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PCLU – College of Nursing

Agoo, La Union
2nd SEM SY ______

NCM 100 – LECTURE


FINAL EXAMINATION

Name: ___________________________________ Year/Course: _________________Date: ________ Score/Rating: ________

_____ 1. A physician orders 1000ml of normal saline to infuse over 12 hours. The drop factor is 15 drops per 1 ml. A nurse
prepares to set the flow rate at how many drops per minute?
a. 15 gtts b. 17 gtts c. 21 gtts d. 23 gtts
_____ 2. A physician orders an intravenous dose of 400,000 units of penicillin G. Benzathine. The label on the 10ml ampule
sent from pharmacy reads penicillin G-Benzathine 300,000 “u” per milliliter. The nurse prepares how much
medication to administer the correct dose?
a. 1.3ml b. 1.5ml c. 10ml d. 13ml
_____ 3. A physician’s order reads phenytoin 0.2g PO bid. The medication label states 100mg capsule. A nurse prepares how
many capsules to administer one dose?
a. 1 capsule b. 2 capsule c. 3 capsule d. 4 capsule
_____ 4. The physician orders 1000ml of ½ normal saline to infuse over 8 hours. The drop factor is 15 drops per 1 ml. The
nurse sets the flow rate at how many drops per minute?
a. 20 gtts b. 22 gtts c. 28 gtts d. 31 gtts
_____ 5. A physician orders 3000ml of 5% dextrose in water (D5W) to infuse over a 24 period. The drop factor is 10 drops per
1ml. A nurse sets the flow rate at how many drops per minute?
a. 15 gtts b. 17 gtts c. 21 gtts d. 24 gtts
_____ 6. A physician’s order reads levothyroxine (Synthroid) 150mcg PO daily the medication label reads synthroid 0.1mg per
tablet. A nurse administers how many tablets to the client?
a. 1 tab b. 1.5 tab c. 2 tab d. 2.5 tab
_____ 7. A physician orders 1000ml D5W to infuse at a rate of 125ml per hour. A nurse determines that it will take how many
hours for 1 liter to infuse?
a. 8 hours b. 10 hours c. 12 hours d. 15 hours
_____ 8. A physician orders 3000ml of D5W to be administered over a 24 hour period. A nurse determines that how many
milliliters per hour will be administered to the client?
a. 50ml per hour b. 75ml per hour c. 100ml per hour d. 125ml per hour
_____ 9. The nurse administers an intradermal injection to a client. Proper techniques has been used if the injection site
demonstrates which of the following?
a. minimal leakage b. no swelling c. tissue pallor d. evidence of a bleb
_____10. The nurse is preparing to give an intramuscular injection. Which one of the following sites has the least amount of
blood vessels and major nerves located in the area?
a. Deltoid b. dorsogluteal c. vastus lateralis d. triceps
_____11. The nurse is preparing to administer an intramuscular injection to a client and chooses the vastus lateralis for the
injection site. Into which part of the thigh would the nurse choose to correctly administer the injection?
a. middle third of the thigh c. upper third of the thigh
b. lower third of the thigh d. wherever the thigh is the largest
_____12. The nurse is developing a plan of care for the client experiencing anxiety following the loss of a job. The client is
verbalizing concerns regarding the ability to meet role expectations and financial obligations. The most appropriate
nursing diagnosis for this client is.
a. Dysfunctional family process c. Risk for anxiety
b. Disturbed thought process d. Ineffective coping
_____13. A patient is o receive 90ml of an Iv antibiotic within 20 minutes using a drop factor of 15/ml. How many drops would
it run per minute?
a. 38 gtts b. 50 gtts c. 68 gtts d. 80 gtts
_____14. The active, organized, cognitive process used to carefully examine ones thinking and the thinking of others?
a. Decision Making b. Critical Thinking c. Analysis d. Problem Solving
_____15. It involves use of the mind in forming conclusions, making decisions, drawing inferences and reflecting.
a. Decision Making b. Critical Thinking c. Analysis d. Problem Solving
_____16. Obtaining information and using information to reach acceptable solutions when there is a gap between what is
occurring and what should be occurring.
a. Decision Making b. Critical Thinking c. Analysis d. Problem Solving
_____17. The end point of critical thinking that leads to problem resolution.
a. Decision Making b. Critical Thinking c. Analysis d. Problem Solving
_____18. This is used to identify, diagnose and treat human responses to health and illness
a. Nursing Process b. Assessment c. Diagnosis d. Planning
_____19. This is a statement that describes the client’s actual or potential response to a health problem that the nurse is licensed
and competent to treat.
