Key Answers On The Exam

Following a positive pregnancy a client begins discussing the changes that will occur
in the next several months with the nurse. Identify the psychosocial aspect of
pregnancy the nurse will incorporate into the plan of care as she educates this client
about the changes that occur in the first trimester: *
Correct answer
Experiencing ambivalence about pregnancy

An antenatal primigravid client has just been informed she is carrying twins. The plan
of care includes educating the client concerning factors that put her at risk for
problems during the pregnancy. The nurse realizes the client needs further instruction
when she indicates carrying twins puts her at risk for which of the following? *
Correct answer
Group B streptococcus

A 30-year-old multigravid client has missed three periods and now visits the prenatal
clinic because she assumes she is pregnant, She is experiencing enlargement of her
abdomen, a positive pregnancy test, and changes in the pigmentation on her face and
abdomen. These assessment findings reflect this woman is experiencing a cluster of
which signs of pregnancy? *
Correct answer
Probable

An antenatal client receives education concerning medications that are safe to use
during pregnancy. The nurse evaluates the client's understanding of the instructions
and determines, when she states which of the following? *
Correct answer
"If I need to have a bowel movement. Ex-Lax is preferred.”

When preparing a 20-year-old who reports missing one menstrual period and suspects
that she is pregnant for a radioimmunoassay pregnancy test, which of the following
would nurse need to keep in mind about this test? *
Correct answer
It has a high degree of accuracy within one week after ovulation.

The nurse is assessing a woman admitted for a possible ectopic pregnancy. The
nurse should ask the clients about the presence of which of the following? *
Correct answer
Right or left knife-like abdominal pain

A prenatal client has been diagnosed with a vaginal infection from the organism
Candida albicans. Which finding(s) would the nurse expect to note on assessment of
the client? *
Correct answer
Pain, itching, and vaginal discharge

A prenatal client is suspected of having iron-deficiency anemia. Which finding would
the nurse expect to note regarding the client's status? *
Correct answer
A low hemoglobin and hematocrit level

A nurse is caring for a post-partum client. Which finding would make the nurse
suspect endometritis in this client? *
Correct answer
Fever over 38C, beginning three days postpartum

A nurse is performing an assessment on a client with pregnancy induced hypertension
(PIH) who is in labor. The nurse most likely expects to note: *
Correct answer
Increased blood pressure

A nurse is performing an assessment on a female client who is suspected of having
mittelschmerz. Which of the following would the nurse expect to note on assessment
of the client? *
Correct answer
Sharp pelvic pain that occurs at the time of ovulation

A client seen in the health care clinic has been diagnosed with endometriosis and
asks the nurse to describe this condition. The nurse tells the client that
endometriosis: *
Correct answer
Is the presence of tissue outside the uterus that resembles the endometrium

A client calls the physician's office to schedule an appointment because a home
pregnancy test was performed and the results were positive. The nurse determines
that the home pregnancy test identified the presence of which of the following in the
urine? *
Correct answer
Human Chorionic Gonadotropin (hCG)

During a prenatal visit, the client informs the nurse that she is experiencing pain in the
calf when she walks. Which of the following would be the appropriate nursing action? *
Correct answer
Assess for the presence of Homan's sign.

A nurse is preparing to measure the fundal height of a client who is 36 weeks'
gestation. To perform the procedure, the nurse would *
Correct answer
Turn the client onto her left side

A nurse is measuring the fundal height on a client who is 36 weeks gestation when the
client complains of feeling light-headed. The nurse determines that the client's
complaint is most likely caused by: *
Correct answer
Compression of vena cava

A nurse in the prenatal clinic is monitoring a client who is pregnant with twins. The
nurse monitors the client most closely for which complication that is most likely
associated with a twin pregnancy? *
Correct answer
Maternal anemia

A clinic nurse is assessing a prenatal client with a heart disease. The nurse carefully
assesses the client's vital signs, weight, and fluid and nutritional status to detect for
complications caused by: *
Correct answer
The increase in circulating blood volume

A postpartum nurse is reviewing the records of the new mothers admitted to the
postpartum unit. The nurse determines that which new mother would be at risk for
developing a puerperial infection? *
Correct answer
A mother with a history of previous infections

A nurse is caring for a client in active labor. The nurse performs which of the following
to best prevent fetal heart rate decelerations? *
Correct answer
Encourages upright or side-lying maternal positions

A nurse is administering magnesium sulfate to a client for severe preeclampsia.
During the administration of the medication, the nurse: *
Correct answer
Assesses for signs and symptoms of labor because the client's level of
consciousness will be altered

A clinic nurse prepares to assess the fundal height in a client in the second trimester
of pregnancy. When measuring the fundal height, the nurse will most likely expect the
measurement to: *
Correct answer
Correlate with gestational age

A pregnant woman of 32 weeks gestation is admitted to the obstetric unit for
observation after an automobile accident. The client is experiencing slight vaginal
bleeding and mild cramps. The nurse does which of the following to determine the
viability of the fetus? *
Correct answer
Positions and connects the ultrasound transducer and the tocotransducer to the
external fetal monitor

A clinic nurse is caring for a client with suspected diagnosis of pregnancy induced
hypertension (PIH). The nurse assesses the client, expecting to note which of the
following If PIH is present? *
Correct answer
Hypertension, edema, and proteinuria

A nurse is assessing a client with cardiac disease at the 30 week gestation antenatal
visit. The nurse assesses lung sounds in the lower lobes following a routine blood
pressure screening, The nurse performs this assessment to *
Correct answer
Assess for early signs of congestive failure (CHF)

A client in labor is at 40 weeks' gestation, and the nurse checks the fetal heart rate
(FHR) for a baseline rate. The nurse is satisfied with the results and tells the client that
the baby's heart rate is within normal limits. The nurse then documents which FHR
finding? *
Correct answer
140 beats per minute

A 15 year old pregnant client is being treated by a dermatologist for acne. The clinic
nurse asks the client about the treatment prescribed for the acne, knowing that which
treatment is contraindicated during pregnancy? *
Correct answer
Oral tetracycline (Achromycin)

A woman at 32 weeks' gestation is brought into the emergency room after an
automobile accident. The client is bleeding vaginally and fetal assessment indicates
moderate fetal distress. Which of the following will the nurse do first in an attempt to
reduce the stress on the fetus? *
Correct answer
Administer oxygen via face mask at 7 to 10 liters per minute

It has been 12 hours since the client's delivery of a newborn The nurse assesses the
mother for the process of involution and documents that it is progressing normally
when palpation of the client’s fundus is noted: *
Correct answer
At the level of umbilicus

Client calls the ambulatory care clinic and tells the nurse that she found an area that
looks like the peel of an orange when performing breast self-examination (BSE), but
found no other changes. The nurse should *
Correct answer
Arrange for the client to be seen at the clinic as soon as possible

A nurse instructs a client about the procedure to perform the breast sell examination
(BSE). Which client statement indicates a need for further instructions? *
Correct answer
"I don't need to do that I'm too old for that."

A nurse is performing an assessment of a prenatal client being seen in the clinic for
the first time. Following the assessment, the nurse determines that which piece of data
places the client into the high-risk Category for contracting human immunodeficiency
virus (HIV)? *
Correct answer
A history of intravenous (IV) drug use in the past year.

A nurse instructs a perinatal client about measures to prevent urinary tract infections.
Which statement by the client would indicate an understanding of these measures? *
Correct answer
"I should choose underwear with cotton panel liner"

A nurse instructs a client with preeclampsia about home care measures. The nurse
determines that the teaching has been effective concerning assessment of
complications when the client states *
Correct answer
"I need to check my urine with a dip-stick every day for protein and call the physician
if it is 2+ or more.”

A nurse has provided to a new mother with a urinary tract infection regarding food and
fluids to consume that will acidify the urine. The nurse determines that further
instructions are needed if the mother indicates that which fluid will acidity the urine? *
Correct answer
Carbonate drinks

Methylergonovine (Methergine) is prescribed for a woman who has just delivered a
healthy newborn infant. The priority assessment before administering the medication
is to check the client's *
Correct answer
Blood pressure

A rubella vaccine is administered to a client who delivered a healthy newborn infant 2
days ago. The nurse provides instructions to the client regarding the potential risks
associated with this vaccination. Which statement by the client indicates an
understanding of the medication? *
Correct answer
"I need to prevent becoming pregnant for 2 to 3 months after the vaccination."

A client is preparing for discharge 10 days after a radical vulvectomy. The nurse
determines that the client has the best understanding of the measures to prevent
complications if the client plans to do which of the following after discharge? *
Correct answer
Walking

A nurse in the postpartum unit is developing a nursing care plan for a client following
cesarean delivery. The nurse documents which intervention in the plan of care that will
assist in preventing thrombophlebitis? *
Correct answer
Frequent ambulation

Antenatal G 2, (T 1, PO, A 0, L 1) client is discussing her postpartum plans for birth
control with her health care provider. In analyzing the available choices, which of the
following factors has the greatest impact on her birth control options. *
Correct answer
Breast- or bottle-feeding plan
Competency Appraisal Activity 1
The physician is planning to take the patient to surgery in the morning and leaves an
order for the nurse to get the patient to sign the surgical permit. The physician’s note
indicates that the patient has been educated on the procedure. However, the patient
tells the nurse, “I have no idea what he’s going to do. He rushed in and rushed out so
fast, I couldn’t ask any questions.” The nurse does not allow the patient to sign the
permit and calls the physician to inform him of the patient’s statement. This is an
example of the nurse acting as: *
1 point
Patient advocate.
Manager
Patient educator.
Clinical nurse specialist.
The nurse is feeling overwhelmed by the constant changes that are part of nursing
and the health care system in general. Understanding that changes are necessary, the
nurse needs to be aware that: *
1 point
The nurse has no control over the changes, but needs to accept them.
Quality improvement depends on active participation of nurses.
Belonging to nursing organizations will help bring the right changes.
Active participation in nursing organizations will have no effect on change.
You and a colleague are in the elevator after your shift, and you heard a group of
healthcare members discussing a recent client scenario. Which client right might be
breached? *
1 point
Right to refuse treatment.

Right to confidentiality.
Right to continuity of care.
Right to reasonable responses to requests.
Which is not included in the early beliefs and practices of nursing in the Philippines? *
1 point
Cause of the disease is evil spirit.

Practicing witch craft to care for the sick .
During labor, mabuting hilot is called in.
Religious groups care for the sick.
Critical thinking characteristics include: *
1 point
Considering what is important in a given situation.

