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A. Post-hysterectomy client for discharge this morning B. Client with Crohn’s disease C. Client with greenstick fracture D. Client with breast cancer receiving granulocyte therapy 13. Nurse Graziella is from Medical-Surgical Unit floated to the Labor Room A. Patient on precipitous labor B. Patient on prolonged labor C. Patient with fetus on sacral presentation D. Patient on eclampsia 14. Nurse Danielle is an OB nurse floated to the Central ICU. A. Client with hyperglycemic hyperosmolar state B. Client receiving pRBC transfusion C. Client receiving medications through CVAD D. Client who had undergone colon surgery, having dysrrhythmias 15. Nurse Veronica from the Medical Surgical Unit floated to the ER. A. Client with acute abdominal pain due to appendicitis B. Client with widely dilated pupils and apnea C. Pediatric client with ARDS in respiratory distress D. Client with chronic heart failure NYHA Classification: Class IV 16. Nurse Arizona from the Pediatric Unit floated to OB Department A. Postpartum client who has an inverted nipple B. Postpartum client who has Raynaud’s phenomenon C. Postpartum client who had vaginal birth D. Postpartum client who had anti-phospholipid syndrome 17. Nurse Jean is a chief nurse in the hospital. Along with other administrators, they are discussing about the creation of a strategic plan. Which of these statements is true about a strategic plan? A. Requires focus on the mission and vision of the organization B. Should not be done during financial crises C. Requires an assessment of the environment for opportunities D. Needs to be revisited periodically 18. Nurse Maya is demonstrating to students how a collaborative role is performed in the hospital. She shows it by showing that: A. The nurse plans care with the patient B. The nurse works with other members of the health care team from other units. C. The nurse initiates nursing action with co-workers D. The nurse defends rights of patients. 19. Mr. Fred Hallare reports to the station at 2 am that he has difficulty sleeping because of the noises in the hallway. When evaluating the effect the setting has on the quality of care provided to the client evaluation being done is called: A. Quality assurance B. Quality improvement C. Structure Evaluation D. Outcome Evaluation 20. Upon admission, the patient’s history was assessed, admitting orders were carried out wherein a tepid sponge bath was given, neuro vital signs were monitored q1h, and medications were given. The evaluation care provided to him by the nurse is referred to as: A. Nursing audit B. Process evaluation C. Outcome evaluation D. Quality improvement 21. Nurse Carmencita, as a chief nurse, has a critical role in planning, implementing and evaluating patient care outcomes. All of the following are beneficial to the management of patient care in the hospital, except: A. Integration of patient information management into the system B. Assess patient acuity and prepare appropriate care C. Focus of care in patient population rather than individual patient D. Equal allocation of resources in all service units 22. Nurse Cathy is a new nurse in the unit and her performance appraisal is coming up. She feels anxious about it. She asks Nurse Gerry, her senior, about the performance appraisal. Which of the following statements is true? 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 primarily with the staff. 23. Which pattern of nursing care involves the care given by a group of paraprofessional workers led by a professional nurse who take care of patients with the same disease conditions and are located geographically near each other? A. Case method B. Modular nursing C. Nursing case management D. Team nursing 24. Nurse Nenita goes in an outing with other medical interns on her days off. What type of organizational structure is this? A. Formal B. Informal C. Staff D. Line 25. Nurse Kelly, as an administrator, develops the standards to be followed. Among the following standards, which is considered as a structure standard? A. The patients verbalized satisfaction of the nursing care received B. Rotation of duty will be done every four weeks for all patient care personnel. C. All patients shall have their weights taken recorded D. Patients shall answer the evaluation form before discharge 26. Nurse Jasmine has been newly promoted as the nursing division chief. One function of management that she needs to focus on is on controlling and optimizing quality. The following are basic steps in the controlling process of the department. Which of the following is NOT included? A. Measure actual performance B. Set nursing standards and criteria C. Compare results of performance to standards and objectives D. Identify possible courses of action 27. Nurse Xeena is attending an orientation regarding the patient care delivery system in her unit. She was told that the nursing model is a team nursing approach. A. a task approach method is used to provide care to clients B. managed care concepts and tools are used in providing client care C. an RN leads nursing personnel in providing care to a group of clients D. a single RN is responsible for providing nursing care to a group of clients 28. During Nurse Xeena’s orientation, the critical path was introduced. Which of the following statements, if made by Xeena, indicates a need for further understanding regarding critical paths? A. they are developed through the collaborative efforts of all members of the health care team TOP RANK REVIEW ACADEMY, INC. Page 2 | 7

Ms. Reyes wants which type of system of nursing care delivery? A. Primary Nursing B. Nursing case management C. Team Nursing D. Case Method 43. You are currently holding an orientation for the new nurses in the hospital. In order One of the new staff nurses wants to understand the channel of communication, span of control and lines of communication. A. Organizational structure B. Job description C. Policy D. Manual procedures 44. Nurse Yuri is a new nurse and is currently anxious about lawsuits. Which of the following conditions would prevent Yuri from a malpractice suit? A. She performs her duty as prescribed in her job description B. Her action resulted to an injury resulted from non-compliance to the standard of care C. The participation of the child’s parents resulted to an injury to the chilD. D. She is aware of the possibility of the injury to the patient 45. As a nurse manager, budgeting is one of your concerns. Which of the ff. articles is an example of operational budgets? A. Fee for the Internet Service Provider B. Purchase of a ventilator C. Additional locker room for OR D. New electrocautery machine 46. The Forty-Hour Week Law (Republic Act 5901), provides that employees will work only 40 hours a week provided that they are working in hospitals with a minimum of how many bed capacity: A. 50-bed capacity B. 75-bed capacity C. 100-bed capacity D. 150-bed capacity 47. Nurse Genna transitions to another form of care delivery. It is the most common delivery system where the nursing staff is divided into teams who are responsible for the care of a group of patients. A. Primary Nursing B. Functional Nursing C. Total Patient Care D. Team Nursing 48. Nurse Lilith wants to predict the future in which the plan will be executed. She should do: A. Setting Policies and Procedures B. Budgeting C. Forecasting D. Program Scheduling 49. A kind of nursing planning that includes the analysis of strengths, weaknesses, opportunities and strengths is also known as: A.Strategic Planning B. SWOT Planning C. Fiscal Planning D. Contingency Planning 50. Nurse Yule is the new nurse administrator of the hospital and during the long term planning, he suggested that one of the goals is “to expand and upgrade the hospital infrastructure to deliver quality care”. The hospital CEO becomes aware of the hospital needs and therefore allots a larger portion of the budget for the upgrades. Nurse Yule was able to successfully achieve what component of SWOT analysis? A.Strengths B. Weaknesses C. Opportunities D. Threats 51. Nurse Jellie introduced Theory Y during the ward conference. It is correctly described by all, but one, of the following statements: A. Applicable for people who enjoy work and have self-control B. Uses threats as a prime motivator C. Uses praise and recognition as the key motivators D. A guide for managers to develop the potential of each person 52. Chief Nurse Subillo is trying to implement a new style of staffing in the cancer unit. Nurses are now required to render 6 day workweeks instead of the usual 5 days a week. The nurse supervisor can effectively implement this change by choosing which course of action? A. Explain the purpose of the change and reinforce management decision B. Postpone the implementation of the new schedule to let the antagonistic feelings of the staff “cool down” C. Conduct a dialogue with the nursing staff and head nurses and involve them in planning the new schedule D. Avoid discussing the issue with the staff and implement the new schedule as planned 53. Nurse Marina is currently evaluating the. nursing staff nurses for their atitude and ethics. The manager determines that her staff nurse shows work accountability when the staff nurse: A. Performs tasks based on her job description B. Follows the standards of safe nursing practice C. Directs the work of her fellow nurses D. Answers for the consequences of her own decisions 54. Nurse Estudillo suggests following the principles of Total Quality Management. She emphasizes that it is the responsibility of which group to identify quality improvement opportunities? A. Administration B. Medical practitioners C. Nurse D. All health care personnel 55. As a part of the quality improvement program, process standards should be well-defined. Which of the following is NOT a process standard? A. Initial assessment shall be done to all patients within twenty four hours upon admission. B. Informed consent shall be secured prior to any invasive procedure C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital. D. Patient education about their illness and treatment shall be provided for all patients and their families. 56. Yannie is a fresh graduate of nursing. She was informed about the need for continuing professional development units to renew her license. The objectives of continuing professional education programs in nursing are the following, EXCEPT: A. Protect and promote the general welfare of the public by attaining the highest standards and quality in the practice of profession B. Make the professional globally competitive by maintaining capability for delivering professional services C. Augment the nurse educational preparation for admission to the practice of his profession D. Make available latest trends in the profession brought by scientific and technological advancement in the profession 57. Nurse Lilibeth is a nurse manager. According to her performance evaluation, she has low concern for services and high concern for staff. Which style of management refers to this? A. Organization Man B. Impoverished Management TOP RANK REVIEW ACADEMY, INC. Page 4 | 7

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