses. If the latter decides to file a case against him, what kind of case would he likely file?

a. Libelb. Incompetencec. Slanderd. Negligence

81. Should the accusations be written in the newsletter of the hospital, such liability is a:a. Malpracticeb. Assaultc. Libeld. Slander

82. Mr. Simpkins, a German who is a SARS suspect is advised to be confined in a negative pressure room with strict protective gadgets of the health workers taking care of him. He vehemently resented being confined in that room. Moreover, he was denied visitors. He threatened to sue the hospital. Which case will he file most likely?

a. Illegal detentionb. Defamationc. Incompetenced. Battery

83. Which action of the nurse will save the hospital from lawsuit in # 52?a. Explains to him that his isolation is beneficial for him and his family.b. Enforces the protocol on SARS admissionc. Informs him of the DOH directive in handling SARS casesd. Tells him that the police will bodily restrain him if he refuses.

84. Kathleen refers to the infection control nurse about the proper disposal of infectious wastes. Which of the following laws refer to the Code of Sanitation?

a. P.D 825b. P. D. 856c. P.D. 965d. P. D. 791

85. Kathleen knows that as a researcher she needs to follow the provisions of R.A. 6713 otherwise known as;

a. Generics Act of 1998b. Sanitation Codec. Code of Conduct and Ethical Standards of Public Officials and Employeesd. Salary Standardization of Government Employees

SITUATION 12 – Ms. Sheena Perez is the Health Education Program Officer of the Municipal Health Office. She plans to develop programs based on the various laws and directives from the DOH.

86. She knows that all prescriptions of the municipal health officer should be in generics. What law provides for this mandate?

a. R.A 9173b. R.A. 6675c. R.A. 1080d. R.A. 7160



87. Sheena has to consider managing the resources of the MHO. She knows that the delivery of basic services and facilities of the national government was transferred to the local government units. Which of the following laws mandated this?

a. R.A 7305b. R.A. 7160c. R.A. 4226d. R.A. 9173

88. Which of the following provisions does NOT apply to R.A 7305?a. Promotes and improves the socio-economic well being of health workersb. Develop their skills and capabilitiesc. Encourage those qualified and with abilities to remain in government service.d. Standardizes the salaries of nurses working in the government

89. She deems it necessary for her to undergo continuing professional education. Which of the following supports this objective?

a. PRC Resolution No. 2004 -179b. BON Resolution No. 220 s.2004c. EO No. 220d. BON Resolution No. 425 s. 2003

90. She emphasized to her team that they should be careful in the practice of their profession to avoid legal entanglements. Which of the following could be a cause for revocation/suspension of license?1. Unprofessional or unethical conduct2. Gross incompetence or serious ignorance3. Malpractice or negligence4. Use of fraud, deceit, or false statements in obtaining a certificate of registration/professional

license or a temporary/special permita. 1, 2, & 3b. 2, 3, & 4c. 1, 3, & 4d. 1, 2, 3, & 4

91. Sheena knows that the suspension of the certificate of registration should not exceed how many years?

a. 2b. 3c. 4 d. 6

92. In addition to the prescribed period, the following are the other conditions for which the revoked certificates can be re-issued. Which one is NOT included?

a. Reasons of equity and justiceb. Cause for the revocation has disappeared or has been cured and correctedc. Upon application thereof and payment of required feesd. Upon the completion of one month didactic and 3 months practicum

93. She plans for a certification program for the nurses under the MHO. How long will the beneficiaries of the program are obliged to serve in any of the Philippine hospitals?

a. 1 yearb. 2 yearsc. 6 monthsd. 4 months

94. In order to motivate her team, Sheena announced that the salary of nurses has been upgraded to salary grade_____.

a. 12b. 13c. 14d. 15



95. Which of the following penalties shall be imposed on any person or employer of nurses who violate the minimum base pay and incentives and benefits that should be accorded them?

a. a fine of not less than P 50,000.00 and not more than P 100,000.00b. imprisonment of not less than 1 year nor more than 6 yearsc. either 1 or 2 or bothd. both 1 and 2

SITUATION 13: Jacob is a staff nurse in a community hospital. He is assigned at the Emergency Department of the hospital.