Accepting one, established way to provide patient care.
Making decisions based on intuition.
Being able to read and follow physician’s orders.
Which statement best describes the effects of immobility in children? *

1 point
Immobility prevents the progression of language and fine motor development.

Immobility in children has similar physical effects to those found in adults.
Children are more susceptible to the effects of immobility than are adults.
Children are likely to have prolonged immobility with subsequent complications.
The nurse is instructing a woman in a low-fat, high-fiber diet. Which of the following
food choices, if selected by the client, indicate an understanding of a low-fat, high-fiber
diet? *
1 point
Tuna salad sandwich on whole wheat bread.

Vegetable soup made with vegetable stock, carrots, celery, and legumes served with toasted oat
bread.
Chef’s salad with hard boiled eggs and fat-free dressing.
Broiled chicken stuffed with chopped apples and walnuts.
An 80-year-old male patient has been bedridden for two weeks. Which of the following
complaints by the patient indicates to the nurse that he is developing a complication of
immobility? *
1 point
Stiffness of the right ankle joint.

Soreness of the gums.
Short-term memory loss.
Decreased appetite.
An eleven-month-old baby is brought to the pediatric clinic. The nurse suspects that
the child has iron deficiency anemia. Because iron deficiency anemia is suspected,
which of the following is the most important information to obtain from the infant’s
parents? *
1 point
Normal dietary intake.

Relevant sociocultural, economic, and educational background of the family.
Any evidence of blood in the stools.
A history of maternal anemia during pregnancy.
A 45-year-old male with chronic constipation is assessed by the nurse for a bowel
training regimen. Which factor indicates further information is needed by the nurse? *
1 point
The client’s dietary habits include foods high in bulk.

The client’s fluid intake is between 2500-3000 ml per day.
The client engages in moderate exercise each day.
The client’s bowel habits were not discussed.
Bryan underwent an open reduction and internal fixation of the left hip. One day after
the operation, the client is complaining of pain. Which data would cause the nurse to
refrain from administering the pain medication and to notify the health care provider
instead? *
1 point
Left hip dressing dry and intact.

Blood pressure of 114/78 mm Hg; pulse rate of 82 beats per minute.
Left leg in functional anatomic position.
Left foot cold to touch; no palpable pedal pulse.
Which term would the nurse use to document pain at one site that is perceived in
other site? *
1 point
Referred pain
Phantom pain
Intractable pain
Aftermath of pain
Joey who suffered severe burns 6 months ago is expressing concern about the
possible loss of job-performance abilities and physical disfigurement. Which
intervention is the most appropriate for him? *
1 point
Referring the client for counseling and occupational therapy.

Staying with the client as much as possible and building trust.
Providing cutaneous stimulation and pharmacologic therapy.
Providing distraction and guided imagery techniques.
Mrs. Bangwa who had abdominal surgery 3 days earlier complains of sharp, throbbing
abdominal pain that ranks 8 on a scale of 1 (no pain) to 10 (worst pain). Which
intervention should the nurse implement first? *
1 point
Assessing the client to rule out possible complications secondary to surgery.
Checking the client’s chart to determine when pain medication was last administered.
Explaining to the client that the pain should not be this severe 3 days postoperatively.
Obtaining an order for a stronger pain medication because the client’s pain has increased.
Which term refers to the pain that has a slower onset, is diffuse, radiates, and is
marked by somatic pain from organs in any body activity? *
1 point
Acute pain
Chronic pain
Superficial pain
Deep pain
A 49-year-old widower has arthritis and remains in bed too long because it hurts to get
started. Which intervention should the nurse plan? *
1 point
Telling the client to strictly limit the amount of movement of his inflamed joints.
Teaching the client’s family how to transfer the client into a wheelchair.
Teaching the client the proper method for massaging inflamed, sore joints.
Encouraging gentle range-of-motion exercises after administering aspirin and before rising.
Which of the following is the exact order of the chain of infection?1) Susceptible host
4) Etiologic agent2) Portal of entry 5) Reservoir3) Portal of exit 6) Mode of
transmission *
1 point
1.2.3.4.5.6
4,5,3,6,2.1
5.4.2.3.6.1
6,5,4,3,2,1
While on duty in the out-patient-department, a client came in and he claimed that he

developed a low-grade fever and states that she has felt very tired lately. This phase
of infection is known as the: *
1 point
Incubation period
Full stage of illness
Prodromal stage
Convalescent period
In order to help control health workers, in acquiring COVID 19, the recommended
sequence for removing soiled Personal Protective Equipment(PPE) when the nurse
prepares to leave the patient’s room is to remove, *
1 point
Gown, goggles, mask, gloves and exit the room.

Gloves, goggles, gown, mask, and wash hands.
Gloves, mask, gown, goggles and wash hands.
Goggles, mask, gloves, gown and wash hands.
When an individual who harbors the organism and is capable of transmitting to a

susceptible host without showing manifestations of the diseases is called, *
1 point
Host
Carrier
Contact
Reservoir
Liza, a 14-year-old high school student asked you, what is the mode of transmission of
COVID 19 disease? You correctly answered him that this is primary transmitted via? *
1 point
Direct contact
Air borne
Vehicle borne
Vector borne
Modern day nursing has led to the development of the expanded role of nurses as
seen in the function: *
1 point
Critical care nurse

Clinical nurse specialist
Staff nurse
Community health nurse
A client has a nursing diagnosis of anxiety related to impending surgery. The nurse
decided it’s important to manage anxiety first over formal education. The decision is
part of: *
1 point
Assessment
Planning
Intervention
Evaluation
“Nursing is therapeutic interpersonal process.” This definition was stated by: *

1 point
Hildegard Peplau
Jean Watson
Faye Glenn Abdellah
Martha Rogers
Who explained about “Care, Cure and Core as three independent but interconnected
circles of the nursing model?” *
1 point
Patricia Benner
Rosemary Rizzo Parse
Lydia Hall
Jean Watson
Which intervention is most appropriate for the nursing diagnostic statement, impaired
verbal communication related to loss of facial motor control and decreased
sensation? *
1 point
Obtain an interpreter for the patient as soon as possible.

Assist the patient in performing swallowing exercises each shift.
Ask the family to provide a sitter to remain with the patient at all times.
Provide the patient with a writing board each shift.
skin integrity related to shearing forces? *
1 point
Administer pain medication every 4 hours as needed.

Perform the ordered dressing change twice daily.
Do not document the wound appearance in the chart.
Keep the bed side rails up at all times.
Mr. Ang has reduced muscle strength following a left-sided stroke and is at risk for
falling. Which intervention is most appropriate for the nursing diagnostic statement,
Risk for falls? *
1 point
Encourage patient to remain in bed most of the shift.

Keep all side rails down at all times.
Place patient in room away from the nurses’ station if possible.
Assist patient into and out of bed every 6 hours or as tolerated.
You have learned that the most important nursing intervention to correct skin dryness
is: *
1 point
Avoid bathing the patient until the condition is remedied, and notify the physician.
Ask the physician to refer the patient to a dermatologist, and suggest that the patient wear home-
laundered sleepwear.
Consult the dietitian about increasing the patient’s fat intake, and take necessary measures to
prevent infection.
Encourage the patient to increase his fluid intake, use nonirritating soap when bathing the patient,
and apply lotion to the involved areas.
You are bathing a patient’s extremities, as a nurse you should use long, firm strokes
from the distal to the proximal areas. This technique: *
1 point
Provides an opportunity for skin assessment.

Avoids undue strain on the nurse.
Increases venous blood return.
Causes vasoconstriction and increases circulation.
Nurses and other health care provides often have difficulty helping a terminally ill
patient through the necessary stages leading to acceptance of death. Which of the
following strategies is most helpful to the nurse in achieving this goal? *
1 point
Taking psychology courses related to gerontology.

Reading books and other literature on the subject of thanatology.
Reflecting on the significance of death.
Reviewing varying cultural beliefs and practices related to death.
In today’s pandemic you are aware that health facilities must institute appropriate
isolation precautions, the nurse must first know the: *
1 point
Organism’s mode of transmission.

Organism’s Gram-staining characteristics.
Organism’s susceptibility to antibiotics.
Patient’s susceptibility to the organism.
An autoclave is used to sterilize hospital supplies because: *

1 point
More articles can be sterilized at a time.

Steam causes less damage to the materials.
A lower temperature can be obtained.
Pressurized steam penetrates the supplies better.
The best way to decrease the risk of transferring pathogens to a patient when
removing contaminated gloves is to: *
1 point
Wash the gloves before removing them.
Gently pull on the fingers of the gloves when removing them.
Gently pull just below the cuff and invert the gloves when removing them.
Remove the gloves and then turn them inside out.
A staff nurse who is promoted to assistant nurse manager may feel uncomfortable
initially when supervising her former peers. She can best decrease this discomfort
by: *
1 point
Writing down all assignments.

Making changes after evaluating the situation and having discussions with the staff.
Telling the staff nurses that she is making changes to benefit their performance.
Evaluating the clinical performance of each staff nurse in a private conference.
When a client is confused, left alone with the side rails down, and the bed in a high
position, the client falls and breaks a hip. What law has been broken? *
1 point
Assault
Battery
Negligence
Civil tort
When signing a form as a witness, your signature shows that the client: *
1 point
Is fully informed and is aware of all consequences.

Was awake and fully alert and not medicated with narcotics.
Was free to sign without pressure.
Has signed that form and the witness saw it being done
Which criterion is needed for someone to give consent to a procedure? *

1 point
An appointed guardianship.
Unemancipated minor.
Minimum of 21 years or older.
An advocate for a child.
An adult client asked you, what is the main benefit of therapeutic massage? You best
response would be: *
1 point
To help a person with swollen legs to decrease the fluid retention.

To help a person with duodenal ulcers feel better.
To help damaged tissue in a diabetic to heal.
To improve circulation and muscles tone.
Which of the following should be included in a plan of care for a client who is lactose
intolerant? *
1 point
Remove all dairy products from the diet.

Frozen yogurt can be included in the diet.
Drink small amounts of milk on an empty stomach.
Spread out selection of dairy products throughout the day.
FNP - QUIZ 1
Total points34/40

The respondent's email ([email protected]) was recorded on submission of this form.
NAME: *
Dizon, Dexie

The physician is planning to take the patient to surgery in the morning and leaves an
order for the nurse to get the patient to sign the surgical permit. The physician’s note
indicates that the patient has been educated on the procedure. However, the patient
tells the nurse, “I have no idea what he’s going to do. He rushed in and rushed out so
fast, I couldn’t ask any questions.” The nurse does not allow the patient to sign the
permit and calls the physician to inform him of the patient’s statement. This is an
example of the nurse acting as: *
1/1
Patient advocate.

