Below are questions that simulate the Prometric test questions. Try to answer them, observe a time limit of 1 item per minute, and check the correct answers. The Saudi Prometric Exam Questions for Nurses Test 3 includes care of patients related to issues and problems with:
- Safety and Infection Control;
- Cardiovascular System;
- Respiratory Function;
- Metabolic and endocrine function; and
- Laboratory values and medication administration.
1. A patient who is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept?
A. At the nurses’ station.
B. On the isolation cart outside the patient’s room.
C. In the dirty utility room.
D. In the patient’s room.
2. Which of the following best describes how persons affected by Parkinson’s disease typically walk?
A. Long, steady gaits
B. They shuffle their feet while taking small steps
C. Fast movement of the feet
D. Always needs support from assistive devices
3. A male patient with a right pleural effusion noted on a chest X-ray is being prepared for thoracentesis. The patient experiences severe dizziness when sitting upright. To provide a
safe environment, the nurse assists the patient to which position for the procedure?
A. Prone with head turned toward the side supported by a pillow
B. Sims’ position with the head of the bed flat
C. Right side-lying with the head of the bed elevated 45 degrees
D. Left side-lying with the head of the bed elevated 45 degrees
4. A patient is experiencing pain during the first stage of labor. What should the nurse instruct the patient to do to manage her pain? Select all that apply
A. Walk in the hospital room.
B. Use slow chest breathing.
C. Request pain medication on a regular basis.
D. Lightly massage her abdomen.
E. Sip ice water.
5. The nurse is monitoring a child with burns during treatment for burn shock. Which
assessment provides the most accurate guide to determine the adequacy of fluid
A. Skin turgor
B. Level of edema at burn site
C. Adequacy of capillary filling
D. Amount of fluid tolerated in 24 hours
6. Which of the following structures should be closed by the time the child is 2 months old?
1. A. 2. B. 3. C. 4. D.
7. The nurse is evaluating an infant who has an intravenous infusion secured to a sandbag (see figure). The nurse should:
A. Add tape to cover the toe.
B. Secure the right leg to a sandbag.
C. Check the infusion rate every hour.
D. Change the sandbag to an extremity restraint
8. The nurse is assessing a patient who has had a myocardial infarction (MI). The nurse notes the cardiac rhythm shown on the electrocardiogram strip below. The nurse identifies this rhythm as which of the following?
A. Atrial fibrillation.
B. Ventricular tachycardia.
C. Premature ventricular contractions (PVCs).
D. Third-degree heart block.
9. The nurse is assessing a patient who has had a myocardial infarction. The nurse notes the cardiac rhythm shown on the electrocardiogram strip below. The nurse identifies this rhythm as which of the following?
A. Atrial fibrillation.
B. Ventricular tachycardia.
C. Premature ventricular contractions.
D. Sinus tachycardia.
10. The patient admitted with peripheral vascular disease (PVD) asks the nurse why her legs hurt when she walks. The nurse bases a response on the knowledge that the main characteristic of PVD is:
A. Decreased blood flow.
B. Increased blood flow.
C. Slow blood flow.
D. Thrombus formation.
11. A patient is scheduled to undergo right axillary-to-axillary artery bypass surgery. Which of the following interventions is most important for the nurse to implement in the preoperative period?
A. Assess the temperature in the affected arm.
B. Monitor the radial pulse in the affected arm.
C. Protect the extremity from cold.
D. Avoid using the arm for a venipuncture.
12. When giving discharge instructions to the patient with vasospastic disorder (Raynaud’s phenomenon), the nurse should explain that the expected outcome of taking a beta adrenergic blocking medication is to control the symptoms by:
A. Decreasing the influence of the sympathetic nervous system on the tissues in the hands and feet.
B. Decreasing the pain by producing analgesia.
C. Increasing the blood supply to the affected area.
D. Increasing monoamine oxidase.
13. The patient is admitted with left lower leg pain, a positive Homans’ sign, and a temperature of 100.4° F (38° C). The nurse should assess the patient further for signs of:
A. Aortic aneurysm.
B. Deep vein thrombosis (DVT) in the left leg.
C. I.V. drug abuse.
D. Intermittent claudication.
14. A patient has sudden, severe pain in his back and chest, accompanied by shortness of breath. The patient describes the pain as a “tearing” sensation. The physician suspects the patient is experiencing a dissecting aortic aneurysm. The code cart is brought into the room because one complication of a dissecting aneurysm is:
A. Cardiac tamponade.
C. Pulmonary edema.
D. Myocardial infarction.
15. A nurse is teaching a patient about taking antihistamines. Which of the following instructions should the nurse include in the teaching plan? Select all that apply.
A. Operating machinery and driving may be dangerous while taking antihistamines.
B. Continue taking antihistamines even if nasal infection develops.
C. The effect of antihistamines is not felt until a day later.
D. Do not use alcohol with antihistamines.
E. Increase fluid intake to 2,000 mL/day.
16. A patient who has had a total laryngectomy appears withdrawn and depressed. He keeps the curtain drawn, refuses visitors, and indicates a desire to be left alone. Which nursing intervention would most likely be therapeutic for the patient?
