Nursing Practice 1 is a foundational course essential for nursing students preparing for the Nursing Licensure Examination (NLE) in the Philippines. This course primarily focuses on two critical components: Basic Nursing Concepts and Skills, and Nursing Process and Procedure.
Basic Nursing Concepts and Skills: This component covers fundamental principles of nursing, including anatomy, physiology, pharmacology, and patient care techniques. Students learn about the human body's structure and functions, as well as medication administration, wound care, vital signs monitoring, and infection control. Mastering these concepts is crucial for providing safe and effective nursing care.
Nursing Process and Procedure: The nursing process is a systematic method used by nurses to assess, diagnose, plan, implement, and evaluate patient care. Students are taught how to gather patient data, identify health issues, develop care plans, implement interventions, and assess outcomes. Understanding this process is essential for clinical decision-making and prioritizing patient needs.
By integrating theoretical knowledge with practical skills, Nursing Practice 1 equips students with the foundational competencies required to succeed in the NLE. This course empowers aspiring nurses to apply evidence-based practices and critical thinking in real-world healthcare settings, ensuring they are well-prepared to deliver quality patient care upon licensure.
Nursing Practice 1 Reviewer
Welcome to our Nursing Practice 1 Practice Examination! In this session, you'll have the opportunity to test your understanding of key concepts in Nursing Practice 1. The quiz consists of multiple-choice questions covering various topics. Pay close attention to each question and select the best answer. After completing the exam, check the video below for the answer key and explanations.
Situation:
Maria, a newly registered nurse, is assigned to a medical-surgical ward for her first clinical rotation. During her shift, she is responsible for providing care to patients with various medical conditions, including those who have undergone surgical procedures. One of her patients is a 65-year-old man who had abdominal surgery earlier in the day. Maria's instructor asks her to demonstrate proper wound care techniques for post-operative patients.
1. Which of the following is the primary goal of wound care for post-operative patients?
A. Promoting rapid wound healing
B. Preventing infection
C. Minimizing pain
D. Removing sutures early
2. Maria is preparing to clean the surgical wound. Which solution should she use for wound irrigation?
A. Normal saline
B. Hydrogen peroxide
C. Betadine solution
D. Tap water
3. When cleaning the wound, Maria should perform which action first?
A. Remove the old dressing
B. Irrigate the wound with saline
C. Assess the wound for signs of infection
D. Apply a new dressing
4. After cleaning the wound, Maria notices that the wound edges are approximated and there are no signs of drainage. Which type of dressing should she apply?
A. Wet-to-dry dressing
B. Hydrocolloid dressing
C. Transparent film dressing
D. Alginate dressing
5. Maria is teaching the patient about wound care at home. Which instruction should she include regarding the timing of dressing changes?
A. Change the dressing twice daily
B. Change the dressing whenever it becomes wet or soiled
C. Change the dressing every 3 days
D. Change the dressing once a week
6. Proper hand hygiene is essential during wound care to prevent infection. How long should Maria perform handwashing before and after providing wound care?
A. 10 seconds
B. 20 seconds
C. 30 seconds
D. 1 minute
7. Maria is assessing the patient's wound for signs of infection. Which of the following is NOT a characteristic feature of an infected wound?
A. Increased warmth around the wound
B. Purulent drainage
C. Pale pink wound bed
D. Foul odor
8. To promote patient comfort during wound care, Maria should prioritize which action?
A. Minimizing exposure of the wound
B. Applying pressure to the wound
C. Vigorous scrubbing of the wound
D. Ignoring the patient's verbal cues
9. Maria accidentally drops a sterile gauze onto the floor while preparing the dressing. What should she do?
A. Pick up the gauze and use it if it appears clean
B. Discard the gauze and obtain a new sterile one
C. Rinse the gauze with tap water and use it
D. Blow on the gauze to remove any debris and use it
10. Maria is documenting the wound care procedure in the patient's medical record. Which information should she include?
A. The patient's room number
B. The date and time of the procedure
C. The nurse's personal opinions
D. The patient's social security number
Situation:
Anna, a registered nurse working in a community health center, is conducting a health assessment for a new patient who presents with symptoms of hypertension. As part of the nursing process, Anna gathers relevant data about the patient's health history, current symptoms, and lifestyle factors.
1. Which phase of the nursing process is Anna primarily engaged in when she gathers information about the patient's health history and current symptoms?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
2. During the assessment, Anna measures the patient's blood pressure, pulse rate, and respiratory rate. Which type of data is she collecting?
A. Objective data
B. Subjective data
C. Historical data
D. Perceptual data
3. Based on the patient's symptoms and health history, Anna identifies the nursing diagnosis of "Risk for ineffective coping related to newly diagnosed hypertension." Which phase of the nursing process does this represent?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
4. Anna develops a care plan for the patient, including interventions to promote stress management and healthy lifestyle habits. Which phase of the nursing process does this represent?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
5. Anna educates the patient about the importance of adhering to a low-sodium diet and regularly monitoring blood pressure at home. Which phase of the nursing process does this represent?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
6. After implementing the care plan, Anna evaluates the patient's response to the interventions and reassesses the effectiveness of the plan. Which phase of the nursing process does this represent?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
7. Which of the following is an example of a short-term goal for the patient with hypertension?
A. Achieve a normal blood pressure reading within 24 hours.
B. Maintain a low-sodium diet for six months.
C. Lose 20 pounds within one year.
D. Attend a stress management workshop next month.
8. During the assessment, Anna discovers that the patient has a family history of cardiovascular disease and is experiencing significant stress at work. Which type of data is this?
A. Objective data
B. Subjective data
C. Historical data
D. Perceptual data
9. Anna collaborates with the patient to establish mutually agreed-upon goals for hypertension management. Which principle of nursing care is she demonstrating?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
10. Which of the following is a priority action for Anna to take if the patient's blood pressure reading is significantly elevated during the assessment?
A. Document the findings in the patient's medical record.
B. Reassure the patient and continue with the assessment.
C. Notify the healthcare provider immediately.
D. Instruct the patient to return for a follow-up appointment.
WATCH THE VIDEO FOR THE ANSWER KEY AND EXPLANATION