Manager
Patient educator.
Clinical nurse specialist.

The nurse is feeling overwhelmed by the constant changes that are part of nursing
and the health care system in general. Understanding that changes are necessary, the
nurse needs to be aware that: *
1/1
The nurse has no control over the changes, but needs to accept them.
Quality improvement depends on active participation of nurses.

Belonging to nursing organizations will help bring the right changes.
Active participation in nursing organizations will have no effect on change.

You and a colleague are in the elevator after your shift, and you heard a group of
healthcare members discussing a recent client scenario. Which client right might be
breached? *
1/1
Right to refuse treatment.

Right to confidentiality.

Right to continuity of care.
Right to reasonable responses to requests.

Which is not included in the early beliefs and practices of nursing in the Philippines? *
0/1
Cause of the disease is evil spirit.

Practicing witch craft to care for the sick .

During labor, mabuting hilot is called in.
Correct answer

Critical thinking characteristics include: *
1/1
Considering what is important in a given situation.

Accepting one, established way to provide patient care.
Making decisions based on intuition.
Being able to read and follow physician’s orders.

Which statement best describes the effects of immobility in children? *
0/1
Immobility prevents the progression of language and fine motor development.

Children are more susceptible to the effects of immobility than are adults.
Children are likely to have prolonged immobility with subsequent complications.

Correct answer

The nurse is instructing a woman in a low-fat, high-fiber diet. Which of the following
food choices, if selected by the client, indicate an understanding of a low-fat, high-fiber
diet? *
1/1
Tuna salad sandwich on whole wheat bread.

Vegetable soup made with vegetable stock, carrots, celery, and legumes served with toasted oat
bread.

Chef’s salad with hard boiled eggs and fat-free dressing.
Broiled chicken stuffed with chopped apples and walnuts.

An 80-year-old male patient has been bedridden for two weeks. Which of the following
complaints by the patient indicates to the nurse that he is developing a complication of
immobility? *
1/1
Stiffness of the right ankle joint.

Soreness of the gums.
Short-term memory loss.
Decreased appetite.

An eleven-month-old baby is brought to the pediatric clinic. The nurse suspects that
the child has iron deficiency anemia. Because iron deficiency anemia is suspected,
which of the following is the most important information to obtain from the infant’s
parents? *
1/1
Normal dietary intake.

Relevant sociocultural, economic, and educational background of the family.
Any evidence of blood in the stools.
A history of maternal anemia during pregnancy.

A 45-year-old male with chronic constipation is assessed by the nurse for a bowel
training regimen. Which factor indicates further information is needed by the nurse? *
1/1
The client’s dietary habits include foods high in bulk.

The client’s fluid intake is between 2500-3000 ml per day.
The client engages in moderate exercise each day.
The client’s bowel habits were not discussed.

Bryan underwent an open reduction and internal fixation of the left hip. One day after
the operation, the client is complaining of pain. Which data would cause the nurse to
refrain from administering the pain medication and to notify the health care provider
instead? *
1/1
Left hip dressing dry and intact.

Blood pressure of 114/78 mm Hg; pulse rate of 82 beats per minute.
Left leg in functional anatomic position.
Left foot cold to touch; no palpable pedal pulse.

Which term would the nurse use to document pain at one site that is perceived in
other site? *
1/1
Referred pain

Phantom pain
Intractable pain
Aftermath of pain

Joey who suffered severe burns 6 months ago is expressing concern about the
possible loss of job-performance abilities and physical disfigurement. Which
intervention is the most appropriate for him? *
1/1
Referring the client for counseling and occupational therapy.

Staying with the client as much as possible and building trust.
Providing cutaneous stimulation and pharmacologic therapy.
Providing distraction and guided imagery techniques.

Mrs. Bangwa who had abdominal surgery 3 days earlier complains of sharp, throbbing
abdominal pain that ranks 8 on a scale of 1 (no pain) to 10 (worst pain). Which
intervention should the nurse implement first? *
0/1

Checking the client’s chart to determine when pain medication was last administered.
Explaining to the client that the pain should not be this severe 3 days postoperatively.

Obtaining an order for a stronger pain medication because the client’s pain has increased.
Correct answer

Which term refers to the pain that has a slower onset, is diffuse, radiates, and is
marked by somatic pain from organs in any body activity? *
1/1
Acute pain
Chronic pain
Superficial pain
Deep pain

A 49-year-old widower has arthritis and remains in bed too long because it hurts to get
started. Which intervention should the nurse plan? *
1/1
Telling the client to strictly limit the amount of movement of his inflamed joints.
Teaching the client’s family how to transfer the client into a wheelchair.
Teaching the client the proper method for massaging inflamed, sore joints.
Encouraging gentle range-of-motion exercises after administering aspirin and before rising.

Which of the following is the exact order of the chain of infection?1) Susceptible host
4) Etiologic agent2) Portal of entry 5) Reservoir3) Portal of exit 6) Mode of
transmission *
1/1
1.2.3.4.5.6
4,5,3,6,2.1

5.4.2.3.6.1
6,5,4,3,2,1

While on duty in the out-patient-department, a client came in and he claimed that he
developed a low-grade fever and states that she has felt very tired lately. This phase
of infection is known as the: *
0/1
Incubation period

Full stage of illness
Prodromal stage
Convalescent period
Correct answer
Prodromal stage

In order to help control health workers, in acquiring COVID 19, the recommended
sequence for removing soiled Personal Protective Equipment(PPE) when the nurse
prepares to leave the patient’s room is to remove, *
1/1
Gown, goggles, mask, gloves and exit the room.

Gloves, goggles, gown, mask, and wash hands.

Gloves, mask, gown, goggles and wash hands.
Goggles, mask, gloves, gown and wash hands.

When an individual who harbors the organism and is capable of transmitting to a
susceptible host without showing manifestations of the diseases is called, *
1/1
Host
Carrier

Contact
Reservoir

Liza, a 14-year-old high school student asked you, what is the mode of transmission of
COVID 19 disease? You correctly answered him that this is primary transmitted via? *
1/1
Direct contact

Air borne
Vehicle borne
Vector borne

Modern day nursing has led to the development of the expanded role of nurses as
seen in the function: *
1/1
Critical care nurse

Clinical nurse specialist

Staff nurse
Community health nurse

A client has a nursing diagnosis of anxiety related to impending surgery. The nurse
decided it’s important to manage anxiety first over formal education. The decision is
part of: *
0/1
Assessment
Planning
Intervention
Evaluation

Correct answer
Planning

“Nursing is therapeutic interpersonal process.” This definition was stated by: *
1/1
Hildegard Peplau

Jean Watson
Faye Glenn Abdellah
Martha Rogers

Who explained about “Care, Cure and Core as three independent but interconnected
circles of the nursing model?” *
1/1
Patricia Benner
Rosemary Rizzo Parse
Lydia Hall

Jean Watson

verbal communication related to loss of facial motor control and decreased
sensation? *
1/1
Obtain an interpreter for the patient as soon as possible.

Assist the patient in performing swallowing exercises each shift.
Ask the family to provide a sitter to remain with the patient at all times.
Provide the patient with a writing board each shift.

skin integrity related to shearing forces? *
1/1
Administer pain medication every 4 hours as needed.

Perform the ordered dressing change twice daily.

Do not document the wound appearance in the chart.
Keep the bed side rails up at all times.

Mr. Ang has reduced muscle strength following a left-sided stroke and is at risk for
falling. Which intervention is most appropriate for the nursing diagnostic statement,
Risk for falls? *
1/1
Encourage patient to remain in bed most of the shift.

Keep all side rails down at all times.
Place patient in room away from the nurses’ station if possible.
Assist patient into and out of bed every 6 hours or as tolerated.

You have learned that the most important nursing intervention to correct skin dryness
is: *
1/1
Avoid bathing the patient until the condition is remedied, and notify the physician.
Ask the physician to refer the patient to a dermatologist, and suggest that the patient wear home-
laundered sleepwear.
Consult the dietitian about increasing the patient’s fat intake, and take necessary measures to
prevent infection.
Encourage the patient to increase his fluid intake, use nonirritating soap when bathing the patient,
and apply lotion to the involved areas.

You are bathing a patient’s extremities, as a nurse you should use long, firm strokes
from the distal to the proximal areas. This technique: *
1/1
Provides an opportunity for skin assessment.

Avoids undue strain on the nurse.
Increases venous blood return.

Causes vasoconstriction and increases circulation.

Nurses and other health care provides often have difficulty helping a terminally ill
patient through the necessary stages leading to acceptance of death. Which of the
following strategies is most helpful to the nurse in achieving this goal? *
1/1
Taking psychology courses related to gerontology.

Reading books and other literature on the subject of thanatology.
Reflecting on the significance of death.

Reviewing varying cultural beliefs and practices related to death.

In today’s pandemic you are aware that health facilities must institute appropriate
isolation precautions, the nurse must first know the: *
1/1
Organism’s mode of transmission.

Organism’s Gram-staining characteristics.
Organism’s susceptibility to antibiotics.
Patient’s susceptibility to the organism.

An autoclave is used to sterilize hospital supplies because: *
0/1
More articles can be sterilized at a time.
Steam causes less damage to the materials.

A lower temperature can be obtained.
Correct answer

The best way to decrease the risk of transferring pathogens to a patient when
removing contaminated gloves is to: *
1/1
Wash the gloves before removing them.

Gently pull on the fingers of the gloves when removing them.
Gently pull just below the cuff and invert the gloves when removing them.

Remove the gloves and then turn them inside out.

A staff nurse who is promoted to assistant nurse manager may feel uncomfortable
initially when supervising her former peers. She can best decrease this discomfort
by: *
1/1
Writing down all assignments.

Making changes after evaluating the situation and having discussions with the staff.

Telling the staff nurses that she is making changes to benefit their performance.
Evaluating the clinical performance of each staff nurse in a private conference.

When a client is confused, left alone with the side rails down, and the bed in a high
position, the client falls and breaks a hip. What law has been broken? *
1/1
Assault
Battery
Negligence

Civil tort

When signing a form as a witness, your signature shows that the client: *
1/1
Is fully informed and is aware of all consequences.

Was awake and fully alert and not medicated with narcotics.
Was free to sign without pressure.
Has signed that form and the witness saw it being done

Which criterion is needed for someone to give consent to a procedure? *
1/1
An appointed guardianship.

Unemancipated minor.
Minimum of 21 years or older.
An advocate for a child.

An adult client asked you, what is the main benefit of therapeutic massage? You best
response would be: *
1/1
To help a person with swollen legs to decrease the fluid retention.

