This is a multiple-choice type of questions consisting of 30-items. Each question tests your knowledge on the basic subjects in nursing such as Fundamentals of Nursing, Pharmacology, Medical-Surgical Nursing, Oncology, Psychiatric Nursing, Maternal, and Newborn and Pediatric Nursing.
The topics included are the following:
- Nursing assessment
- Nursing procedures
- Labor and Delivery
- Prioritization of Care
- Nurse-Client Relationship
- Musculoskeletal, Endocrine, Cardiac and Respiratory disorders
1. The client presented with complaints of body weakness, dizziness and chest pain. Upon careful assessment, the nurse suspects Angina Pectoris. Which of the following statements made by the client can confirm this?
a. “I suddenly felt a pain on my chest which radiates to my back and arms”.
b. “I suddenly felt a sharp pain on my lower abdomen”.
c. “The pain does not subside even if I rest”.
d. “The pain goes all the way down to my stomach”.
2. The client from the OR is transferred to the post-anesthesia care unit after surgical repair of abdominal aortic aneurysm. Which of the following assessment findings would indicate that the repair was successful?
a. Urine output of 50 mL/hr.
b. Presence of non-pitting, peripheral edema.
c. Clear sclera.
d. Presence of carotid bruit.
3. The client is scheduled for cardiac catheterization because the physician wants to view the right side of the heart. Which of the following would the nurse expect to see in this procedure?
a. A dye is injected to facilitate the viewing of the heart
b. Thallium is injected to facilitate the scintillation camera
c. A probe with a transducer tip is swallowed by the client.
d. A tiny ultrasound probe is inserted into the coronary artery
4. The client is being treated for hypovolemia. To assess the effectiveness of the treatment, the Central Venous Pressure (CVP) of the client is being monitored. Which of the following is TRUE about CVP?
a. The CVP is measured with a central venous line in the inferior vena cava.
b. The normal CVP is 7 to 9 mmHg.
c. The zero point on the transducer needs to be at the level of the left atrium.
d. The client needs to be supine, with the head of the bed elevated at 45 degrees.
5. The client’s ECG tracing shows ventricular tachycardia secondary to low magnesium level. Which of the following electrocardiogram tracing results is consistent with this finding?
a. The appearance of a U wave
b. Shortened ST segment and a widened T wave.
c. Tall, peaked T waves
d. Tall T waves and depressed ST segment
6. The nurse is teaching the client how to use a dry powder inhaler (DPI). Which of the following are correct instructions given by the nurse? Select All That Apply.
a. Load the drug first by turning to the next dose of drug, or inserting the capsule into the device, or inserting the disk or compartment into the device.
b. Never wash or place the inhaler in water.
c. Shake your inhaler prior to use.
d. The drug is a dry powder that is why you will taste the drug as you inhale.
e. Never exhale into the inhaler.
f. Do not remove the inhaler from your mouth as soon as you have breathe in.
7. The nurse is assigned to render care for a client who has a chest tube drainage system. Which of the following are appropriate nursing actions? Select All That Apply.
a. Strip the chest tube.
b. Empty collection chamber when the drainage makes contact to the bottom of the tube.
c. Keep the chest tube as straight as possible.
d. Notify the physician of drainage is greater than 70mL/hr.
e. Assess bubbling in the water seal chamber.
f. Keep the drainage system at the level of the client’s chest
8. The client with DKA is receiving bicarbonate IV infusion for the treatment of severe metabolic acidosis. The nurse notes that the latest ABG shows a pH of 7.0. What should the nurse keep in mind in giving the drug?
a. Check vital signs before giving the drug and monitor serum sodium levels.
b. Perform a sensitivity test prior to drug administration.
c. Mix the drug with D10W 500 ml IV fluid and infuse for over 4 to 8 hours.
d. Administer the drug slowly and monitor the potassium level
9. The client with a gunshot wound on the abdomen starts to get lethargic, is breathing heavily, and the wound dressing is fully soaked with blood. The nurse is expected to immediately perform which of the following actions?
a. Loosen tight clothing and administer oxygen supply.
b. Apply a warm blanket to prevent heat loss.
c. Apply large gauze on the bleeding site to put direct pressure or place a tourniquet on the artery near the bleeding site.
d. Initiate IV access.
10. The nurse is providing home instructions to a client with an increased adrenocorticotrophic hormone. The nurse is aware that the client with excessive corticosteroids is suffering from what condition?
a. Cushing’s syndrome
b. Addison’s disease
11. The nurse is assigned to a post-thyroidectomy client and is monitoring for signs of hypocalcemia. The nurse gently tapped the area below the zygomatic bone just in front of the ear. This action will elicit:
a. Facial tremor
c. Chvostek sign
d. Trousseau sign
12. The nurse is caring for a client with an antineoplastic IV hooked on the right hand. The nurse notices that IV site is swelling and feels cool when touched. The nurse recognizes this as extravasation. This predisposes the client to develop which among the following complications? Select all that apply.
b. Tissue necrosis
d. Loss of function
f. Delayed healing
13. Nursing interventions commonly performed when the client is experiencing Autonomic Dysreflexia will include the following. Select all that apply.
a. Use digital stimulation to empty the bowel.
b. Have the client sit up straight and raise his head so that he is looking ahead.
c. Remove the client’s stockings or socks.
d. Manually compress or tap the bladder to allow urine to flow down the catheter.
e. Administer prescribed vasodilators.
