UNIVERSITY OF MINDANAO TAGUM CAMPUS Final Exam NCM 411( Summer) I.

Choose the best answer and write it on your answer sheet. NO ERASURES/ALTERATIONS PLEASE.

1. Which group 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 2. Which legislation aims to promote and improve the social and economic workers in government service? a. RA 7164 d. school children

well- being of health

b. DOH policies & guidelines c. Alma Ata d. Magna Carta

3. The PD that requires all health workers to register all births within 30 days from birth: a. PD 615 b. PD 651 c. PD 561 d. PD 156

4. Which of the following laws refer to the Code of Sanitation? a. PD 825 b. PD 856 c. PD 965 d. PD 791

5. 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

6. Which of the following 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 with abilities to remain in govt. service. d. Standardized the salaries of nurses working in the govt. 7. The delivery of basic services and facilities of the national govt. was transferred to the local government units. Which of the following mandated this? a. RA 7305 b. RA 7160 c. RA 4226 d. RA 9173

8. RA 6136 expressly authorizes the giving of intravenous and other injection by a nurse:

a. if the registered nurse has been properly trained b. if there is hospital policy c. only under the direction and supervision of a physician d. only when there is a written medical order 9. Under the Narcotic Drug Law, the nurse handling narcotics may be held criminally liable if she: a. has drugs in private possession b. is a patient using duly prescribed drugs c. administer narcotic orders of a licensed physician d. is accounting for the drugs under a licensed employer 10. According to PD 442, a nurse is entitled to a night differential pay. Based on a daily rate of P57.00, which daily rate will she receive whenever she works from 10 pm to 6 pm? a. P62.70 b. P71.25 c. P73.20 d. P108.00

11. He viewed man as a means of production. a. Max Weber b. Frederick Taylor c. Adam Smith d. Rensis Likert

12. For the sake of efficiency and coordination all materials and people related to a specific kind of work should be treated as equality as possible. a. Order b. Equity c. Stability of Tenure d. Authority

13. The Republic Act refers to the Magna Carta of Public Health Workers. a.R.A.2382 b.R.A.1082 c. R.A.7305 d.R.A.6425

14. Republic Act 7164 known as the Philippine Nursing Act of 1991 embodies the regulation of the Practice of Nursing in the Philippine .According to this law, a member of the Board of Nursing must be: a. Citizen of the Philippine c. 10 years continues practice of the profession

b. RN and holder of Master Degree d. All of the above 15. Which of the following provides that nurse must be member of the national Nurse Organization? a. RA 7164 or the Nurse Practice of 1991 b. 1981 Code of Ethics approved by the house of delegates ,Philippine Nurse Association c. RA 877 as amended by RA 4704 (Practice of Nursing in the Phils.)

d. Resolution No.633 promulgated by the Board of Nursing 16. In charting, you must document the information about the care to the patient that a. You have not provided b. You and the watcher provided 17. Legally, a patients chart is a. Owned by the hospital b. Owned by patient and should be given by the nurse if patient requested. c. Owned by doctor in charge d. Owned by government because it is a legal document. c. May be recorded after the next shift d. May be recorded as soon as possible .It is legal

18. The student nurse committed an error while administering a drug to the patient. The training nurse of the hospital suspended the clinical instructor based on the principle of a. Res ipsa loquitor b. Force Majeure c. Respondeat superior d. Good Samaritan Law

19. As the nurse in the prenatal clinic, you are able to protect the patients right to every consideration of his privacy by observing which of the following? a. The nurse encourage patient to participate in planning her care b. The nurse does not impose any treatment if the client refuses c .In doing physical examination, the nurse provides by applying the needed legging or drape and a room or enclosed area d. The nurse accepts the patients desire not to take experimental drugs and/or regimen SITUATION: Mr. Guevarra, 65 years old, was suddenly rushed to the hospital because of a severe chest pain. On admission, he was diagnosed to have an acute myocardial infarction and was placed in the ICU. 20. After one day, the patients condition worsened and feeling hopeless, he requested the nurse to remove the oxygen. The nurse should a. Refuse the patient and encourage him to verbalize his feelings b. Follow the patient as it is his right to determine the medical regimen he needs c. Follow the patient because it is right to die gracefully d. Refuse the patient since euthanasia is not accepted in the Philippines