To help a person with duodenal ulcers feel better.
To help damaged tissue in a diabetic to heal.
To improve circulation and muscles tone.

Which of the following should be included in a plan of care for a client who is lactose
intolerant? *
1/1
Remove all dairy products from the diet.

Frozen yogurt can be included in the diet.

Drink small amounts of milk on an empty stomach.
Spread out selection of dairy products throughout the day.
This form was created inside of Baguio Central University.
Forms
FNP - QUIZ 3
Total points16/40

NAME: *
Dexie Dizon

When performing an assessment about medication, the drug history should include: *
1/1
A. Complete vital signs.

B. Client’s goal of therapy.
C. Reason for medication.
D. Administration of OTC medications.

The extent to which drug is absorbed and transported to target tissue is known as: *
1/1
A. Steady-state accumulation.
B. Therapeutic drug levels.
C. Bioavailability.

D. Distribution.

As a knowledgeable nursing student , you know that the following are part of the rights
of medication administration except: *
1/1
A. Right dose.
B. Right route.
C. Right drug.
D. Right room.

When considering the pharmacotherapeutic effects of drugs administered to clients,
the nurse considers which property of most importance:
1/1
A. Efficacy

B. Interaction with other drugs
C. Potency
D. Toxicity

When deciding on what time of the day to give medications, the student nurse pays
closest attention to the client’s habits regarding: *
1/1
A. Eating

B. Sleeping
C. Elimination
D. Activity

The client’s ability to take oral medications will be hindered by: *
1/1
A. Age
B. Dental caries
C. Dysphagia

D. Lifestyle

Which of the following will determine nursing interventions for a client on medication? *
1/1
A. Assessment
B. Diagnoses

C. Implementation
D. Evaluation

When performing an assessment to determine which medications can be used, which
of the following elements is most important? *
1/1
A. Physical examination
B. Allergies

C. Presence of illness
D. Weight

The volume of Subcutaneous (SC) medication must be no more than, how many
mL? *
1/1
A. 0.5 mL
B. 1.0 mL

C. 1.5 mL
D. 3.0 mL

In the emergency room a 16-year-old patient came in with a severe case of respiratory
flu and would need a drug therapy. Which of the following drugs should the student
nurse anticipate to be prescribed? *
0/1
A. acyclovir (Zovirax)

B. amantadine (Symmetrel)
C. abacavir (Ziagen)
D. ganciclovir (Cytovene)
Correct answer

While on duty your clinical instructor asked you, how Acyclovir works? You would be
correct by stating that this drug works in which way?
1/1
A. Unknown; but it is believed to be shedding the protein coat of the virus.

B. It competes with viral receptors found in the host cells.
C. It takes away the necessary substances needed by viruses to form DNA chains.

D. Trapping the viruses and disintegrating them directly.

The only protease inhibitor that is not teratogenic. *
0/1
A. Darunavir

B. Indinavir
C. Fosamprenavir
D. Saquinavir
Correct answer
D. Saquinavir

Nurse Kath is giving instructions to her client who is taking antihistamine. Which of the
following nurse teachings is appropriate for the client? *
0/1
A. Avoid ingesting alcohol.

B. Be aware that you may need to take a decongestant. - A decongestant, or nasal decongestant,
is a type of pharmaceutical drug that is used to relieve nasal congestion in the upper respiratory
tract.

C. Be aware that you may have increased saliva.
D. Expect a relief in 24 hours.
Correct answer

Gabby has vertigo, which antihistamine is best for his condition? *
1/1
A. Terfenadine
B. Meclizine

C. Hydrocodone
D. Guaifenesin

Harvey, a 21-year-old student, used to buy OTC drugs whenever he feels sick. Which
of the following statements best describes the danger of self-medication with over-the-
counter drugs? *
0/1
A. Clients are not aware of the action of over-the-counter drugs.

B. Clients are not aware of the side effects of over-the-counter drugs.

C. Clients minimize the effects of over-the-counter drugs because they are available without
prescription.
D. Clients do not realize the effects of over-the-counter drugs.
Correct answer
prescription.

Melai will be having her exam in pharmacology two days from now. She should be
aware that antitussive is indicated to: *
0/1
A. Encourage removal of secretions through coughing.

B. Relieve rhinitis.

C. Control a productive cough.
D. Relieve a dry cough.
Correct answer

As a student nurse you should instruct a client who is taking an expectorant to: *
0/1
A. Restrict fluids.

B. Increase fluids.
C. Avoid vaporizers.
D. Take antihistamines.
Correct answer
B. Increase fluids.

Which of the following statements describes the action of antacids? *
0/1
A. Antacids neutralize gastric acid.

B. Antacids block the production of gastric acid.

C. Antacids block dopamine.
D. Antacids enhance action of acetylcholine.
Correct answer

Rolly is under chemotherapy in which nausea is an expected side effect. Which of the
following drugs is indicated to prevent such side effect? *
0/1
A. Metoclopramide
B. Cimetidine

C. Tagamet
D. Famotidine
Correct answer
A. Metoclopramide

Hydrochloric acid secretion is blocked by which of the following category of drugs? *
1/1
A. antacids
B. gastric stimulants
C. histamine-2 antagonists

D. antihistamines

Which category of drugs prevents/treats constipation by the osmotic drawing of water
from extravascular space to intestinal lumen? *
0/1
A. Stimulants

B. Bulk-forming agents
C. Hyperosmotic agents
D. Lubricants
Correct answer

Which of the following is a bulk-forming agent? *
0/1
A. Glycerin
B. Lactulose

C. FiberCon
D. Milk of magnesia
Correct answer
C. FiberCon

A client needs rapid cleansing of the bowel, which category is best used? *
0/1
A. Bacid
B. Bulk-forming agent

C. Saline laxatives with magnesium
D. Intestinal flora modifiers
Correct answer

Which of the following categories is used for diarrhea and constipation? *
0/1
A. Bulk-forming agents
B. Intestinal flora modifiers
C. Cascara

D. Milk of Magnesia
Correct answer

Which of the following may be used for a bowel preparation and is not recommended
for long period of time, in the treatment of constipation? *
0/1
A. Correctol
B. Fiberall oral
C. Mineral oil

D. Castor oil
Correct answer
D. Castor oil

Which is the MOST appropriate action for the nurse to take before administering
Digoxin? *
0/1
A. Monitor potassium level

B. Assess blood pressure

C. Evaluate urinary output
D. Avoid giving with thiazide diuretic
Correct answer

When administering an antiarrhythmic agent, which of the following assessment
parameters is the most important for the nurse to evaluate? *
0/1
A. ECG (electrocardiogram)
B. Pulse rate

C. Respiratory rate
D. Blood pressure
Correct answer

Which of the following blood tests will tell the nurse that an adequate amount of drug
is present in the blood to prevent arrhythmias? *
0/1
A. Serum chemistries
B. Complete blood counts

C. Drug levels
D. None of the above
Correct answer
C. Drug levels

Epinephrine is used to treat cardiac arrest and status asthmaticus because of which of
the following actions? *
1/1
A. Increased speed of conduction and gluconeogenesis.
B. Bronchodilation and increased heart rate, contractility, and conduction.

C. Increased vasodilation and enhanced myocardial contractility.
D. Bronchoconstriction and increased heart rate.

After administering norepinephrine (Levophed), it is essential to the nurse to assess: *
1/1
A. Electrolyte status
B. Color and temperature of toes and fingers.

C. Capillary refill
D. Ventricular arrhythmias

When administering dopamine (Intropin), it is most important for the nurse to know
that: *
0/1
A. The drug’s action varies according to the dose.

B. The drug may be used instead of fluid replacement.

C. The drug cannot be directly mixed in solutions containing bicarbonate or aminophylline.
D. The lowest dose to produce the desired effect should be used.
Correct answer

Dobutamine (Dobutrex) improves cardiac output and is indicated for use in all of the
following conditions except: *
0/1
A. septic shock

B. congestive heart failure
C. arrhythmias - An arrhythmia describes an irregular heartbeat
D. pulmonary congestion
Correct answer

Which of the following effects of calcium channel blockers causes a reduction in blood
pressure? *
0/1
A. Increased cardiac output.

B. Decreased peripheral vascular resistance.
C. Decreased renal blood flow.
D. Calcium influx into cardiac muscles.
Correct answer

Nurse Mika just administered an ACE inhibitor to her client. Before ambulating the
client for the first time after administration, the nurse should monitor for: *
0/1
A. Hypokalemia
B. Irregular heartbeat
C. Edema

D. Hypotension
Correct answer
D. Hypotension

Belle is managing her hypertension with an ACE inhibitor. Which of the following
statements stated by her indicates a need for further instruction? *
1/1
A. “I should not take my pills with food.”

B. “I need to increase my intake of orange juice, bananas, and green vegetables.”

C. “I will avoid coffee, tea, and colas.”
D. “I will use salt substitutes that are not high in potassium.”

Manaloto is a hypertensive client who has been placed on captopril (Capoten). He
states, “Dr. Brown keeps changing my pills and none are working. I feel like a guinea
pig.” Which of the following responses by the nurse would be most appropriate? *
0/1
A. “It often takes a while before the right medication is found.”

B. “The doctor is just trying to help you control your blood pressure.”

C. “The action of this drug is to work on both the arteries and to remove excess fluids.”
D. “This drug is used when other drugs have failed.”
Correct answer

Randy is reviewing on cardiovascular drugs for his upcoming comprehensive exam.
For a well-prepared student, he should know that vasodilators are agents that: *
0/1
A. Relax smooth muscles.

B. Are used to treat hypotension.
C. Stimulate the adrenergic receptors of peripheral sympathetic nerves.
D. Cause respiratory depression.

Correct answer

Your clinical instructor asks you about aldosterone antagonist. You are correct by
saying that aldosterone antagonists: *
0/1
A. Create an osmotic gradient.

B. Inhibit the exchange of sodium for potassium.
C. Cause metabolic acidosis.
D. Work poorly in the presence of endogenous aldosterone.

Correct answer

Which of the following is a potential side effect of IV furosemide (Lasix)? *
1/1
A. Drowsiness
B. Diarrhea
C. Cystitis
D. Hearing loss

A 65-year-old client with a history of mild CHF (Congestive heart failure) and
glaucoma is receiving IV mannitol (Osmitrol) to decrease intraocular pressure. The
nurse would monitor the client for signs and symptoms of: *
0/1
A. Fluid volume excess

B. Fluid volume deficit
C. Hyperkalemia

D. Hypernatremia
Correct answer
Forms
FNP - QUIZ 3
Total points16/40

NAME: *
Dexie Dizon

When performing an assessment about medication, the drug history should include: *
1/1
A. Complete vital signs.

