St.

Augustine Foundation Colleges

Cabanatuan City
Basic Nursing Procedure
Practical Nursing I
Final Examination
I.Identifcatio: Write your answer at the space provided before the number.
1. Balance between the heat produces by the body and the heat loss from the body.
2. The forceexerted by the blood on the walls of the artery
. the wa!e of blood created by the contraction of the left !entricles of the heart.
". The heat regulator of the body which is located in the brain
#. The sound heard during assessment of blood pressure using a stethoscope and
sphygmomanometer
$. %t is the di&erence of systolic pressure and diastolic pressure
'. %t is the di&erence of apical pulse and radial pulse
(. Temperarure of water used in bed bath
). *osition of patient when gi!ing perineal care.
1+. %n bed ma,ing it is important to pre!ent wrin,les and tuc, loose linens -rmly to
pre!ent ......
11. /iseases that are easily spread directly from person to person.
12. A person who cannot resist a microorganism in!ading the body0 multiplying and
resulting in infection.
1. Ability of the causati!e agent to cause disease
1". 1ea,est lin, of the chain of infection.
1#. Both sterile and clean glo!es are made of ........0 that2s why you need to asses
-rst the patient if he3she has allergy to it.
1$. Sugar based li4uid medication
1'. 1ater based li4uid medication
1(. 5il based li4uid medication
1). Alcohol based li4uid medication
2+. 6oute of drug administration wherein drug is held in the mouth against the mucus
membrane of the chee,.
21. 6oute of drug administration wherein drug is placed under the tongue where it
dissol!es.
22. %t is used when a drug is needed to be administered into !ein or muscle.
2. Administration of medication by needle.
2". Techni4ue of intramuscular in7ection used when administering drugs 8ex9 Fe S5":
that can cause staining of the s,in.
2#. Full name of your instructor
II. Classify the following: If it will give a Low Result of the indicated vital sign,
write low!. If it will give a "igh Result, write high!. If no changes will
happen write normal!.
#. $lood %ressure B. Respiration Rate
1. Too tight
cu&
1. exercise
2. Too wide
bladder
2. stress
. Abo!e
heart le!el
. sleep
". Below
heart le!el
". high altitude places
#. Too
loose cu&
#. low altitude places
C. &emperature /. %ulse Rate
1. ;xercise 1. newborn
2. /iurnal
!ariation at (pm
to 12mn
2. stress
. /iurnal
!ariation at "am
to $am
. hemorrhage
". Fertile ". exercise
#. %nfection #. fertile
III. 'ultiple Choice: Write the letter of your answer at the space provided
before each number. () pts each*
+ituation: ,ou, a practical nurse, was assigned to 'r. Renato -uan, a .) years
old bed ridden patient.
1. <pon assessing the !ital signs of =r. >uan0 you noted that his blood pressure is
1"+3)+mm?g. @ou must9
a. 6eAasses again the blood pressure of =r. >uan since it2s in the abo!e
borderline of normal range of B*.
b. *roceed to your next tas, since it is normal for =r. >uan.
c. 6eport it to the physician.
d. As, the patient if he went out for a wal, or 7ogging. %f he did0 wait for +m
minutes then rechec, again the !ital signs.
2. %n getting the blood pressure of the patient0 it is important to deBate the cu& properly
because9
a. /eBating the cu& too 4uic,ly will cause false low systolic and false high
diastolic
b. /eBating the cu& too slowly will cause false low systolic and false low diastolic
c. /eBating the cu& too 4uic,ly will cause false high systolic and false high
diastolic
d. /eBating the cu& too slowly will cause false low systolic and false high diastolic
. =r. >uan2s temperature was ta,en through axillary area and obtained a reading of
'.' C0 you ,nows that9
e. %t is normal
f. %t is a sign of infection
g. %t signi-es nothing
h. %t must be repoted immediately to the physician
". =r. >uan has a respiratory rate of 2+ bpm and a pulse rate of )+ bpm. This data
signi-es that he is ha!ing9
i. Apnea
ii. ;upnea
iii. Tachypnea
i!. Tachycardia
!. bradycardia
a. i and i! b. i and ! c. ii 4nd i! d. ii and ! e. iii0 i0 i! f. ii only
g. i! only
#. As a practical nurse0 you also ,nows that to pre!ent formation of s,in irritation and
bed sore0 you must9
a. Turn the client e!ery two hours
b. Turn the client e!ery four hours
c. Turn the client e!ery hour
d. Turn the client e!ery time you !isit his room
+ituation: #s a practical nurse, you should the /nowledge and s/ills in
administering medication.
$. 1hich of the following is the proper administration of drug !ia subcutaneous
in7ectionC
'. 1hich of the following is the proper administration of drug !ia intramuscular in7ectionC
a. . c.
b. . d.
(. 1hich of the following is the proper se4uence of withdrawing drug from a !ialC
i. %n7ect air to !ial
ii. 1ithdraw meds from !ial
iii. Dial down
i!. Dial up
a. %0ii0iii0i! b. ii0iii0%0i! c. iii0%0i!0ii d. %0i!0ii0iii
). 1hich of the following is the correctC
a. Eauge 2 F green
b. Eauge 22 F yellow
c. Eauge 21 A blue
d. Eauge 1( A brown
1+.?ow will you administer an otic medication to a year old patientC
a. *ull the pina downward then bac,
b. *ull the pina upward then bac,
c. *ull the pina bac,ward then down
d. *ull the pina bac,ward then up
I0. 1numeration
1A$ elements of chain of infection
'A1+ process of heat loss
11A1" patterns of fe!er
1#A1' factors to be assed in getting pulse
1(A2+ types of sphygmomanometer
21A2# 6outes of /rug administration
*repared by9
@cofel >oy 6. /otimas
%nstructor