21. Mr. Guevarra felt better after 3 days but recognizing the severity of his illness, he executed a document authorizing the wife to transact any form of business in his behalf in addition to all decision relative to his confinement. This document is referred to as. a .Medical record b. Informed consent c. living will d. power of attorney

22. Which of the following is not legally binding document but nonetheless very important in the care of all patients in any setting? a. Scope of Nursing Practice as defined in RA9173 b. Board of Nursing Resolution adopting the Code of Ethics c. Bill of Rights as provided in the Philippine Constitution d .Patients Bill of Right (as adopted by American Nurse Association) 23. Which of the following are qualifications of a director of nursing? 1.at least 2 years of experience in a managerial position. 2. at least 5 years of experience in a supervisory or a managerial position in nursing 3. a masters degree major in administration. 4. a masters major in nursing 5. member of the Philippine Nurses Association 6. member of the Association of Nursing Service Administrators of the Philippines. a.1,4,5 b.2,4,5 c. 2,3,6 d.2,4,5,6

24. A registered nurse may lose his/her license for any of the following grounds: 1. is being sued for a criminal offense. 4. For openly endorsing a product of doubtful value 2. nonpayment of tax 3. malpractice or negligence a. 1,2,3 b. 1,3,5 c.3,4 d. all of the above 5. Membership in a union

25. A faculty member of a college of nursing should possess which of the qualifications? a. masters degree in nursing c. have at least 3 years of teaching experience

b. membership to a nursing faculty organization d.be at least 25 years old

26. Which legislation aims to promote and improve the social and economic well-being of health workers in the government service? a. RA 7164 b. DOH policies & guidelines c. Alma-Atad. Magna Carta

27.Legally,the nurses primary responsibility is to the: a. Physician b. employer or the institutions board of trustees c. Law d. Society as a whole

28. A staff nurse has the following responsibilities: 1. Follow all doctors orders 2. Ensure the security of your unit a. 3,4 b.1,3,4 3. Nursing care in accordance with professional standards 4. Ensure proper and accurate recording c.1,2,3 d.2,3,4

29. Doing a nursing procedure without the patients informed consent may bring the nurse to the court of law for this violation: a. Tort b. Assault c. Negligence d. Battery

30. Allowing a person who is in no way involved with the care of the patient to read the patients chart constitutes which of the following violations: a. Invasion of the patients right to privacy b. Malpractice 31. A nurse may be found negligent if: 1. A patient is injured 3. The injury that the patient sustained is foreseeable 4.The nurse failed to do her duty d. 2,3,4 c. Breach of trust d. Violation of the patients dignity

2. The nurse did not follow nursing standards a. 1,2,3 b. all c. 1,2,4

32. Which of the following examples illustrates res ipsa loquitor? a. b. c. d. A patient died 6 hours after the injection of antibiotic. A patient developed infection at the IV insertion site. A comatose patient was scalded because of the hot water bag placed by the nurse. A psychiatric patient was hit by a car a block away from the hospital.

33.Restraining a patient without consent, proper authorization, or specific criteria, could result in an allegation against the nurse on charges of: a. assault & battery b. legal irresponsibility c. breach of contract d. malpractice

34. A nurse gives a wrong medication to a client. Another nurse employed by the hospital as a risk manager will expect to receive which of the following communications? a. Incident Report b. Oral report from the nurse c. Copy of medication kardex d. Order change signed by the physician

35. An incident report form should be completed: a.For any untoward incident involving a patient c. Immediately and a copy placed in pt.s chart b.For every medication error d. According to the agencys policy

36. Your patient insists in going home despite the fact that his condition remains instable. What should you do? a. Physically prevent the patient from leaving the hospital b. Ask the patient to sign a waiver after adequate explanation. c. Take the patient home in an ambulance d. Request the family to talk to the patient against leaving. 37. If a patient requests a nurse or health care provider to witness his last will and testament,the nurse should: a. b. c. d. Refuse to do so politely because it could place him in legal jeopardy. Refer the patient to his physician Check the agencys policy Assess the situation, make a professional judgement ,and witness the document if appropriate.

