Title WORKBOOK - LM (SC) ✅

COMPREHENSIVE PHASE WORKBOOK LEADERSHIP MANAGEMENT NOVEMBER 2025 Philippine Nurse Licensure Examination Review 1. Nurse Polita is a member of the ethics review committee. Which of the following is the purpose of ethical review committee? A. Decrease public security of health care provider's action B. Increase individual's responsibility C. Enhance health care provider's liability D. Promote implementation of general standards 2. Nurse Belinda is currently in the station receiving endorsements. While endorsing a patient to Nurse Delia, you detected an odor of alcohol on the attendant’s breath. You should plan to: A. Report to the senior nurse on duty B. Warn the nursing attendant that he should stay away from the clients C. Monitor his performance closely D. Tell the nursing attendant that he should go home immediately 3. Nurse Fely observed that Nurse Yellie administered the antibiotic drip several hours after scheduled time. Nurse Yellie just charted as if the medication was given on time. You reported to your senior nurse and expected the following steps will be done. Arrange the following steps in chronological order using all options. i. The senior nurse will schedule a private meeting to discuss the observation ii. The concerned staff nurse will be encouraged to take responsibility iii. The senior nurse will clearly inform the concerned staff that her behavior is unethical iv. If with resistance, the charge nurse will be informed v. The senior nurse will approach the concerned staff in a calm and professional manner A. 5, 3, 2, 1, 4 B. 5, 1, 3, 2, 4 C. 3, 2, 1, 5, 4 D. 2, 3, 5, 1, 4 4. Patient XYZ was discharged post-craniotomy. During your discharge planning, he informed you that he took the remote control, as their souvenir. The appropriate thing for you to do is to: A. Implement hospital policy accordingly B. Ignore the situation C. Call the security to deal with the case D. Instruct the client to pay the item the cashier 5. Patient XYZ has been waiting for six hours for his wife to fetch him. He told you that he wants to go home alone. Your FIRST appropriate action would be to: A. Inform the surgeon B. Prepare for ambulance conduction C. Refer the client’s case to the head nurse D. Allow him to go after signing a waiver 6. Nurse Yumi is a charge nurse in the surgical unit. She suspects that a male nursing attendant is abusing chemicals while on duty. Irregular reports on narcotics medications sheet are noted when she is on duty. Which of the following should be the appropriate action of the nurse? A. Report to the nurse supervisor in a confidential manner B. Pretend not to know the situation C. Personally call her attention in private D. Write an incident report and submit to administration 7. In order to confirm Nurse Yumi’s suspicion that the male nursing attendant has a substance abuse disorder. It is imperative for the nurse to assess which of the following substance abuse indicators? i. Defensive when questioned on the discrepancies in the narcotic control sheet ii. Excessive work-related tardiness, absences, and accidents iii. Accurate but sloppy documentation iv. Social Isolation A. 1, 2, 3 and 4 B. 2 and 4 C. 1 and 3 D. 1, 2 and 4 8. Mr. Greg Larrazabal, a patient with end stage renal disease, signed a DNR. In this situation, which of the following should be the responsibility of the nurse? A. Know and follow the patients wishes regarding resuscitation and the application of life support system B. Ascertain that a written order DNR from the physician is in place C. Explain to the family the consequence of DNR D. Follow strictly the physician’s order 9. Student nurse Marielle has been assigned to Mr. Larrazabal. You are currently conducting a ward class and is currently discussing about Mr. Larrazabal’s DNR. You discuss which of the following that the nurse take into consideration when the client has DNR order? A. The DNR order is not separate from other aspects of client’s care B. The order of the physician is final and not subjected to explicit discussion C. The competent client’s values and choices should always be given the highest priority D. Consider the views of the family who are against DNR 10. The chief nurse has asked the head nurses of the different wards to send a list of staff nurses who shall attend the EBP seminar organized by the nursing division. Which of the following refers to this type of program? A. Seminar workshop in evidence-based practice B. Continuing education in evidence-based practice C. In-service education program D. Scientific forum in evidence-based practice SITUATION: Due to the shortage of nurses, some nurses need to float to other units in order to augment the workforce. Which patient is more appropriate to be assigned to the following nurses? 11. Nurse Terry is from Psychiatric Ward and will float to the Emergency Department. A. Client with PICC line B. Client with end stage renal disease C. Client with GCS:3 D. Confused drunk client 12. Nurse Maricel is from OB Ward and will float to the Oncology Ward. TOP RANK REVIEW ACADEMY, INC. Page 1 | 7