a. Assessment b. Medical Diagnosis c. Nursing Diagnosis d. Planning
_____20. It predominately-identifies a specific disease state. It focuses on the diagnosis and treatment of the disease.
a. Implementation b. Medical Diagnosis c. Nursing Diagnosis d. Planning
_____21. Which of the following is not a subjective data:
a. Anxiety b. Abdominal c. dizziness d. BP140/90mmHg
_____22. When measuring the blood pressure, the following are nursing consideration except:
a. Ensure that the client is rested c. Inflate and deflate BP cuff 2-3 mmHg/sec
b. Use appropriate size of BP cuff d. Read upper meniscus of mercury
_____23. The systematic manner of collecting data about the client by listening to body sounds with the use of stethoscope is:
a. Inspection b. Percussion c. palpation d. auscultation
_____24. The following are contraindications to oral temperature taking except:
a. Dyspnea b. Diarrhea c. nasal packing d. nausea and vomiting
_____25. What is the statement specifying what is to be done regarding the patients problem, who is to do it, how to do it and
when is to be done.
a. Planning b. Intervention c. Evaluation d. Nursing diagnosis
_____26. The following are specific activities during evaluation except:
a. Collecting data c. Measuring goal attainment
b. Performing nursing interventions d. Revising or modifying the care plan
_____27. The primary source of data during assessment is the:
a. The patients chart c. The relatives/significant others
b. The patient d. The doctor
_____28. Therapeutic communication begins with:
a. Giving initial care c. Interacting with patient
b. Showing empathy d. knowing your patient
_____29. Mrs. Marimar has been diagnosed to have anemia, you advised her to eat food rich in iron, which of the following is
the richest source of iron?
a. Mongo b. Ampalaya c. malungay leaves d. pechay
_____30. Sofia Apacible is on her 1st trimester of pregnancy and is sometimes nauseous and vomiting in early morning. The
following may be given to her to trelieve nausea and vomiting except:
a. Dry toast b. Coca cola beverage c. milk d. ice hips
_____31. The following are signs and symptoms of dehydration except:
a. Weight loss b. Elevated body temperature c. decrease urine output d. increase urine output
_____32. The following are independent nursing interventions for a febrile patient except:
a. Administer Paracetamol 500mg. tab every 4 hrs. PRN for temp. 38.5C
b. Advice to Increase fluid intake
c. Promote bed rest
d. Keep the patient’s clothing’s clean and dry
_____33. The measles vaccine is given thru:
a. Intramuscularly b. Subcutaneously c. Intravenously d. Intradermal
_____34. When discarding used needle and syringes which of the following is the appropriate nursing action:
a. Remove needle from the syringe and discard them in separate containers.
b. Recap needle, the discard the needles still attached to the syringe into a container
c. Discard the uncapped needle and syringe into a container
d. Break the needle, then discard syringe into a container
_____35. What is the statement that describes the health care needs of the client?
a. Nursing Diagnosis b. Planning c. Evaluation d. Intervention
_____36. A patient is to receive 100,000 Units of an oral suspension of Penicillin QID. A bottle containing 300,000 Units of
Penicillin in 5ml solution is on hand. How many cc should be given to the patient?
a. 2 ml b. 2.3 ml c. 1.6 ml d. 1.5 ml
_____37. The Doctor orders 2 grams of Ampicillin, you have on hand 500mg/2cc of Ampicillin vial. How many vials should be
given?
a. 4 cc. b. 3 vials c. 10 cc. d. 4 vials
_____38. A patient is to receive 5% Dextrose and LR 1 liter IV in 24 hours. The drop factor of the mini dropper is 60, the nurse
should regulate the IV to run at:
a. 51 gtts b. 42 gtts c. 24 gtts d. 32 gtts.
_____39. What is the conversion of 38.7 Celsius into Fahrenheit?
a. 98 F b. 101.3 F c. 99F d. 101.66F
_____40. The doctor ordered 50mg. of Gentamycin every 6hrs IV, the stock on hand is 80 mg. in a 2ml. ampule. How many cc
should be given?
a. 1.25 cc. b. 1.30 cc. c. 1.40 cc. d. 1.45 cc.
_____41. It is an abnormal elevation of the body temperature.
a. Hypertension b. Fever c. Dyspnea d. Tachycardia
_____42. A site of Intramuscular injection wherein the nurse determines the site by palpating the acromion process of the
shoulder and imagining an inverted triangle 3 fingerbreadths down form the acromion process.
a. Ventrogluteal b. Deltoid c. Vastus lateralis d. Rectus femoris