14. Neurologic conditions can be manifested by changes in breathing patterns. The client presents with symptoms of Cheyne-Stokes respirations. The nurse knows that this kind of breathing pattern shows:
a. Completely irregular breathing pattern with random deep and shallow respirations
b. Prolonged inspirations with inspiratory and /or expiratory pauses
c. Sustained regular rapid respirations of increased depth
d. Rhythmic waxing and waning of both rate and depth of respiration with brief periods of interspersed apnea
15. The physician is assessing the client’s sensorium by using the Glasgow Coma Scale. Which of the following is true about the Glasgow Coma Scale?
a. If the client does not respond to painful stimuli, the score is 0.
b. A score lower than 10 indicates that the client is in a coma.
c. A score of 8 indicates that the client is alert and oriented.
d. A score of 4 indicates that the client sustained severe head trauma.
16. The nurse on duty is caring for a client with Amyotrophic Lateral Sclerosis and is concerned with the client’s impaired physical mobility. The following nursing interventions are geared towards maintaining optimal physical mobility EXCEPT:
a. Maintain an exercise program.
b. Encourage participation in activities.
c. Instruct client-related safety measures.
d. Schedule activities in the morning.
17. An elderly client had a cerebrovascular accident or stroke. The left brain is affected and is at risk for impaired verbal communication. The nurse asked a question and noted that the client has difficulty talking and communicating his thoughts. Which of the following terms should the nurse use to document the finding?
a. Receptive Aphasia
b. Expressive Aphasia
c. Global aphasia
18. The client diagnosed with Alzheimer’s disease is starting to show signs and symptoms. The nurse wants to assess for graphesthesia. This is performed by:
a. Testing for the client’s ability to identify an object that is placed on the hand with eyes closed.
b. Testing for the client’s ability to recognize the written letter or number in the client’s skin while the eyes are closed.
c. Making the client stand, with the arms at the side, feet together, with the eyes open and then closed. The client is then observed for any swaying.
d. Testing for the presence of pain once the leg is flexed at the hip, and then extended.
19. The pediatric client presents with the following signs and symptoms: high fever, drooling, difficulty of breathing, and leaning forward in a tripod position. Immunization history shows that the client never received any Hib vaccine. Which of the following is the priority of the healthcare provider?
a. Continuous oxygen therapy and constant monitoring of oxygen saturation rate.
b. A well-regulated IV infusion and timely administration of antibiotics.
c. Vaccination of Hib and other remaining vaccines to complete the required immunizations.
d. Avoiding any throat examination or agitation of the child.
20. The physician prescribed Clarithromycin (Biaxin) 250mg BID x 7 days for the client’s infection. Incorrect drug frequency and duration would cause inaccurate transfer time of the drug to specific tissues in the body. The nurse explains to the client that accumulation of the drug in specific tissues is the concept of
21. The nurse is to administer Meperidine (Demerol) 35 mg through the intramuscular route. Available meperidine is 50mg/mL. Which of the following is the least favorable injection site for intramuscular medication?
b. Vastus lateralis
c. Deltoid muscle
22. The client presented with a complaint of leg cramps. Upon checking the client’s chart, the nurse noted that the client is hypertensive and is prescribed with a Thiazide diuretic. The appropriate nursing intervention for this client is:
a. Stop the Thiazide diuretic
b. Refer to the physician for evaluation of the electrolyte level of the client
c. Switch the client to a loop diuretic
d. Give the client a non-steroidal anti-inflammatory drug (NSAID)
23. The client is wheeled into the delivery room and is ready for childbirth. While crowning occurs, the labor nurse applies gentle pressure over the perineum and fetal head. The maneuver performed is called:
a. Brandt-Andrew’s maneuver
b. McRobert’s maneuver
c. Schultz mechanism
d. Ritgen’s maneuver
24. The nurse is monitoring the condition of the postpartum client. As a part of the postpartum adaptations, the nurse monitors for descent of the uterus and expects the fundus to be:
a. On the same level after delivery
b. Decreased by 1 cm/day
c. Decreased by 1.5 cm/day
d. Decreased by 2 cm/day
25. The granddaughter of the client asked the nurse if it is normal for elderly people to feel sleepy despite sleeping for long hours. Which of the following conditions would the nurse suspect?
a. Somatoform Disorder
26. Chemotherapy is one of the treatments for uterine cancer. The client asked the nurse how chemotherapeutic drugs work. Which of the following statements will be the best explanation?
a. Chemotherapeutic agents alter the molecular structure of DNA.
b. Chemotherapeutic agents hasten cell division.
c. Cancer cells are sensitive only to chemotherapeutic agents.
d. Chemotherapeutic agents act on all rapidly dividing cells.
27. Vomiting is one of the most common side effects of chemotherapy. The nurse should be aware of which acid-base imbalance?
b. Metabolic acidosis
c. Metabolic alkalosis
d. Respiratory alkalosis
28. The client develops a 2nd-degree skin reaction from radiation therapy. The nurse should expect the following symptoms EXCEPT:
a. The skin is scaly.
b. There is an itchy feeling.
c. There is a dry desquamation present.
d. The skin is reddened.
29. The nurse is assessing the muscle coordination and mobility of the client with a musculoskeletal disorder. The nurse noted impulsive and brief muscle twitching of the face and the limbs. This finding is called:
30. The nurse is assigned to render care to a client with altered mobility. Which of the following statements is true regarding body mechanics when moving clients?
a. Stand at arm’s length from the working area.
b. Elevate adjustable beds to the hip level.
c. Swivel the body when moving the client.
d. Move the client with a wide base and straight knees.