96. Which of the following actions of Jacob needs a special training prior to its performance?a. Administration of intravenous therapyb. Health education c. Suture perineal lacerations d. Internal vaginal examination

97. He knows that the chief nurse of the hospital is mandated by law to be a graduate of a master’s degree in:

a. Public Health/Community Health Nursingb. Nursing Administrationc. Public Administrationd. Hospital administration

98. As a public health nurse, Jacob enjoys the privileges of the following laws, which include the following except

a. R.A. 7305b. R.A 7392c. R.A 1080d. R.A. 2382

99. Which of the following laws refer to Comprehensive Dangerous Drug Act of 2002?a. R.A.6425b. R.A 9165c. R.A 6675d. R.A.7875

100.Mrs. Castro, his patient who is a 65 year-old government retiree is covered by R. A.7432. Which of the following is a provision of this law?

a. 20% discount on hospital billsb. Medicines are prescribed in genericsc. National Health Insurance Actd. Code of Good Governance

101.As a health professional, Jacob is exposed to legal risks. Which of the following constitute malpractice?

1. Using another nurse’s license as his own2. Any reasonable lack of skill or fidelity in the performance of fiduciary duties3. Stepping beyond one’s authority with serious consequences4. Objectionable practice or contrary to established rules

a. 1, 2, 3b. 2, 3, 4c. 1, 2, 4d. 1, 3, 4

102.When a case is filed against him in court for an injury to a patient, Jacob is referred to as:a. respondentb. complainantc. accompliced. accessory



103.Jacob was asked to appear in court to testify. Which of the following terms refer to this legal order?

a. Subpoena duces tecumb. Subpoena ad testificandumc. Arraignment d. Summon

SITUATION 14: Genevieve just passed the licensure examination and was accepted as a trainee in a tertiary hospital. One area of competency that she must develop is on ethical responsibility.

104.Which of the following ethical responsibilities is a priority for Genevieve?a. Promote life at all costb. Respect the individuality of patientsc. Promote the image of the professiond. Maintain a healthy environment

105.When there is a conflict in the care of patients, which of the following must Genevieve use to guide her action?

a. Patient’s rightsb. Decision of the relativesc. Judgment of the attending physiciand. Court ruling

106.One of her patients is terminally-ill with lung cancer. The patient’s relatives signified their intention to stop the nasogastric tube feeding of the patient. Which of the following responses of Genevieve is ethical?

a. “You have to sign a waiver of responsibility”b. “ The patient needs nasogastric tube feeding even if he is dying”c. “I suggest that you consult first your physician on this matter”d. “I agree with you, that will just prolong the agony of the patient”

107.She works with a senior staff that is perceived to be bad-tempered and dislikes teaching newcomers. Which of the following actions of Genevieve is inappropriate?

a. Refrain from making comments on the conduct of the senior staffb. Discuss the behavior of the staff with the other staff of the unit.c. Safeguard the reputation and dignity of the senior staff.d. Refrain from doing anything that will discredit the senior staff.

108.Genevieve has responsibilities towards the practice of her profession. Which of the following is the hallmark of accountability in nursing practice?

a. Promotion of the dignity of the nursing professionb. Quality and excellence in the care of patients c. Accurate documentation of actions and outcomes of delivered care.d. Strict compliance to the principles of safe practice.

SITUATION 15: Patrick is a new graduate of Bachelor of Science in Nursing and intends to practice his profession in the country upon acquiring his professional license.

109.He understands that the duty and power to regulate the practice of nursing in the Philippines is vested on what agency?

a. Philippine Nurses Associationb. Board of Nursingc. Technical Committee on Nursing Educationd. Association of Nursing Service Administrators of the Philippines

110.Which of the following reports of his rating would grant him license to practice nursing?a. General rating of 70 and a rating of 65 in Preventive Testb. General rating of 75 and a rating of 60 in Curative B Testc. General rating of 80 and a rating of 59 in Rehabilitative Testd. General rating of 75 and a rating of 55 in Promotive Test



111.His friend Justine failed to pass the examination for three consecutive attempts. Which of the following actions can he take?

a. Take the examination for the fourth timeb. Enroll in a refresher course.c. Shift to another profession that suits his level of competenced. Apply as a nursing assistant in a hospital.