_____43. Refers to the oral intake of a harmful substance that, even in small amount, can damage tissues, disturb body
functions, and possibly cause death.
a. Tachypnea b. Hyperthermia c. Hypertension c. Poisoning
_____44. A disease of vascular regulation wherein the blood pressure is elevated when there is increased cardiac output and
increased peripheral vascular resistance.
a. Hypertension c. Chronic Obstructive Pulmonary Disease
b. Myocardial Infraction d. Valvular Disease
_____45. Giving tepid sponge bath to a patient experiencing fever is what kind of nursing responsibility?
a. Dependent b. Independent c. Collaborative d. Interdependent
_____46. Stating your long term and short term goal is what step of the nursing process?
a. Assessment b. Evaluation c. Planning d. Diagnosis
_____47. A male patient has been diagnosed with tuberculosis. He has not been feeling well for the past several weeks and
sought medical attention when he began expectorating bloody secretions. Which of the following symptoms are
common in patient’s with active tuberculosis?
a. Weight loss c. Dyspnea on exertion
b. Increased appetite d. Mental Status changes
_____48. The nurse should teach the patient that the most common route of transmitting tubercle bacilli from person to person is
through contaminated.
a. Dust particles b. Droplet nuclei c. Water d. Eating utensils
_____49. The single most effective way to decrease the spread of microorganisms is
a. Frequent handwashing
b. Having separate personal care items for each person
c. Using disposable equipment whenever possible
d. Isolation
_____50. In teaching the patient about self care at home, the nurse will include all the following measures which measure would
have the highest priority?
a. Getting adequate rest c. Taking medications as prescribed
b. Eating a nourishing diet d. Living in an area with clean air
_____51. A normal health infant is brought to the clinic for the first immunization against polio. The nurse should administer
the vaccine by what route?
a. Oral route c. Subcutaneous route
b. Intramuscular route d. Intradermal route
_____52. A patient with hypothyroidism is to receive sytroid 75mcg by IV push. The medication available is labeled 200
mcg/10ml. which of the following doses is the correct amount?
a. 5 ml b. 3.75 ml c. 4.75 ml d. 2.5 ml
_____53. A child is to receive 15 ml of antibiotic solution intravenously during 20 minute period. The apparatus delivers 60
gtts per ml. To administer the medication within the prescribed time period, the child should receive how many gtts
per minute?
a. 15 b. 30 c. 45 d. 60
_____54. Which of the following statements is the most appropriate for a nurse to make when initiating a painful procedure on a
four year old boy?
a. You are a big boy. I know you can handle this
b. You can have your mom hold your hand
c. You are not a baby. I know you won’t cry
d. You will get a treat if you are good
_____55. An 8 year old child who weighs 63 lbs is postoperative after an appendectomy and has an order for intravenous
hydration. The child is to receive 1640 ml of solution in 24 hours. When using an administration set that delivers 15
gtts per ml, how many gtts per minute should a nurse administer?
a. 17 b. 45 c. 51 d. 68
_____56. An 11 month old infant is admitted to the hospital with severe diarrhea. Which of the following nursing diagnoses
would be appropriate for the nurse to identify as a priority.
a. Pain c. Altered health maintenance
b. Altered bowel elimination d. Altered urinary elimination
_____57. The physician orders 250 ml of IV fluid every 4 hours. What rate should be set on the infusion pump.
a. 10 ml per hour c. 42 ml per hour
b. 25 ml per hour d. 63 ml per hour
_____58. A 4 year old child is admitted to the pediatric unit for a tonsillectomy. The child asked the nurse if will hurt to have
tonsils out. Which of the following response would be best for the nurse to make
a. It won’t hurt because we put you to sleep
b. It won’t hurt because you are so big
c. It will hurt because of the incision made in the throat
d. It will hurt but we have medicine to help you better
_____59. Paracetamol is administered to a patient experiencing fever because of its
a. Antipyretic action c. Antiplatelet action
b. Antibacterial action d. Antithrombotic action
_____60. The most important long-term goal for a client with hypertension would be to
a. Learn how to avoid stress c. Make commitment to long-term therapy
b. Explore a job change d. Control high blood pressure

Prepared by:

MRS. TERESITA B. LAURIAN


Nursing Faculty