A. Discussing his behavior with his wife to determine the cause.
B. Exploring his future plans.
C. Respecting his need for privacy.
D. Encouraging him to express his feelings nonverbally and in writing.
17. A 79-year-old female patient is admitted to the hospital with a diagnosis of bacterial pneumonia. While obtaining the patient’s health history, the nurse learns that the patient has osteoarthritis, follows a vegetarian diet, and is very concerned with cleanliness. Which of the following would most likely be a predisposing factor for the diagnosis of pneumonia?
C. Vegetarian diet.
D. Daily bathing
18. Which of the following symptoms is common in patients with active tuberculosis?
A. Weight loss.
B. Increased appetite.
C. Dyspnea on exertion.
D. Mental status changes.
19. A patient experiencing a severe asthma attack has the following arterial blood gas: pH 7.33; PCO2 48; PO2 58; HCO3 26. Which of the following orders should the nurse perform first?
A. Albuterol (Proventil) nebulizer.
B. Chest x-ray.
C. Ipratropium (Atrovent) inhaler.
D. Sputum culture.
20. A female patient diagnosed with lung cancer is to have a left lower lobectomy. Which of the following increase the patient’s risk of developing postoperative pulmonary complications?
A. Height is 5 feet, 7 inches and weight is 110 lb.
B. The patient tends to keep her real feelings to herself.
C. She ambulates and can climb one flight of stairs without dyspnea.
D. The patient is 58 years of age.
21. The nurse is assessing a patient who has a chest tube connected to a water-seal chest tube drainage system. According to the illustration shown, which should the nurse do?
A. Clamp the chest tube near the insertion site to prevent air from entering the pleural cavity.
B. Notify the physician of the amount of chest tube drainage.
C. Add water to maintain the water seal.
D. Lower the drainage system to maintain gravity flow.
22. A patient has entered a smoking cessation program to quit a two-pack-a-day cigarette habit. He tells the nurse that he has not smoked a cigarette for 3 weeks, but is afraid he is going to “slip up” and smoke because of current job pressures. What would be the most appropriate reply for the nurse to make in response to the patient’s comments?
A. “Don’t worry about it. Everybody has difficulty quitting smoking, and you should expect to as well.”
B. “If you increase your self-control, I am sure you will be able to avoid smoking.”
C. “Try taking a couple of days of vacation to relieve the stress of your job.”
D. “It is good that you can talk about your concerns. Try calling a friend when you want to smoke.”
23. The nurse is developing standards of care for a patient with gastroesophageal reflux disease and wants to review current evidence for practice. Which one of the following resources will provide the most helpful information?
A. A review in the Cochrane Library.
B. A literature search in a database, such as the Cumulative Index to Nursing and Allied Health Literature (CINHAL).
C. An online nursing textbook.
D. The online policy and procedure manual at the health care agency.
24. TPN is ordered for a patient with Crohn’s disease. Which of the following indicate the TPN solution is having an intended outcome?
A. There is increased cell nutrition.
B. The patient does not have metabolic acidosis.
C. The patient is hydrated.
D. The patient is in a negative nitrogen balance.
25. The nurse notes that the sterile, occlusive dressing on the central catheter insertion site of a patient receiving total parenteral nutrition (TPN) is moist. The patient is breathing easily with no abnormal breath sounds. The nurse should do the following in order of what priority from first to last?
A. Change dressing per institutional policy.
B. Culture drainage at insertion site.
C. Notify physician.
D. Position rolled towel under patient’s back, parallel to the spine.
26. Serum concentrations of thyroid hormones and thyroid-stimulating hormone (TSH) are tests ordered for the patient with thyrotoxicosis. Which of the following laboratory values are indicative of thyrotoxicosis?
A. Elevated thyroid hormone concentrations and normal TSH.
B. Elevated TSH and normal thyroid hormone concentrations.
C. Decreased thyroid hormone concentrations and elevated TSH.
D. Elevated thyroid hormone concentrations and decreased TSH.
27. The nurse is checking the laboratory results on a 52-year-old patient with type 1 diabetes (see chart). What laboratory result indicates a problem that should be managed?
A. Blood glucose.
B. Total cholesterol.
D. Low-density lipoprotein (LDL) cholesterol.
28. The patient with type 1 diabetes mellitus is taught to take isophane insulin suspension NPH (Humulin N) at 5 p.m. each day. The patient should be instructed that the greatest risk of hypoglycemia will occur at about what time?
A. 11 a.m., shortly before lunch.
B. 1 p.m., shortly after lunch.
C. 6 p.m., shortly after dinner.
D. 1 a.m., while sleeping.
29. Four days after surgery for internal fixation of a C3 to C4 fracture, a nurse is moving a patient from the bed to the wheelchair. The nurse is checking the wheelchair for correct features for this patient. Which of the following features of the wheelchair are appropriate for the needs of this patient? Select all that apply.
A. Back at the level of the patient’s scapula.
B. Back and head that are high.
C. Seat that is lower than normal.
D. Seat with fi rm cushions.
E. Chair controlled by the patient’s breath
30. A patient with multiple sclerosis (MS) is experiencing bowel incontinence and is starting a bowel retraining program. Which strategy is inappropriate?
A. Eating a diet high in fiber.
B. Setting a regular time for elimination.
C. Using an elevated toilet seat.
D. Limiting fluid intake to 1,000 mL/day.