112.His classmate Adrian passed the examination but was not allowed to be registered. The following are grounds for such; which one is unlikely?

a. He is 18 years of ageb. He was convicted by final judgment of criminal act involving moral turpitudec. Unsound mindd. Guilty of immoral or dishonorable conduct

113.Patrick is certain that Adrian can be legally liable if he commits the following acts:1. Appends R.N. to his name even without being registered as one2. Abets or assist Mr. Wang in offering CPE without the approval of the BON.3. Uses the registration number of Patrick as his own4. Poses or advertises as a registered nurse that tends to create the impression that he is

indeed a registered nurse.a. 1, 2, 3b. 1, 3, 4c. 2, 3, 4d. 1, 2, 3, 4

114.Jacob received a notice ordering him to appear before the Board at a specified time and date to answer a complaint made against him. Which of the following legal orders refer to this?

a. Subpoena duces tecumb. Injunctionc. Summonsd. Subpoena ad testificandum

SITUATION 16: Karla, an RN and two other nurses were summoned to appear before the Board of Nursing due to an administrative case filed against them for alleged negligence which caused the death of a certain Mr. Bernas, who was admitted due to COPD.

115.Which of the following terms refer to Karla and the two other nurses?a. Respondentsb. Plaintiffsc. Witnessesd. Accomplices

116.Ms. Antonia Bernas, the daughter of Mr. Bernas was the one who filed the case against the nurses. Which term refers to her in this case?

a. Plaintiffb. Defendantc. Respondent d. Jury

117.Karla is ordered by the Legal Department to bring along with her the initial assessment form and the progress notes she used for the patient. What legal order from the hearing officer refers to this?

a. Subpoena duces tecumb. Subpoens ad testificandumc. Summond. Writ

118.Which of the following doctrines will apply if it is proven that Karla did not go through a rigid training before being deployed as a staff nurse due to acute demand for her services?

a. Res ipsa loquitorb. Respondeat superior



c. Force majeured. Epikia

119.Which of the following conditions will NOT establish the doctrine of res ipsa loquitor for Karla?a. The injury done to the patient was such nature that it would not normally occur unless

7Karla was not negligent.b. The injury was caused by a voluntary action on the part of the private duty caregiver.c. The injury was due to the assistance of the clinical assistant who was instructed by

Karla to help her.d. The injury was not due to the voluntary participation of the family.

120.Which of the following are the elements of professional negligence?1. Existence of a duty on the part of the person charged to use due care2. Failure to meet standards of due care;3. Foreseeability of harm resulting from failure to meet the standard4. The power of control over the agency or instrumentality

a. 1, 2, 3b. 2, 3, 4c. 1, 3, 4

d. 1, 2, 3, 4

END OF THE EXAMINATION

1 B 61 C2 C 62 A3 D 63 A



4 B 64 C5 A 65 A6 D 66 A7 C 67 D8 C 68 D9 A 69 B

10 B 70 D11 B 71 D12 C 72 A13 C 73 D14 C 74 C15 A 75 C16 D 76 A17 C 77 C18 A 78 A19 B 79 C20 A 80 C21 B 81 C22 B 82 A23 B 83 A24 A 84 B25 D 85 C26 B 86 B27 A 87 B28 D 88 B29 B 89 A30 B 90 D31 B 91 C32 A 92 D33 B 93 B34 B 94 D35 C 95 C36 B 96 C37 A 97 B38 A 98 D39 B 99 B40 D 100 A41 D 101 BONUS42 A 102 A43 B 103 B44 A 104 B45 C 105 A46 D 106 B47 C 107 B



48 D 108 C49 A 109 B50 D 110 B51 A 111 A52 A 112 A53 B 113 D54 C 114 C55 A 115 A56 A 116 A57 D 117 A58 A 118 B59 A 119 B60 B 120 D

THERAPEUTIC COMMUNICATIONTherapeutic Non-Therapeutic

Offer your self I’ll stay with you SilenceMaking observationsYou seem sadActive listeningNoddingEye contactLean forwardWho, what, when, whereGeneral leadsGo on, I’m listening, what else?Broad opening - best Opening lineHow are you today?How are you?RestatingClarrificationRefocusing we are talking about the examFocusing tell me about

Don’t worry be happyEverything’s gonna be alrightIgnoring the clientChanging the subjectNice weather we’re havingAdjectives – value based perception, should not be useYou are the most beautiful clientWhyArguingFlatteryYou should do this nowIn my opinion


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