38. Patient records are very important in court litigations.Which of the following safeguards should be adopted by the nurse? a. b. c. d. Follow standard charting. Photocopy patients chart before submitting to the Medical Records Office. Maintain a logbook of potential legal cases. All of the above.

39. A legal signature on a document such as medical record should have: a. Name only b. Name & professional status c. Sufficient data to assure identification d. Variations according to shift and agency policy.

40. Good Samaritan laws generally protect health care practitioners against liability: a. When giving emergency care in the course of their employment.

b.When giving emergency care at the scene of an accident without remuneration. c. Only if no harm is done to the individual receiving the emergency care d. All of the above. 41.A patient has been ordered a sedative by her physician.Nurse Julius observed her to be sleeping practically the whole day. She seemed to have become disoriented.What should the nurse Julius do first? a. b. c. d. Stop giving the medicine Immediately notify the physician of the patients response to the sedative Write an incident report Notify the chief nurse about the patient.

42.An important responsibility of a professional nurse is: a. Refine comptetence in safe practice b. Safety of those she serves c. Know trends in health and nursing d. Accountability for her actions

43.To accomplish the nursing unit work,you should first get information about: a. Objectives of the unit b. Nursing service organization chart 44.A code of Ethics for nursing: a.Prescibes professional practice standards b.Serves as a guide to professional behaviour c. Defines that principle by which nurses function d. Sets legal and ethical considerations in practices c. Nursing budget d. Mission of the hospital

45. A nurse who is found guilty of unprofessional conduct by the board of nursing shall suffer for the following sanctions except: a. Censure or reprimand c. Revocation of her certificate of registration b. Suspension of her certificate of registration d. Write a letter of explanation 46.The role of the RN includes which of the following principles? a.The RN must directly supervise all delegated task b.After a task is delegated, its no longer the RNS responsibility c.The RN is responsible for delegating task to adjunct personnel d.Follow-up with a delegated task is necessary only if the assistive personnel is trustworthy

47. Which of the following is the primary purpose of a duty promulgated Codes of Ethics a.Assists the nurse in identifying legal responsibilities in the care of patients b.Provide sanction to violators of the nursing law c.A source material for identifying the attitudes that a professional nurse should develop d.Acts as guide to making moral decisions related to nursing practice SITUATION: In the practice of her profession, nurses are expected to demonstrate desirable values and practices. 48.Which of the following best describes the action of a nurse who documents her nursing diagnosis? a.She does it regularly as an important responsibility c. She start it only when the patient is acutely ill b.She can be accused of malpractice d.She document it and charts it whenever necessary

49. As the nurse in the prenatal clinic, you are able to protect the patients right to every consideration of his privacy by observing which of the following? a.The nurse encourage patient to participate in planning her care b.The nurse does not impose any treatment if the client refuses c.In doing physical examination, the nurse provides by applying the needed legging or drape and a room or enclosed area d.The nurse accepts the patients desire not to take experimental drugs and/or regimen SITUATION:Mr. Gonzales, 70 years old, was suddenly rushed to the hospital because of a severe chest pain. On admission, he was diagnosed to have an acute myocardial infarction and was placed in the ICU 50. After one day, the patients condition worsened and feeling hopeless, he requested the nurse to remove the oxygen. The nurse should a. Refuse the patient and encourage him to verbalize his feelings b.Follow the patient as it is his right to determine the medical regimen he needs c.Follow the patient because it is right to die gracefully d.Refuse the patient since euthanasia is not accepted in the Philippines