Pre lim Level IV RLE Exam

Jean Linao

Situation: During the orientation program for the new staff nurses, one of the first
things emphasized is the application of nursing process in the management and
care of patients.
1. The establishment of a data base for a newly admitted patient forms which

phase of the nursing process?

A. Assessment
B. Diagnosing
C. Implementation
D. Planning
2. A nurse who is taking care of a patient with severe dehydration due to
loose bowel movement decided to first provide that patient liquids and
juices and give health instructions on sanitation and hygiene. The
nurse in doing these activities is performing what element of the
nursing process?
A. Planning
B. Evaluation
C. Implementation
D. Assessment
3. Assessment phase of the nursing process is completed
A. At the end of every shift
B. On the initial nurse patient relationship
C. In the terminating phase of nurse-patient relationship
D. At the beginning and end of each shift
4. In taking care of patients for cardiac catheterization, the nurse noted
that the patient manifested fear related to cardiac catheterization and
its outcome. This statement is an example of :
A. Nursing diagnosis
B. Implementation
C. Assessment
D. Evaluation
5. The nurse is differentiating between objective and subjective data. An
example of subjective data is:
A. Pulse rate
B. Diaphoresis
C. Pain
D. Wound healing
6. When the nurse asks the patient who are you? The assessment being
made is :
A. Psychosocial history
B. General health history
C. General physical exam
D. Level of consciousness
7. Mrs. Lopez is seeking health for respiratory problem. The nurse
carefully listens to Mrs. Lopez and documents her:
A. Medical diagnosis
B. Review of systems
C. Chief complaint
D. Nursing diagnosis
After 5 years of service as a staff nurse, nurse Valdez was promoted as
headnurse. A leader is defined as having a positive and attractive positive
quality traits, a good follower and having the support of the administration.

8. As a leader of a management team, she can be best deal with conflict

using what approach?
A. Coercive power
B. Unquestioned authority
C. Problem-solving
D. Gentle persuasion
9. As a headnurse, Ms. Valdez encourage the members of her ward to
give solutions to every problem, a point responsibility and set target
date to accomplish objective, she manage in:
A. Planning
B. Coordinating
C. Monitoring
D. Directing
10.
Since target dates/ accomplishment is pre- set, she regularly
follow up whether such target are being attained. As a manager, she
does:
A. Planning
B. Coordinating
C. programming
D. monitoring
11.
In general, an effective leader is one who is able to do the
following, EXCEPT:
A. Balance individual with organizational goals
B. Get problem solved thru people
C. Solve the problem herself
D. Influence decision making
Mrs. Anday, 61 years old, married with 4 children, was admitted with a chief
complain of taken as nahihirapan akong umihi at pakonti-konti and
biglang lumaki ang tiyan na parang buntis. A 30x20 cystic mass was
palpated in her abdomen. She was scheduled for surgery.
12.
Whether the patient will submit to an operation or not respect
patients human right is demonstrated by the following:
A. Coercing her to submit an operation
B. Accepting her right to refuse any of such
C. Manipulating her to give her consent
D. Threating her to agree
13.
Prior to the operation, nursing intervention includes the
following, EXCEPT:
A. Teaching patient deep breathing and leg exercises
B. Informing the patient what to expect when she wakes up
C. Telling her she can eat her favorite food right away
D. Teaching her the importance of turning to sides and early
ambulation
14.
For the legal protection of all concerned, it is best that the nurse:
1. Adequately inform the patient about her condition
2. Let the patient sign a consent
3. Refrain from divulging any private privileged communication
between her and patient
4. Provide a 100% assurance that the operation be successful
A. 1 only
B. 1 and 2
C. 1,2,3
D. 1,2,3,4
15.
As a nurse, how will you know that the post op patient could be
given her desired diet?
A. As long as she could move

B. As the patient able to pass out flatus

C. When she is fully awake
D. As long as the patient could stand of her own
16.
Contributing to Mrs. Anday fast recovery are the following
factors:
1. Support from family members and their active involvement in her
case
2. Good nursing care
3. Correct medical management
4. Cooperative effort from other health care team members
A. 1 only
B. 1,2
C. 1,2,3
D. 1,2,3,4
17.
Post- operatively, the patient complained of distended abdomen,
hypertympany associated with moderately to severe pain. The first
thing that the nurse should do is:
A. Refer the patient to the doctor
B. Call her headnurse
C. Assess the patient thoroughly and look for other signs and
symptoms
D. Assist her to turn to sides
18.
Upon discharge, she offered to give P5,000 to nurse Thelma. It is
best for the nurse to:
A. Refuse it
B. Accept it
C. Ask patient to donate it
D. Ignore the offer
At the Out patient Department, you are attending Aling Lilia, a primigravida
coming to the clinic for the first time.
19.
What are you expected to do the first?
A .Collect urine for testing
B. Build rapport with patient and her companion
C. weigh Aling Lilia
D. take the patients blood pressure
20. The primary factor in the improvement of maternal morbidity and
mortality is:
A. primary health care
B. hospital care
C. intensive care
D. Prenatal care
21. The first phase of prenatal management consist of:
A. Identification of environmental hazard
B. verification of pregnancy and determination of EDC
C. determination of patients educational and social status
D. lecturing to the patient on her human rights
22. The true pelvis is important in obstetrics because:
A. It contains all the female organs of reproduction
B. it supports the growing fetus during pregnancy
C. it is the organ which nourishes the growing fetus
D. the baby must pass through it to be born
23. Pregnant women may develop varicosities of the lower extremities. To
prevent this, you may advise Aling Lilia to do this, EXCEPT:
A. wear girdle everyday
B. wear full length elastic support
C. sit with legs elevated at least three times a day

D. avoid standing for long period of time

24. You also instructed her to the common occurrence of the first trimester.
Which of the following will you include in your instruction?
A. sleep disruption, weight gain, shortness of breath
B. constipation, breast enlargement, backache
C. nausea, urinary frequency, fatigue, breast tenderness
D. swollen ankles, heartburn, varicose veins
25. You instructed her on symptoms which should be reported. You included
which of the following:
A. sudden vaginal discharge or swelling of face
B. ankle edema and heartburn
C. enlarge varicosities, fatigue
D. nausea and leukorrhea