1 >>Which action should the nurse take before administering morphine 4.0 mg intravenously to a patient complaining of incisional pain? ?
- (A) Assess the patient’s incision.
- (B) Clarify the order with the prescriber.
- (C) Assess the patient’s respiratory status.
- (D) Monitor the patient’s heart rate.
2 >>Which factor in the patient’s past medical history dictates that the nurse exercise caution when administering acetaminophen (Tylenol)? ?
- (A) Hepatitis B
- (B) Occasional alcohol use
- (C) Allergy to aspirin
- (D) Gastric irritation with bleeding
3 >>Which pain management task can the nurse safely delegate to nursing assistive personnel? ?
- (A) Asking about pain during vital signs
- (B) Evaluating the effectiveness of pain medication
- (C) Developing a plan of care involving nonpharmacologic interventions
- (D) Administering over-the-counter pain medications
4 >>A 73-year-old patient who sustained a right hip fracture in a fall requests pain medication from the nurse. Based on his injury, which type of pain is this patient most likely experiencing? ?
- (A) Phantom
- (B) Visceral
- (C) Deep somatic
- (D) Referred
5 >>The average daily amount of urine excreted by an adult is: ?
- (A) 500 to 600 ml
- (B) 800 to 1,400 ml
- (C) 1,000 to 1,200 ml
- (D) 1,500 to 2,000 ml
6 >>The usual sequence for assessing the bowel is: ?
- (A) Right lower quadrant, right upper quadrant, left upper quadrant. left lower quadrant
- (B) Rectum, pancreas, stomach and liver
- (C) Right hypochondriac, left hypochondriac and umbilical regions
- (D) Right lower lobe, right upper lobe, left upper lobe, left lower lobe
7 >>Which of the following questions is most appropriate to ask when interviewing a potential candidate for an RN position? ?
- (A) What was your last nursing experience?
- (B) Are you willing to do overtime on weekends?
- (C) How many children do you have?
- (D) Do you plan to get pregnant?
8 >>To promote correct anatomic alignment in a supine patient, the nurse should:� ?
- (A) Place the patient’s feet in dorsiflexion
- (B) Place a pillow under the patient’s knees
- (C) Hyperextend the patient’s neck
- (D) Adduct the patient’s shoulder
9 >>The nurse’s main priority when caring foar a patient with hemiplegia?� ?
- (A) Educating the patient
- (B) Providing a safe environment
- (C) Promoting a positive self-image
- (D) Helping the patient accept the illness
10 >>Which communication skills is most effective in dealing with covert communication?� ?
- (A) Validation
- (B) Listening
- (C) Evaluation
- (D) Clarification
11 >>Health is a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity”. This was stated by ?
- (A) United States Health Agency
- (B) National Institute of Health
- (C) National League for Nursing (NLN)
- (D) World Health Organization
12 >>The name of the nursing diagnosis is linked to the etiology with the phrase: ?
- (A) “as manifested by “.
- (B) “related to”
- (C) “evidenced by”
- (D) “due to”
13 >>Priorities of Planning in Nursing Process is done by ?
- (A) Information processing model
- (B) Interpersonal theory
- (C) Stages of illness model
- (D) Maslow’s hierarchy of human needs
14 >>When caring for a client with a femoral venous catheter, it is essential for the nurse to: ?
- (A) irrigate the catheter with sterile saline solution to maintain patency.
- (B) maintain sterile technique when working with the catheter.
- (C) assess the pressure dressing frequently for bleeding.
- (D) limit the mobility of the affected limb.
15 >>Nursing Diagnosis Categories include all, except ?
- (A) Actual
- (B) Risk
- (C) Factual
- (D) Wellness
16 >>Which of the following nursing interventions would be most important for determining fluid balance in a client with end-stage renal failure? ?
- (A) Monitor urine specific gravity
- (B) Measure fluid intake and output
- (C) Weigh daily
- (D) Record frequency of bowel movements
17 >>A woman in labor is receiving an antibiotic. She suddenly complains of trouble breathing, weakness and nausea. The nurse should recognize that these signs are usually indicative of impending: ?
- (A) Pulmonary egophony.
- (B) Amniotic fluid embolism.
- (C) Anaphylaxis.
- (D) Bronchospasm.
18 >>What is the term used for a high-pitched musical sound in clients during a respiratory assessment? ?
- (A) Crowing
- (B) Wheezing
- (C) Stridor
- (D) Sigh
19 >>”The goal of nursing is to put the patient in the best condition for nature to act upon him”. This was stated by ?
- (A) Henderson
- (B) Jean Watson
- (C) Marta Rogers
- (D) Florence Nightingale
20 >>”Nursing is the diagnosis and treatment of human responses to health and illness”. This definition was given by ?
- (A) American Nurses Association (ANA), 1995
- (B) International Council of Nurses
- (C) Florence Nightingale, 1858
- (D) Indian Nursing Council, 1948