B. Client’s goal of therapy.
C. Reason for medication.
D. Administration of OTC medications.

The extent to which drug is absorbed and transported to target tissue is known as: *
1/1
A. Steady-state accumulation.
B. Therapeutic drug levels.
C. Bioavailability.

D. Distribution.

As a knowledgeable nursing student , you know that the following are part of the rights
of medication administration except: *
1/1
A. Right dose.
B. Right route.
C. Right drug.
D. Right room.

When considering the pharmacotherapeutic effects of drugs administered to clients,
the nurse considers which property of most importance:
1/1
A. Efficacy

B. Interaction with other drugs
C. Potency
D. Toxicity

When deciding on what time of the day to give medications, the student nurse pays
closest attention to the client’s habits regarding: *
1/1
A. Eating

B. Sleeping
C. Elimination
D. Activity

The client’s ability to take oral medications will be hindered by: *
1/1
A. Age
B. Dental caries
C. Dysphagia

D. Lifestyle

Which of the following will determine nursing interventions for a client on medication? *
1/1
A. Assessment
B. Diagnoses

C. Implementation
D. Evaluation

When performing an assessment to determine which medications can be used, which
of the following elements is most important? *
1/1
A. Physical examination
B. Allergies

C. Presence of illness
D. Weight

The volume of Subcutaneous (SC) medication must be no more than, how many
mL? *
1/1
A. 0.5 mL
B. 1.0 mL

C. 1.5 mL
D. 3.0 mL

In the emergency room a 16-year-old patient came in with a severe case of respiratory
flu and would need a drug therapy. Which of the following drugs should the student
nurse anticipate to be prescribed? *
0/1
A. acyclovir (Zovirax)

C. abacavir (Ziagen)
D. ganciclovir (Cytovene)
Correct answer

While on duty your clinical instructor asked you, how Acyclovir works? You would be
correct by stating that this drug works in which way?
1/1
A. Unknown; but it is believed to be shedding the protein coat of the virus.

B. It competes with viral receptors found in the host cells.
C. It takes away the necessary substances needed by viruses to form DNA chains.

D. Trapping the viruses and disintegrating them directly.

The only protease inhibitor that is not teratogenic. *
0/1
A. Darunavir

B. Indinavir
C. Fosamprenavir
D. Saquinavir
Correct answer
D. Saquinavir

Nurse Kath is giving instructions to her client who is taking antihistamine. Which of the
following nurse teachings is appropriate for the client? *
0/1

B. Be aware that you may need to take a decongestant. - A decongestant, or nasal decongestant,
is a type of pharmaceutical drug that is used to relieve nasal congestion in the upper respiratory
tract.

C. Be aware that you may have increased saliva.
D. Expect a relief in 24 hours.
Correct answer

Gabby has vertigo, which antihistamine is best for his condition? *
1/1
A. Terfenadine
B. Meclizine

C. Hydrocodone
D. Guaifenesin

Harvey, a 21-year-old student, used to buy OTC drugs whenever he feels sick. Which
of the following statements best describes the danger of self-medication with over-the-
counter drugs? *
0/1
A. Clients are not aware of the action of over-the-counter drugs.
B. Clients are not aware of the side effects of over-the-counter drugs.

prescription.
D. Clients do not realize the effects of over-the-counter drugs.
Correct answer
prescription.

Melai will be having her exam in pharmacology two days from now. She should be
aware that antitussive is indicated to: *
0/1
A. Encourage removal of secretions through coughing.

B. Relieve rhinitis.

C. Control a productive cough.
Correct answer

As a student nurse you should instruct a client who is taking an expectorant to: *
0/1
A. Restrict fluids.

B. Increase fluids.
C. Avoid vaporizers.
D. Take antihistamines.
Correct answer
B. Increase fluids.

Which of the following statements describes the action of antacids? *
0/1

B. Antacids block the production of gastric acid.

C. Antacids block dopamine.
D. Antacids enhance action of acetylcholine.
Correct answer

Rolly is under chemotherapy in which nausea is an expected side effect. Which of the
following drugs is indicated to prevent such side effect? *
0/1
A. Metoclopramide
B. Cimetidine

C. Tagamet
D. Famotidine
Correct answer
A. Metoclopramide

Hydrochloric acid secretion is blocked by which of the following category of drugs? *
1/1
A. antacids
B. gastric stimulants
C. histamine-2 antagonists

D. antihistamines

Which category of drugs prevents/treats constipation by the osmotic drawing of water
from extravascular space to intestinal lumen? *
0/1
A. Stimulants

B. Bulk-forming agents
D. Lubricants
Correct answer

Which of the following is a bulk-forming agent? *
0/1
A. Glycerin
B. Lactulose

C. FiberCon
D. Milk of magnesia
Correct answer
C. FiberCon

A client needs rapid cleansing of the bowel, which category is best used? *
0/1
A. Bacid
B. Bulk-forming agent

D. Intestinal flora modifiers
Correct answer

Which of the following categories is used for diarrhea and constipation? *
0/1
B. Intestinal flora modifiers
C. Cascara

D. Milk of Magnesia
Correct answer

Which of the following may be used for a bowel preparation and is not recommended
for long period of time, in the treatment of constipation? *
0/1
A. Correctol
B. Fiberall oral
C. Mineral oil

D. Castor oil
Correct answer
D. Castor oil

Which is the MOST appropriate action for the nurse to take before administering
Digoxin? *
0/1

B. Assess blood pressure

C. Evaluate urinary output
D. Avoid giving with thiazide diuretic
Correct answer

When administering an antiarrhythmic agent, which of the following assessment
parameters is the most important for the nurse to evaluate? *
0/1
B. Pulse rate

C. Respiratory rate
D. Blood pressure
Correct answer

Which of the following blood tests will tell the nurse that an adequate amount of drug
is present in the blood to prevent arrhythmias? *
0/1
A. Serum chemistries
B. Complete blood counts

C. Drug levels
D. None of the above
Correct answer
C. Drug levels

Epinephrine is used to treat cardiac arrest and status asthmaticus because of which of
the following actions? *
1/1
A. Increased speed of conduction and gluconeogenesis.

B. Bronchodilation and increased heart rate, contractility, and conduction.

C. Increased vasodilation and enhanced myocardial contractility.
D. Bronchoconstriction and increased heart rate.

After administering norepinephrine (Levophed), it is essential to the nurse to assess: *
1/1
A. Electrolyte status
B. Color and temperature of toes and fingers.

C. Capillary refill
D. Ventricular arrhythmias

When administering dopamine (Intropin), it is most important for the nurse to know
that: *
0/1
A. The drug’s action varies according to the dose.

B. The drug may be used instead of fluid replacement.

D. The lowest dose to produce the desired effect should be used.
Correct answer

Dobutamine (Dobutrex) improves cardiac output and is indicated for use in all of the
following conditions except: *
0/1
A. septic shock

B. congestive heart failure
D. pulmonary congestion
Correct answer

Which of the following effects of calcium channel blockers causes a reduction in blood
pressure? *
0/1
A. Increased cardiac output.

C. Decreased renal blood flow.
D. Calcium influx into cardiac muscles.
Correct answer

Nurse Mika just administered an ACE inhibitor to her client. Before ambulating the
client for the first time after administration, the nurse should monitor for: *
0/1
A. Hypokalemia
B. Irregular heartbeat
C. Edema

D. Hypotension
Correct answer
D. Hypotension

Belle is managing her hypertension with an ACE inhibitor. Which of the following
statements stated by her indicates a need for further instruction? *
1/1
A. “I should not take my pills with food.”

B. “I need to increase my intake of orange juice, bananas, and green vegetables.”

C. “I will avoid coffee, tea, and colas.”
D. “I will use salt substitutes that are not high in potassium.”

Manaloto is a hypertensive client who has been placed on captopril (Capoten). He
states, “Dr. Brown keeps changing my pills and none are working. I feel like a guinea
pig.” Which of the following responses by the nurse would be most appropriate? *
0/1
A. “It often takes a while before the right medication is found.”

B. “The doctor is just trying to help you control your blood pressure.”

C. “The action of this drug is to work on both the arteries and to remove excess fluids.”
Correct answer

Randy is reviewing on cardiovascular drugs for his upcoming comprehensive exam.
For a well-prepared student, he should know that vasodilators are agents that: *
0/1

B. Are used to treat hypotension.
C. Stimulate the adrenergic receptors of peripheral sympathetic nerves.
D. Cause respiratory depression.

Correct answer

Your clinical instructor asks you about aldosterone antagonist. You are correct by
saying that aldosterone antagonists: *
0/1
A. Create an osmotic gradient.

C. Cause metabolic acidosis.
D. Work poorly in the presence of endogenous aldosterone.

Correct answer

Which of the following is a potential side effect of IV furosemide (Lasix)? *
1/1
A. Drowsiness
B. Diarrhea
C. Cystitis
D. Hearing loss

A 65-year-old client with a history of mild CHF (Congestive heart failure) and
glaucoma is receiving IV mannitol (Osmitrol) to decrease intraocular pressure. The
nurse would monitor the client for signs and symptoms of: *
0/1

B. Fluid volume deficit
C. Hyperkalemia

D. Hypernatremia
Correct answer
Forms
MIDTERM EXAM
Total points31/50

A nursing instructor asks a nursing student to identify the components of natural
resistance as it relates to the immune system, which statement by the student
indicates a need for further teaching? *
1/1
"It is also called inherited immunity"

"It is the immunity in which a person is born"
"It does not require previous exposure to the antigen"
"It includes all antigen-specific immunities a person develops during a lifetime

The following are effects of TB drugs that require immediate cessation of the drug and
referral, expect: *
0/1
Blurred vision

Tinnitus
Icteric conjunctiva
Hyperuricemia
Correct answer
Hyperuricemia

A nursing instructor is reviewing information on the organs of the immune system. The
instructor asks the student to name the location of Kupffer cells. The student responds
correctly by identifying the location of this cell type as: *
1/1
Tonsils
Spleen
Bone marrow
Liver

The indications for hand hygiene and hand washing are the following, except: *
1/1
Visible dirt, blood or body fluids on hands of health care worker

No visible dirt, blood or body fluids on hands of health care worker before patient contact
No visible dirt, blood or body fluids on hands of health care worker before patient contact but
HCW is concomitantly or sequentially using alcohol rub
None of the above

Syphilis, a sexually transmitted infection, is caused by the bacterium Treponema
pallidum. It has often been called "the great imitator" because so many of the signs
and symptoms are indistinguishable from those of other diseases. On which of the
stages of the disease, it is not considered contagious: *
1/1
Incubation stage
Secondary stage
Tertiary stage

Primary stage

An elderly with pneumonia may appear with which of the following symptoms first? *
1/1
Altered mental status and dehydration

Fever and chills
Hemoptysis and Dyspnea
Pleuritic chest pain and cough

A diagnosis of pneumonia is typically achieved by which of the following diagnostic
test? *
1/1
ABG
Chest x-ray
Blood cultures
Sputum culture and microscopy

A nurse is working in a walk in clinic. She has been alerted that there is an outbreak of
TB. Which of the following clients entering the clinic today most likely have TB? *
1/1
A sixteen year old female high school student

A thirty three year old day care worker
A forty three year old homeless man with a history of alcoholism

A fifty year old business man

TB is a communicable disease transmitted by which of the following methods? *
1/1
Sexual contact
Using dirty needles
Using infected person's eating utensils
Inhaling droplets exhaled from an infected person

Which of the following statements regarding Chlamydial infections is correct? *
1/1
The treatment of choice is oral penicillin.

The treatment of choice is nystatin or miconazole,
Clinical manifestations include dysuria and urethral itching in males

Clinical manifestations includes small, painful vesicles in genital areas.

Without proper treatment, anogenital warts caused by HPV increases the risk of which
of the following illnesses in adolescent females? *
1/1
Gonorrhea
Cervical cancer

Chlamydial infections
Urinary tract infections

Which of the following statements should the nurse include when teaching an
adolescent about gonorrhea? *
1/1
It is caused by Treponema pallidum.

Treatment of sexual partners is an essential part of treatment

It's most often treated by multi dose administration of penicillin
It may be contracted through contact with a contaminated toilet bowl.

A sexually active teenager seeks counselling from the school nurse about prevention
of sexually transmitted diseases. Which of the following contraceptive measures
should the nurse recommend? *
1/1
Rhythm method
Withdrawal method
Prophylactic antibiotic use
Condom and spermicide use

Which of the following statements by an adolescent would alert the nurse that more
education about STDs is needed? *
0/1
You always know when you've got gonorrhea.

The most common STD in kids my age is chlamydia infection.
Most of the girls who have chlamydia doesn't even know it.
If you have symptoms of gonorrhea, they can show up a day or a couple of weeks after you got
the infection to begin with.

Correct answer
You always know when you've got gonorrhea.

Which of the following clients would the nurse consider at greatest risk for developing
AIDS? *
1/1
Clients who lived in crowded housing with poor ventilation.

A young sexually active client with multiple partners.

Adolescents who are homeless who lived in shelter.
A young sexually active client with one partner.

The nurse should include the following facts when teaching an adolescent group about
HIV, *
1/1
The incidents of HIV in the adolescent population has declined since 1995.
The virus can be spread through many routes including sexual contact

Knowledge about HIV spread and transmission has lead to a decrease in the spread of the virus
among adolescents.
None of the above

When preparing a program to teach the adolescents regarding AIDS, which of the
following may lead to the better success of the program? *
0/1
Surveying the community to evaluate the level of education

Obtaining peer educators to provide information regarding AIDS
Setting up clinics in community setting and making condoms readily available
Having primary health care providers host workshop in community centers
Correct answer
Obtaining peer educators to provide information regarding AIDS

Which of the following statements would the nurse include when teaching about
syphilis? *
1/1
It is rarely transmitted sexually

There is no known cure or treatment of it
The viability of the organism outside the body is long
Affected persons are most infectious during the first year

Which of the following actions is most appropriate for the nurse to do on discovering a
sputum sample at a client's bedside that is dated with today's date, labelled with the
client's name and identification number, but has no time marked on it? *
1/1
Send the sample to the clinical laboratory immediately for analysis

Discard the sample, and collect another one as soon as possible

Send the sample immediately, but inform the laboratory of the unknown collection time
Refrigerate the sample and call the clinical laboratory to pick it up as soon as possible

Which of the following clients would the health care provider strongly encourage to
take the influenza vaccine? *
0/1
A 45-year old man who is admitted for an appendectomy

A 13-year old adolescent with recurrent tonsillitis

A 35-year old man who is going to travel to Mexico
A 68-year old female who lives in a long term care facility
Correct answer
A 68-year old female who lives in a long term care facility

Which of the following statements accurately reflects the nurse's understanding about
nosocomial infections when planning care for a client in a health care facility? *
1/1
Nosocomial infections occur primarily in immunocompromised hosts

Nosocomial infections occur in at least 30 % of clients in a given hospital
Nosocomial infections, present in the community, are not always clinically apparent
Nosocomial infections are those infections acquired in a health care facility

Nursing interventions for the client with elevated body temperature secondary to an
infectious would include which of the following? *
0/1
Sponging the client's body with ice water

Encouraging fluid intake
Administering antipyretic medications
Applying heavy, restrictive clothing
Correct answer
Administering antipyretic medications

Which of the following interventions are recommended to prevent nosocomial wound
infections? *
1/1
Shaving body hair 24 hours before surgery

Changing closed wound dressings every 6 hours
Catheterizing clients whenever possible
Maintaining asepsis during surgery

Which of the following nursing interventions would be appropriate to prevent the
spread of infectious diseases in communities? *
1/1
Teaching about ways to maintain proper sanitation and safe meal preparation

Advising individuals to wear gloves when in contact with their own blood,
Discouraging clients from keeping immunizations up to date.
Encouraging persons to adhere to OSHA standards in the home.

Which of the following indicators would lead the nurse to suspect minimal blood loss in
a client with septicaemia at risk for coagulation defects? *
0/1
Blood pressure of 102/64 mmHg

Hematocrit of 44%
Tented skin turgor

Apical rate of 135 bpm
Correct answer
Hematocrit of 44%

Which of the following behaviors indicate that a client understands measures that may
prevent her from acquiring influenza? *
0/1
The client covers nose and mouth when sneezing or coughing

The client routinely takes prophylactic antibiotics.
The client receives the appropriate flu vaccine each year,
The client asks to have a throat culture done to detect infection
Correct answer
The client receives the appropriate flu vaccine each year,

Which of the following would be included in the plan of care for a client diagnosed with
an infection and experiencing a fluid volume deficit? *
1/1
Monitor intake, output and vital signs.

Evaluate arterial blood gases and pulse oximeter.
Reposition the client and encourage guided imagery.
Apply cool compresses and hypothermia blanket.

For an elderly client just admitted with uncontrolled diabetes and congestive heart
failure, which of the following action be most important to reduce the client's risk of
nosocomial *
0/1
Insert a urinary catheter as soon as possible.

Monitor arterial blood gas values every 30 minutes.

Change intravenous catheter sites every 4 hours
Encourage frequent coughing and deep breathing,
Correct answer
Encourage frequent coughing and deep breathing,

Which of the following terms describes a fungal infection found on the upper arm? *
1/1
Tinea capitis
Tinea corporis

Tinea cruris
Tinea pedis

Diagnosing pinworms by the clear cellophane tape test is preferred. How many tests
are necessary to detect infections at virtually 100% accuracy? *
1/1
1
3
5

10

Which of the following instructions should be given to the parents about the treatment
of hair lice? *
0/1
The treatment should be repeated in 7 to 12 days

Treatment should be repeated every day for one week

If treated with a shampoo, combing to remove eggs won't be necessary
All contacts with the infected child should be treated even without evidence of infestation
Correct answer
The treatment should be repeated in 7 to 12 days

A mother reports her 4-year old has been scratching at his rectum recently. Which of
the following should the nurse suspect? *
1/1
Anal fissure
Lice
Pinworms

Scabies

A mother is concerned that her 9-year old infant has scabies. Which of the following is
a manifestation? *
0/1
Diffuse pruritic wheats

Oval white dots stuck to the hair shaft
Pain, erythema and edema with an embedded stinger
Pruritic papules, pustules and linear burrows of the finger and toe webs
Correct answer
Pruritic papules, pustules and linear burrows of the finger and toe webs

A mother is concerned that her child may have been exposed to varicella at school.
Which of the following statements is true about varicella? *
1/1
The rash is non-vesicular

Aspirin is the treatment of choice
It has an incubation period of 5 to 10 days
Once the rash has crusted over, the child is no longer infectious

Which of the following is correct about the rash of varicella? *
0/1
It's diagnostic in the presence of Koplik's spots in the oral mucosa

It's a macular popular rash starting on the scalp and hairline and spreading downward

It's a macular popular rash that appears abruptly on the trunk, face and scalp
It appears as yellow ulcers surrounded by red halos on the surface of hands and feet
Correct answer
It's a macular popular rash that appears abruptly on the trunk, face and scalp

Which of the following would the nurse expect the client to exhibit during the acute
phase of hepatitis A? *
1/1
Diarrhea
Yellow sclera

Shortness of breath
Light frothy urine

The causative virus of hepatitis A will exit the body through: *
1/1
Skin
Feces

Urine
Mucus

A sick child who is drinking poorly and has sunken eyes is given intravenous fluid as
part of the intervention. In the first 30 minutes, how many fluids should be infused? *
0/1
30 ml
40 ml
50 ml

60 ml
Correct answer
30 ml

For a 16 month old child who is due for his vitamin A supplementation, how many
capsules of the vitamin should be given if the available stock is 100,000 IU *
0/1
1
2
2.5

3
Correct answer
2

A 12-month old child has fast breathing if he/she has at least how many breaths per
minute? *
0/1
30
40
50

60
Correct answer
40

A child with ear problem should be assessed for the following, except *
1/1
Ear pain
Is there any fever?

Ear discharge
If discharge is present, how long?

If the child does not have an ear problem, using IMCI, what should you as the nurse
do? *
0/1
Check for tender swelling behind the ear

Go to next question, check for malnutrition
Check for ear discharge
Check for ear pain
Correct answer
Go to next question, check for malnutrition

The child has no general danger sign but has difficulty of breathing, which of the
following should you assess next? *
0/1
Jerky movements
Chest indrawing
Convulsions
Fast breathing

Correct answer
Chest indrawing

The nurse assessed for the presence of stridor, which of the following classification
should the nurse put the patient to? *
1/1
Severe pneumonia or very severe disease

Mild pneumonia
Some pneumonia
No pneumonia: cough or colds

Chest-indrawing is present if a child: *
1/1
At all times has a chest wall that goes in when the child breathes in
At all times has a lower chest wall that goes in when the child breathes in

Is crying and lower chest wall goes in when child breathes out!
Is crying and chest wall goes out when the child breathes in

Give albendazole as a single dose in the center: *
0/1
Child is 2 years of age or older

Has a dose of albendazole in the last 6 months
Hookworm/whipworm infection is a problem in the area

All of the above
Correct answer
Has a dose of albendazole in the last 6 months

A child with some dehydration is treated using plan B. for a child who weighs 12 kg,
how much ORS should be given? *
0/1
800 ml
900 ml
1000 ml
1200 ml

Correct answer
900 ml

At the core of IMCI strategy is an integrated case management of the most common
childhood problems. Which is not a main component of this strategy? *
0/1
Improvements in the case management skills of the health staff through the provision of locally -
adapted guidelines on integrated management of childhood illness and activities to promote their
use
Improvements in the overall health system required for effective management of childhood illness

Improvements in family and community health care practices
All of the given options
Correct answer
All of the given options

The framework for the implementation of health sector reform agenda (overriding goal
of department of health) is FOURmula one for health. The goals for these framework
are the following , except : *
1/1
Better health outcomes

More responsive health systems
Provision of essential drugs

Equitable health care financing

This has been established as an approach to strengthen the provision of
comprehensive and essential health package to the children. *
1/1
Integrated Management of Children's Illnesses

Integrated Management of Childhood Illnesses

Integrated Childhood Management
Integrated Management of Child's Illnesses
Forms
PRELIMS
Total points31/50

When a patient you are admitting to the unit asks you why you are doing a history and
exam since the doctor just did one, your best reply is: *
1/1
A. "In addition to providing us with valuable information about your health status, the nursing
assessment will allow us to plan and deliver individualized, holistic nursing care that care. draws
on your strengths,"

B. "It's hospital policy. I know it must be tiresome, but I will try to make this quick!"
C. "I'm a student nurse and need to develop the skill of assessing your health status and need for
nursing care, This information will help me develop a plan of care individualized to your unique
needs."
D. "We want to make sure that your responses are consistent and that all our data are accurate."

When you receive shift report, you learn that your patient has no special skin care
needs. You are surprised during the bath to observe reddened areas over bony
prominences. You should: *
1/1
A. Correct the initial assessment form,

B. Redo the initial assessment and document current findings.
C. Conduct and document an emergency assessment.
D. Perform and document a focused assessment on skin integrity.

Fearful of attempting your first nursing history, you ask your instructor how anyone
ever learns everything you have to ask to get good baseline data. You are most likely
to hear: *
1/1
A. "There's a lot to learn at first, but once it becomes part of you, you just keep asking the same
questions over and over in each situation until you can do it in your sleep!"
B. "You make the basic questions a part of you and then learn to modify them for each unique
situation, asking yourself how much you need to know to plan good care."

C. "No one ever really learns how to do this well because each history is different! I often feel like
I'm starting afresh with each new patient."
D. "Don't worry about learning all of the questions to ask. Every agency has its own assessment
form you must use."

A patient complains about feeling nauseated after lunch. This is an example of what
type of data? *
1/1
A. Subjective

B. Objective
C. Signs and symptoms
D. Overt

When you enter the patient's room to begin your nursing history, the patient's wife is
there. You should *
1/1
A. Introduce yourself to both and thank the wife for being present.
B. Introduce yourself to both and ask the wife if she wants to her remain.
C. Introduce yourself to both and ask the wife to leave.
D. Introduce yourself and ask the patient if he would like the wife to stay

The patient is Vietnamese and does not speak English. Her son is with her and does
speak English. How should you respond? *
0/1
A. Ask the son if he is willing to translate and be sure to thank him if he says yes.
B. Determine if the son can translate medical information and if so, begin.
C. After determining that the son can translate, evaluate if he can do so objectively and if the
patient wants him to serve in in this capacity.
D. Explain to the son that hospital policy forbids using family members as translators and find a
hospital-approved translator

Correct answer
C. After determining that the son can translate, evaluate if he can do so objectively and if the
patient wants him to serve in in this capacity.

You are surprised to detect an elevated temperature (102° F) in a patient scheduled
for surgery. The patient has been afebrile and shows no other signs of being febrile.
The first thing to do is to: *
1/1
A. Inform the charge nurse

B. Inform the surgeon
C. Validate your finding

D. Document your finding

You tell your instructor that your patient is fine and has "no complaints." You are likely
to hear: *
1/1
A. "You made an inference that she is fine because she has no complaints. How did you validate
this?"

B. "She probably just doesn't trust you enough to share what she is feeling. I'd work on
developing a trusting relationship."
C. "Sometimes everyone gets lucky. Why don't you try to help another patient?"
D. "Maybe you should reassess the patient. He has to have a problem - why else would he be
here?"

Identify all of the following that are purposes of diagnosing. The purpose of diagnosing
is to identify(1) How an individual, group or community responds to actual or potential
health and life processes. (2) Factors that contribute to or cause health problems
(etiologies). (3) Strengths the patient can draw on to prevent or resolve problems. (4)
Nursing interventions to resolve health problems. *
0/1
A. 1 and 2
B. 3 and 4
C. 1, 2 and 3
D. All of the above

Correct answer
C. 1, 2 and 3

Altered health maintenance is an example of: *
1/1
A. Collaborative problem
B. Interdisciplinary problem
C. Medical problem
D. Nursing problem

To determine the significance of a blood pressure reading of 148/100, it is necessary
to: *
1/1
A. Compare this data to standards.

B. Check the taxonomy of nursing diagnoses for a pertinent label.
C. Check a medical text for the signs and symptoms of high blood pressure.
D. Consult with colleagues.

When the initial nursing assessment revealed that the patient had not had a bowel
movement for 2 days, the student wrote the diagnostic label "constipation". Which of
the following comments that is she most likely to hear from her instructor?: *
1/1
A. "Hold on a minute... Nursing diagnoses should always be data derived from clusters of
significant data rather than from a lack single cue."

B. "Job well done.... You've identified this problem early and we can manage it before it becomes
more acute."
C. "Is this an actual or a possible diagnosis?"
D. "This is a medical, not a nursing problem."

A clinical judgment that an individual, family or community is more vulnerable to
develop the problem that others in the same or similar situation is what type of nursing
diagnosis? *
1/1
A. Actual
B. Risk

C. Possible
D. Wellness

Which of the following nursing diagnosis are correctly written as two part nursing
diagnosis?(1) Ineffective Coping related to inability to maintain marriage.(2) Defensive
Coping related to loss of job and economic security.(3) Altered Thought Processes
related to panic state. (4) Decisional Conflict related to placement of parent in
nursing *
1/1
A. 1 and 2
B. 2 and 4
C. 1,2 and 3
D. All of the above

During the outcome identification and planning step of the nursing process, the nurse
works in partnership with the patient and family to do which of the following? (1)
Formulate and validate prioritized nursing diagnoses. (2) Identify expected patient
outcomes. (3.) Select evidence-based nursing interventions.(4.) Communicate the
plan of nursing care *
1/1
A. 1 and 3
B. 2 and 4
C. 2,3 and 4

D. All of the above

Mr. Tan tells the nurse he fears becoming “hooked on drugs” and consequently waits
until his pain becomes unbearable before requesting his pm analgesic. The nurse
plans to be more attentive to Mr. Tan and to assess his needs for pain management
more closely. Which of the following consequences of informal planning ought to be
the major concern for this nurse? *
1/1
A. The lack of a coordinated plan known by everyone will result in an uneven pain management.

B. Faulty prioritization of patient needs.
C. Inability to evaluate the patient’s responses to nursing care.
D. Lack of a record for reimbursement purposes.

When helping Mr. Tan in bed, the nurse notices that his heels are reddened and plans
to place him on precaution for skin breakdown. This is an example of: *
1/1
A. Initial planning
B. Standardized planning
C. Ongoing planning

D. Discharge planning

Use Maslow's hierarchy of human to prioritize the following patient problems from
highest priority( #1) to lowest priority (#4) (1.) Disturbed body image (2.) Ineffective
airway clearance (3.) Spiritual distress (4.) Impaired social interaction *
0/1
A. 2,4,1,3
B. 3,1,4,2,
C. 1,4,3,2

D. 3.2.4.1
Correct answer
A. 2,4,1,3

From which of the following are outcomes derived? *
1/1
A. The problem statement of the nursing diagnosis.

B. The etiology of the problems of the nursing diagnosis.
C. The defining characters of the problem
D. The evaluative statement

Which of the following is an example of an effective outcome? *
0/1
A. Within 1 day after teaching the patient will list three benefits of continuing to apply moist
compresses to leg ulcer after discharge.
B. By 6/12/08, the patient will correctly demonstrate application of dry dressing on leg ulcer
C. By 6/19/06, the patient's ulcer will begin to show signs of healing (eg. Size shrinks from 3” to
2.5”)

D. By 6/12/06, the patient will verbalize valuing health sufficiently to practice new health
behaviors to prevent recurrence of leg ulcer.
Correct answer
D. By 6/12/06, the patient will verbalize valuing health sufficiently to practice new health
behaviors to prevent recurrence of leg ulcer.

Which of the following is an optional element in a measurable outcome? *
0/1
A. Subject
B. Verb
C. Conditions

D. Time
Correct answer
D. Time

Liza a college student who wants to lose 20 pounds. She meets with the student
health nurse and develops a plan to increase her activity level and decrease the
consumption of the wrong types of foods and excess calories. The nurse plans to
evaluate her weight loss monthly. When Liza arrives for her first “weigh in”, the nurse
discovers that instead of the projected weight loss of 5 pounds, Liza has only lost 1
pound. Which is the best nursing response? *
0/1
A. Congratulate Liza and continue the plan of care

B. Terminate the plan of care since it is not working
C. Try giving Liza more time to reach the targeted outcome

D. Modify the plan of care after discussing the possible reasons for Liza partial success.
Correct answer
D. Modify the plan of care after discussing the possible reasons for Liza partial success.

