COMPETENCY APPRAISAL -I

1. What ethical principles supports the notion that the pt has a right to know his medical diagnosis?

A. Right to information

B. Veracity

C. Autonomy

D. Beneficence

2. The pt. refused the medication that is ordered for him. What is the #1priority nursing intervention?

A. Accept refusal and document

B. Report to the doctor

C. Explain importance of the drug

D. Direct him to the head nurse

3. Which are true regarding proper handling technique?

A. All invasive procedures are performed via stele technique

B. Oral care care is sterile technique

C. Nasopharyngeal suctioning should be performed via sterile technique

D. Lumbar puncture is performed via standard precautions

4. The doctor signed for the pt. consent tor BT since the pt is unconscious and alone. What ethical
principle supports this action?

A. Paternalism

B. Autonomy

C. Beneficence

D. Non-maleficence

5. Which is true regarding prevention of hepatitis B?

A. Dispose needle and syringe in sharp container separately

B. Wash hands

C. Wash vegetables before consumption

D. Use luer lock ports

6. Which of the following is the precaution of shingles?

A. Airborne

B. Standard

C. Droplet

D. Universal

7. The pt. with COPD has a pulse oximeter reading of 90%. What is the priority nursing action for the
patient

A. Give low flow oxygen

B. Report to doctor

C. Document findings

D. Suction client

8. What is the location of pulse oximeter if the pt. has hemorrhagic shock?

A. Finger

B. Earlobe

C. Forehead

D. Toes

9. What is the expected ABG values for pt. with hyperventilation?

A. Respiratory alkalosis

B. Respiratory acidosis

C. Metabolic alkalosis

D. Metabolic acidosis

10. What is the instruction on the client for CTT insertion?

A. Valsalva maneuver

B. Inhale and hold breath

C. Exhale and hold breath

D. Strain and hold breath

11. What is the best fluid for burns?

A. PLR

B. PNSS

C. 0 9 NaCL

D. Dextrose 5% in Water

12. What is the priority nursing intervention for a pt who is unconscious, alone, actively bleeding and
is found to be Jehovah’s witness upon checking ID’s?

A. Give blood after contacting family

B. Give blood after doctors order

C. Do not give blood

D. Call the doctor

13. What Is the length of insertion for suctioning the oropharynx?

A. 1-2 inches

B. 3-4 inches

C. 5-8 inches

D. 10-12 inches

14. WHAT IS THE PURPOSE OF PULMONARY TOILET?

A. DIRECTLY REMOVE SECRETIONS FOR PT. AIRWAY

B. PROMOTE MOBILIZATION OF SECRETIONS

C. REMOVE SECRETIONS BY NEGATIVE PRESSURE

D. PROMOTE COMFORT

15. ALL OF THE FOLLOWING ARE IDEAL CHARACTERISTICS OF VEIN FOR IV INSERTION, EXCEPT?

A. SOFT AND ELASTIC

B. UNTRAUMATIZED

C. DISTAL

D. NEAR THE STABLE JOINTS

16. WHAT IS THE PURPOSE OF PNSS?

A. FOR MIXING TO PLR

B. FOR GLUCOSE SUPPORT

C. FOR ADMINISTRATION OF BT

D. VOLUME EXPANDER

17. WHAT IS THE PRIORITY NURSING INTERVENTION FOR PATIENTS WITH IV THERAPY AND WITH
RASHES AT THE CHEST, DOB, CHEST PAIN, DIAPHORESIS?

A. STOP INFUSION

B. POSITION LEFT TRENDELENBURG POSITION

C. O2

D. MORPHINE

E. ANTIHISTAMINE

18. WHO IS YOUR PRIORITY PT. TO THE FOLLOWING WHO HAS IVT REACTIONS?

A. PATIENT WITH PETICHIE AT THE CHEST

B. PT. WITH DYSPNEA

C. PT. WITH RED AND WARM SITE

D. PT WITH SWELLING IV SITE AND WET DRESSING

E. MYSELF,ME,1, IM THE PRIORITY, SELF LOVE

19. THE FOLLOWING ARE MANAGEMENT FOR PHLEBITIS EXCEPT?

A. RESTART DISTAL TO THE PREVIOUS SITE ON SAME ARM

B. STOP INFUSION

C. VITAL SIGNS

D. WARM COMPRESS

20. WHAT IS THE INCORRECT STEP IN INSERTION IF IV CATHETER?

A. DISINFECT WITH ALCOHOL

B. USE VERTICAL MOTION IN PREPARING SITE

C. BEVEL UP

D. USE TORNIQUET PROXIMAL TO THE SITE

21. WHAT IS THE PREVENTION FOR CIRCULATORY OVERLOAD?

A. USE INFUSION PUMP

B. SLOW DOWN INFUSION

C. ELEVATE HOB

D. ADMINISTER DIURETICS

22. WHAT PATIENT PROBABLY NEEDS ALBUMIN INFUSION?

A. LIVER CIRRHOSIS

B. SEVERE BLEEDING

C. THALASSEMIA

D. ANEMIA

23. WHAT IS THE BT REACTION OF THE WITH LOIN PAIN (Flank pain)?

A. HEMOLYTIC

B. ANAPHYLACTIC

C. ALLERGIC

D. CIRCULATORY OVERLOAD
COMPETENCY APPRAISAL -I

24. WHAT IS THE DRUG OF CHOICE FOR PATIENTS WITH ANAPHYLACTIC BT REACTION?

A. DIPHENHYDRAMINE

B. HYDROCORTISONE/STEROIDS

C. ALBUTEROL/BRONCHODILATOR

D. EPINEPHRINE

25. WHICH OF THE FOLLOWING CAN BE ADMINISTERED AS "BOLUS?

A. PRBC

B. CRYOPRECIPITATE

C. WHOLE BLOOD

D. NONE OF THE ABOVE

26. WHAT DICTATES THE POSITIVE AND NEGATIVE QUALITY OF THE BLOOD?

A. SERIAL NUMBER

B. BLOOD TYPE

C. CROSS MATCHING

D. RHESUS SENSITIVITY

27. WHAT IS THE ENEMA USED FOR ADMINISTRATION OF MEDICATIONS AND FOR CONSTIPATION?

A. RETENTION ENEMA

B. RETURN FLOW ENEMA

C. CARMITATIVE ENEMA

D. CLEANSING ENEMA

28. WHAT IS THE ENEMA USED TO REMOVE FLATUS AND FECES?

A. RETENTION ENEMA

B. RETURN FLOW ENEMA

C. CARMITATIVE ENEMA
COMPETENCY APPRAISAL -I

D. CLEANSING ENEMA

29. WHAT IS THE ENEMA USED TO REMOVE GASEOUS DISTENTION?

A. RETENTION ENEMA

B. RETURN FLOW ENEMA

C. CARMITATIVE ENEMA

D. CLEANSING ENEMA

30. WHAT ARE THE FACTORS FOR ABDOMINAL CRAMPS DURING ENEMA ADMINISTRATION?

A. HEIGHT

B. TEMPERATURE

C. HEIGHT AND TEMPERATURE

D. NONE OF THE ABOVE