Tiêu đề 2. FC FUNDA (Dr. Iray) - SC ✅

1 | Page FINAL COACHING FUNDAMENTALS OF NURSING Prepared by: Dr. Aleni Iray, MD, RN November 2025 Philippine Nurse Licensure Examination Review NAME: DATE: SCORE: _____ “FIRST TAKER AKO, AT LAST TAKE KO NA ‘TO! 1. In the dermatology clinic, Nurse Des is about to administer an intradermal injection for allergy testing. She knows the importance of choosing the right needle gauge for accuracy and patient comfort. Which of the following needle gauges is most appropriate for intradermal injections? A. Gauge 22 B. Gauge 25 C. Gauge 26 D. Gauge 20 2. When preparing the epinephrine injection from an ampule, Nurse Andrae initially: A. Taps the ampule at the top to allow fluid to flow to the base of the ampule B. Checks expiration date of the medication ampule C. Removes needle cap of syringe and pulls plunger to expel air D. Breaks the neck of the ampule with a gauze wrapped around it 3. Mrs. David is obese. When administering a subcutaneous injection to an obese patient, it is best for Nurse Andrae to: A. Inject needle at a 15 degree angle' over the stretched skin of the client B. Pinch skin at the Injection site and use airlock technique C. Pull skin of patient down to administer the drug in a Z track D. Spread skin or pinch at the injection site and inject needle at a 45-90 degree angle 4. When preparing for a subcutaneous injection, the proper size of syringe and needle would be: A. Syringe 3-5ml and needle gauge 21 to 23 B. Tuberculin syringe 1 ml with needle gauge 26 or 27 C. Syringe 2ml and needle gauge 22 D. Syringe 1-3ml and needle gauge 25 to 27 SITUATION. Frank has a nursing diagnosis of ineffective airway clearance related to excessive secretions and is at risk for infection because of retained secretions. Part of Nurse Mario's nursing care plan is to loosen and remove excessive secretions in the airway. 5. Nurse Mario knows he can perform chest physiotherapy: A. Immediately before meals B. One hour after meals C. During meals D. Before bedtime 6. When assessing Frank for chest percussion or chest vibration and postural drainage Mario would focus on the following, EXCEPT: A. Amount of food and fluid taken during the last meal before treatment B. Respiratory rate, breath sounds and location of congestion C. Teaching the client's relatives to perform 'the procedure D. Doctor's order regarding position restriction and client's tolerance for lying flat SITUATION. Using Maslow's need theory, Airway, Breathing and Circulation are the physiological needs vital to life. The nurse's knowledge and ability to identify and immediately intervene to meet these needs is important to save lives. 7. Which of these clients has a problem with the transport of oxygen from the lungs to the tissues: A. Carol with a tumor in the brain B. Theresa with anemia C. Sonny Boy with a fracture in the femur D. Brigette with diarrhea 8. To determine how long the nasogastric tube must be to reach the stomach of the patient, the nurse should hold the end of the tube: A. From the tip of the nose to the base of the neck B. From the tip of the nose to the middle of the cheek to the xiphoid process C. From the tip of the nose to the tip of the ear lobe to the xiphoid process D. Eight to ten inches from the tip of the nose to the sternum SITUATION. Mrs. Sales, 49 years old, asks you about possible problems regarding her elimination now that she is in the menopausal stage. 9. Instruction on health promotion regarding urinary elimination is important. Which would you include? A. Hold urine, as long as she can before emptying the bladder to strengthen her sphincters muscles B. If burning sensation is experienced while voiding, drink cola C. After urination, wipe from anal area up towards the pubis D. Tell client to empty the bladder at each voiding 10. Mrs. Sales asked for instructions for skin care for her mother who has urinary incontinence and is almost always in bed. Your instruction would focus on prevention of skin irritation and breakdown by: A. Using thick diapers to absorb urine well B. Drying the skin with baby powder to prevent or mask the smell of ammonia C. Thorough washing, rinsing and drying of skin area that gets wet with urine D. Making sure that linen are smooth and dry at all times 11. Mrs. Sales also tells the nurse that she is often constipated. Because she is aging, what physical changes predispose her to constipation? A. Inhibition of the parasympathetic reflex B. Esophageal emptying hastens C. Loss of tone of the smooth muscles of the colon * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *