NP3 COMPREHENSIVE EXAM
QUESTIONS WITH CORRECT ANSWERS
Situation
Ms. Kismet is the Research Coordinator of the Medical Center who is concerned about
the increased incidence of nosocomial infection in the hospital and has convinced the
management to allot a budget for the conduct of research on the clinical problem.
1. What type of research is appropriate for this study?
A. Quasi-experimental
B. Experimental
C. Historical
D. Descriptive-correlational - Answer-D. Descriptive-correlational
2. Which of the following is the best tool for data gathering?
A. use of laboratory data
B. questionnaire
C. interview schedule
D. observation - Answer-C. interview schedule
3. During the data collection, Ms. Kismet encountered a patient who does not want to
talk to her. Which of the following is a limitation of the study?
A. Contacts of patients with history of fever and cough.
B. Patient's refusal to fully divulge information.
C. Patient's with the history of fever and cough
D. Patients admitted or who seek consultation at the ER and doctor's offices. - Answer-
B. Patient's refusal to fully divulge information.
4. In the statement, "Frequent hand washing of health workers decreases the incidence
of nosocomial infections among post-surgery patients", the dependent variable is
__________.
A. frequent hand washing
B. incidence of nosocomial infection
C. health workers
D. post-surgery patients - Answer-B. incidence of nosocomial infection
5. Her colleague asks about the EXTERNAL validity of the research findings. Which of
the following is the APPROPRIATE response of Ms. Kismet?
,A. it is reflected as a result of extraneous variables.
B. the findings are free of selection biases.
C. the result is shown only from the effect of the independent variable.
D. it is generalized to other settings or samples. - Answer-D. it is generalized to other
settings or samples.
Situation
Mr. Gaviola, who has just finished his one (1) year period as a registered nurse in a
medical center, is
assigned in the medical unit on 3-11 shift. He is having difficulty interacting with the
patient's family so he consulted his senior Nurse regarding this matter.
6. The BEST approach to be employed by Mr. Gaviola upon the advice of his senior
nurse is __________.
*
1 point
A. send the family members home
B. confront with the family regarding their behavior
C. ignore family's behavior
D. use active-listening technique - Answer-D. use active-listening technique
7. The Senior Resident in the medical unit was making his regular rounds with the
medical interns and Nurse Gaviola was called to receive his orders for Mr. De Vega who
has been confined in the unit for almost a week. Nurse Gaviola could not understand
some of the written orders of the physician in the chart. Which of the following is the
appropriate action of the nurse?
*
1 point
A. refer to the nurse supervisor to validate the Physician's orders.
B. approach the physician and clarify his orders
C. call his junior resident to rewrite his orders
D. complete the orders by rewriting what is in the chart. - Answer-B. approach the
physician and clarify his orders
8. One of the patients of Mr. Gaviola told him that according to his attending physician
he would be transferred to the surgical unit because of a suspected stone in the
gallbladder causing his on and off pain later in the evening. The wife however, told Mr.
Berroya ``No, the physician told me, my husband will still be in this unit for 2 more
days". The BEST action of the Nurse should ____________.
*
1 point
A. call the physician to clarify management of care for the patient.
B. instruct the couple and family members wait for the decision of the health team.
C. inform the patient that sometimes the physician need to have more data available.
, D. inform the couple that the decision of the physician is sometimes not fixed. - Answer-
A. call the physician to clarify management of care for the patient.
9. The members of the health team in the medical unit have been reacting negatively to
a patient who has been branded as "Very demanding" He has a diagnosis of
Emphysema and had been confined for almost 2 weeks in the ward. Family members
come and go to visit him.
The best approach of the health team should be _______________.
*
1 point
A. request a chaplain to regularly visit the patient.
B. hold a team conference on how to approach the issue
C. request for a psychological counseling
D. talk with the family members and discuss the demanding behavior of the father. -
Answer-B. hold a team conference on how to approach the issue
10. Nurse Gaviola is taking care of Ms. De Guzman with a multi-organ disorder. The
health care team believes that the patient's survival rate is only 50%. Which of the
following nursing actions is MOST APPROPRIATE to be done by Nurse Gaviola?
*
1 point
A. Avoid discussion of death when family members are present.
B. Arrange with the family the available funeral parlors incase of death of the patient.
C. Request the husband to prepare a living will.
D. Inform the family members that there is palliative care available. - Answer-D. Inform
the family members that there is palliative care available.
Situation
Mr. Billy Joe is 55 years old, married, a car dealer has consulted the ER because of on
and off fever, indigestion, weight loss, right abdominal pain, body malaise, and itchiness
of the skin. Based on the health history the patient has been a chain smoker and drinks
alcoholic beverages almost every day especially when he has clients to entertain. His
physical examination showed he has suspected liver cirrhosis. He was advised for
admission for further work-up and treatment.
11. You were the nurse on duty when Mr. Billy Joe was admitted to the pay floor. In your
observational data what additional EARLY SIGN of liver cirrhosis do you expect the
patient to manifest?
*
1 point
A. Gonadal atrophy
B. Hypotension
C. Splenomegaly
D. Ankle edema - Answer-A. Gonadal atrophy
12. Which of the following statements is TRUE of liver cirrhosis?
QUESTIONS WITH CORRECT ANSWERS
Situation
Ms. Kismet is the Research Coordinator of the Medical Center who is concerned about
the increased incidence of nosocomial infection in the hospital and has convinced the
management to allot a budget for the conduct of research on the clinical problem.
1. What type of research is appropriate for this study?
A. Quasi-experimental
B. Experimental
C. Historical
D. Descriptive-correlational - Answer-D. Descriptive-correlational
2. Which of the following is the best tool for data gathering?
A. use of laboratory data
B. questionnaire
C. interview schedule
D. observation - Answer-C. interview schedule
3. During the data collection, Ms. Kismet encountered a patient who does not want to
talk to her. Which of the following is a limitation of the study?
A. Contacts of patients with history of fever and cough.
B. Patient's refusal to fully divulge information.
C. Patient's with the history of fever and cough
D. Patients admitted or who seek consultation at the ER and doctor's offices. - Answer-
B. Patient's refusal to fully divulge information.
4. In the statement, "Frequent hand washing of health workers decreases the incidence
of nosocomial infections among post-surgery patients", the dependent variable is
__________.
A. frequent hand washing
B. incidence of nosocomial infection
C. health workers
D. post-surgery patients - Answer-B. incidence of nosocomial infection
5. Her colleague asks about the EXTERNAL validity of the research findings. Which of
the following is the APPROPRIATE response of Ms. Kismet?
,A. it is reflected as a result of extraneous variables.
B. the findings are free of selection biases.
C. the result is shown only from the effect of the independent variable.
D. it is generalized to other settings or samples. - Answer-D. it is generalized to other
settings or samples.
Situation
Mr. Gaviola, who has just finished his one (1) year period as a registered nurse in a
medical center, is
assigned in the medical unit on 3-11 shift. He is having difficulty interacting with the
patient's family so he consulted his senior Nurse regarding this matter.
6. The BEST approach to be employed by Mr. Gaviola upon the advice of his senior
nurse is __________.
*
1 point
A. send the family members home
B. confront with the family regarding their behavior
C. ignore family's behavior
D. use active-listening technique - Answer-D. use active-listening technique
7. The Senior Resident in the medical unit was making his regular rounds with the
medical interns and Nurse Gaviola was called to receive his orders for Mr. De Vega who
has been confined in the unit for almost a week. Nurse Gaviola could not understand
some of the written orders of the physician in the chart. Which of the following is the
appropriate action of the nurse?
*
1 point
A. refer to the nurse supervisor to validate the Physician's orders.
B. approach the physician and clarify his orders
C. call his junior resident to rewrite his orders
D. complete the orders by rewriting what is in the chart. - Answer-B. approach the
physician and clarify his orders
8. One of the patients of Mr. Gaviola told him that according to his attending physician
he would be transferred to the surgical unit because of a suspected stone in the
gallbladder causing his on and off pain later in the evening. The wife however, told Mr.
Berroya ``No, the physician told me, my husband will still be in this unit for 2 more
days". The BEST action of the Nurse should ____________.
*
1 point
A. call the physician to clarify management of care for the patient.
B. instruct the couple and family members wait for the decision of the health team.
C. inform the patient that sometimes the physician need to have more data available.
, D. inform the couple that the decision of the physician is sometimes not fixed. - Answer-
A. call the physician to clarify management of care for the patient.
9. The members of the health team in the medical unit have been reacting negatively to
a patient who has been branded as "Very demanding" He has a diagnosis of
Emphysema and had been confined for almost 2 weeks in the ward. Family members
come and go to visit him.
The best approach of the health team should be _______________.
*
1 point
A. request a chaplain to regularly visit the patient.
B. hold a team conference on how to approach the issue
C. request for a psychological counseling
D. talk with the family members and discuss the demanding behavior of the father. -
Answer-B. hold a team conference on how to approach the issue
10. Nurse Gaviola is taking care of Ms. De Guzman with a multi-organ disorder. The
health care team believes that the patient's survival rate is only 50%. Which of the
following nursing actions is MOST APPROPRIATE to be done by Nurse Gaviola?
*
1 point
A. Avoid discussion of death when family members are present.
B. Arrange with the family the available funeral parlors incase of death of the patient.
C. Request the husband to prepare a living will.
D. Inform the family members that there is palliative care available. - Answer-D. Inform
the family members that there is palliative care available.
Situation
Mr. Billy Joe is 55 years old, married, a car dealer has consulted the ER because of on
and off fever, indigestion, weight loss, right abdominal pain, body malaise, and itchiness
of the skin. Based on the health history the patient has been a chain smoker and drinks
alcoholic beverages almost every day especially when he has clients to entertain. His
physical examination showed he has suspected liver cirrhosis. He was advised for
admission for further work-up and treatment.
11. You were the nurse on duty when Mr. Billy Joe was admitted to the pay floor. In your
observational data what additional EARLY SIGN of liver cirrhosis do you expect the
patient to manifest?
*
1 point
A. Gonadal atrophy
B. Hypotension
C. Splenomegaly
D. Ankle edema - Answer-A. Gonadal atrophy
12. Which of the following statements is TRUE of liver cirrhosis?