When a new nurse is oriented to the sub acute unit, she is told that each nurse is
expected to observe her patients at least every hour, and more if their condition
warrants extra monitoring. This expectation is best termed: *
1/1
A. Standard

B. Criteria
C. Custom
D. Order

A quality assurance program reveals a higher incidence of falls and other safety
violations on a particular unit. A nurse manager states "We'd better find the folks
responsible for these errors and see if we can't replace them." This is an example of: *
1/1
A. Quality by inspection

B. Quality by punishment
C. Quality by surveillance
D. Quality by opportunity

One nursing unit with an excellent safety record meets to review the findings of the
audit and the nurse manager states "We're doing well but we can do better! Who's got
an idea to foster increased patient well-being and satisfaction?" This is an example of
leadership that values: *
1/1
A. Quality assurance
B. Quality improvement

C. Process evaluation
D. Outcome evaluation

Which of the following documentation guidelines are correct?(1.) Enter information in a
complete, accurate, concise factual and organized manner. (2.)Use words such as
"good", "average", "normal" or "sufficient to communicate judgments about data.(3.)
Wait until the end of the shift to document nursing interventions to ensure
comprehensive charting (4.)Date and time each entry *
0/1
A. 1, 2, 3 and 4

B. 1, 3 and 4
C. 1, 2, and 4
D. 1 and 4
Correct answer
D. 1 and 4

Which of the following documentation guidelines are correct? (1.) Erase or use
correcting fluid to completely delete mistaken entries. (2.)Document nursing
interventions as closely as possible to the time of their execution (3.) Note problems
as they occur in an orderly, sequential manner (4.) Carefully document all the factors
that compromise patient safety and contribute to patient harm *
1/1
A. 1 and 3
B. 2 and 3

C. 2, 3 and 4
D. All of the above

If a health institution wants to release a patient's health information for purposes other
than treatment, payment and routine healthcare operations, the patient must be asked
to sign an authorization. There are exceptions to this requirement. In which case
below is an authorization needed? *
0/1
A. The patient is a public figure and a local news media are preparing a news report.
B. Data are needed for the tracking and notification of disease outbreaks.

C. Child abuse and neglect are suspected.
D. Protected health information is needed to facilitate organ donations
Correct answer
A. The patient is a public figure and a local news media are preparing a news report.

A friend of yours calls you and asks if you are still working at A Memorial Hospital. You
reply "yes". He tells you that his girlfriend’s father was just admitted as a patient, and
he wants you to find out if how he is. "Sue (his girlfriend) seems unusually worried
about her dad, but she won't talk to me and I want to be able to help her". What n is
the best response you can make to your friend?" *
0/1
A. "Listen, you shouldn't be asking me to do this. I could be fined big bucks or even lose my job
for disclosing this information."
B. "Sorry, but I'm not able to give information about patients to the public - even when my best
friend or a family member asks."
C. "Because of the Health Insurance Portability and Accountability Act, you shouldn't be asking
for this information unless the patient has authorized you to receive it! This could get you in
trouble!"

D. "Why do you think Sue isn't talking about her worries?"
Correct answer
B. "Sorry, but I'm not able to give information about patients to the public - even when my best
friend or a family member asks."

Your patient has an order for an analgesic medication to be given as needed. The
correct abbreviation for "as needed" is: *
1/1
A. TURP
B. PNH
C. PRN

D. TPR

If you were looking for trends in a patient's vital signs, what form should you conform
first? *
1/1
A. Admission sheet
B. Admission nursing assessment
C. Activity flow sheet
D. Graphic sheet

This method of documentation uses the categories data, action and response (DAR)
to facilitate charting, *
1/1
A. Narrative notes
B. Focus charting

C. Charting by exception
D. Case management model

A resident called to see a patient in the middle of the night is leaving the unit and
remembers that he forgot to write a new order for a pain medication you had
requested for another patient. Tired and already being paged to another unit, he
verbally tells you the order and asks you to document it on the physician's order sheet.
Your best response is: *
1/1
A. "Thank you!"
B. Get a second nurse to listen to the order, and after writing the order on the physician order
sheet, have both nurses’ sign.
C. "I am sorry but verbal orders can only be given in an emergency situation that prevents us
from writing them out. I'll bring the chart and we can do this quickly.

D. “Try calling another resident for the order or wait until the next shift.

Mr. Kean has blue eyes and is 5 feet tall. Joe has brown eyes and is 6 feet tall. These
physical characteristics are primarily determined by: *
1/1
A. Socialization with caregivers

B. Maternal nutrition during pregnancy
C. Genetic information on chromosomes

D. Meeting developmental tasks

The developing fetus exhibits a common trend in growth and development. Which of
the following growth and development trends initially occurs? *
1/1
A. Symmetric
B. Cephalocaudal

C. Proximodistal
D. Lateral

The primary developmental stage of the preschool age child, as described by Erikson,
is: *
1/1
A. Industry versus inferiority

B. Autonomy versus shame and doubt
C. Trust versus mistrust
D. Initiative versus guilt

An older adult smiles as she talks about her life events. This, according to Erikson, is
demonstrating: *
1/1
A. Ego integrity

B. Generativity
C. Intimacy
D. Identity

Infections in the neonate are less likely in mothers who provided nutrition through: *
1/1
A. Breast milk

B. Water
C. Formula
D. Solid food

At what point during the first year of life would you normally expect bonding to occur? *
0/1
A. At 6 months

B. At 3 weeks
C. Soon after birth
D. Not until 12 months
Correct answer
C. Soon after birth

Parents of hospitalized infants should be encouraged to stay with their child to help
decrease: *
0/1
A. Problems with attachment

B. Separation anxiety
C. Risk for injury
D. Failure to thrive
Correct answer
B. Separation anxiety

The toddler has the cognitive development necessary to: *
1/1
A. Use fingers to pick up small objects

B. Have bladder control during the day
C. Develop independence in feeding self
D. Identify and name body parts

Based on Freud's theory, the preschool-aged child is in the: *
1/1
A. Phallic stage

B. Anal stage
C. Oral stage
D. Latency stage

Which of the following best describes the moral and spiritual development of the
school-aged child? *
0/1
A. Obeying rules to avoid punishment

B. Valuing loyalty and social order

C. Accepting the value system of others
D. Faith involves reciprocal fairness
Correct answer
C. Accepting the value system of others

A 90-year-old man who lives alone tells you he has no family or friends. Based on this
information, what nursing diagnoses would be appropriate for him? *
0/1
A. Social isolation
B. Powerlessness

C. Risk for Injury
D. Risk for Falls
Correct answer
A. Social isolation

When teaching the older adult who is recovering from surgery, you remember to *
0/1
A. Talk in a much louder voice

B. Repeat information as often as necessary
C. Teach caregivers rather than the patient
D. Provide information rapidly
Correct answer
B. Repeat information as often as necessary

Which statement by an 85-year-old woman would demonstrate that she has met an
expected outcome of the plan of care for safety? *
0/1
A. "I only wear my glasses when I go to the store."

B. "I am going to ask my daughter to come and give me a bath."
C. "Would you please get me a glass of water for my pills."
D. "I am going to take up all may little scatter rugs."
Correct answer
D. "I am going to take up all may little scatter rugs."

You are the charge nurse responsible for the evening shift. During rounds you hear
the patient care technician yelling loudly to a patient regarding his transfer from the
bed to chair. When entering the room your best response is *
0/1
A. "You need to speak to the patient quietly. You are disturbing the patient."

B. "Let me help you with your transfer technique."
C. "When you are finished, be sure to apologize for your rough demeanor."
D. "When your patient is safe and comfortable, meet me at the desk."
Correct answer
D. "When your patient is safe and comfortable, meet me at the desk."

The public health nurse is leaving the home of a young mother who has a special
needs baby. The neighbor states "How is she doing, since the baby's father is no
help?" The nurse's best response to the neighbor is: *
0/1
A. "New mothers need support."

B. "The lack of father is difficult."

C. "How are you today?"
D. "It is a very sad situation."
Correct answer
A. "New mothers need support."

A 3-year-old child is being admitted to the medical division for vomiting, diarrhea and
dehydration. During the admission interview, the nurse should implement which of the
following communication techniques to elicit the most information from the parents? *
0/1
A. The use of statements that indicate the patient will be alright.

B. The use of questions that contain the word how.

C. The use of a leading question and those involving yes or no.
D. The use of questions that direct comments to clarify.
Correct answer
D. The use of questions that direct comments to clarify.

The nurse enters the patient's room and examines the patient's IV fluids and cardiac
monitor. The patient states "Well, I haven't seen you before. Who are you?" The
nurse's best response is: *
0/1
A. "I'm just the lV therapist checking your IV."

B. "I've been transferred to this division and will be caring for you."
C. "I'm sorry, my name is John Dave Magando. I'm responsible for your IV."
D. "My name is John Dave Magando. I'll be caring for you until 11 p.m."
Correct answer
D. "My name is John Dave Magando. I'll be caring for you until 11 p.m."
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Assess for early signs of congestive failure (CHF)

At the level of umbilicus

Right to refuse treatment.

Cause of the disease is evil spirit.

Considering what is important in a given situation.

Which statement best describes the effects of immobility in children? *

Immobility prevents the progression of language and fine motor development.

Tuna salad sandwich on whole wheat bread.

Stiffness of the right ankle joint.

Normal dietary intake.

The client’s dietary habits include foods high in bulk.

Left hip dressing dry and intact.

Referring the client for counseling and occupational therapy.

While on duty in the out-patient-department, a client came in and he claimed that he

Gown, goggles, mask, gloves and exit the room.

When an individual who harbors the organism and is capable of transmitting to a

Critical care nurse

“Nursing is therapeutic interpersonal process.” This definition was stated by: *

Obtain an interpreter for the patient as soon as possible.

Administer pain medication every 4 hours as needed.

Encourage patient to remain in bed most of the shift.

Provides an opportunity for skin assessment.

Taking psychology courses related to gerontology.

Organism’s mode of transmission.

An autoclave is used to sterilize hospital supplies because: *

More articles can be sterilized at a time.

Writing down all assignments.

Is fully informed and is aware of all consequences.

Which criterion is needed for someone to give consent to a procedure? *

To help a person with swollen legs to decrease the fluid retention.

Remove all dairy products from the diet.

Right to refuse treatment.

Cause of the disease is evil spirit.

Considering what is important in a given situation.

Immobility prevents the progression of language and fine motor development.

Tuna salad sandwich on whole wheat bread.

Stiffness of the right ankle joint.

Normal dietary intake.

The client’s dietary habits include foods high in bulk.

Left hip dressing dry and intact.

Referring the client for counseling and occupational therapy.

Assessing the client to rule out possible complications secondary to surgery.

Gown, goggles, mask, gloves and exit the room.

Critical care nurse

Obtain an interpreter for the patient as soon as possible.

Administer pain medication every 4 hours as needed.

Encourage patient to remain in bed most of the shift.

Provides an opportunity for skin assessment.

Taking psychology courses related to gerontology.

Organism’s mode of transmission.

Wash the gloves before removing them.

Writing down all assignments.

Is fully informed and is aware of all consequences.

To help a person with swollen legs to decrease the fluid retention.

Remove all dairy products from the diet.

A. Complete vital signs.

A. Unknown; but it is believed to be shedding the protein coat of the virus.

A. Avoid ingesting alcohol.

A. Clients are not aware of the action of over-the-counter drugs.