COMPILED NURSING QUESTIONS

FUNDAMENTALS OF NURSING A1

1. The most important nursing intervention to correct B. Prevent a patient from falling out of bed or a
skin dryness is: chair
A. Avoid bathing the patient until the condition C. Discourage a patient from attempting to
is remedied, and notify the physician ambulate alone when he requires assistance
B. Ask the physician to refer the patient to a for his safety
dermatologist, and suggest that the patient D. Prevent a patient from becoming confused
wear home-laundered sleepwear or disoriented
C. Consult the dietitian about increasing the 7. Which of the following is the nurse’s legal
patient’s fat intake, and take necessary responsibility when applying restraints?
measures to prevent infection A. Document the patient’s behavior
• Encourage the patient to increase his fluid B. Document the type of restraint used
intake, use nonirritating soap when bathing C. Obtain a written order from the physician
the patient, and apply lotion to the involved except in an emergency, when the patient
areas must be protected from injury to himself or
2. When bathing a patient’s extremities, the nurse others
should use long, firm strokes from the distal to the D. All of the above
proximal areas. This technique: 8. Kubler-Ross’s five successive stages of death and
A. Provides an opportunity for skin assessment dying are:
B. Avoids undue strain on the nurse A. Anger, bargaining, denial, depression,
C. Increases venous blood return acceptance
D. Causes vasoconstriction and increases B. Denial, anger, depression, bargaining,
circulation acceptance
3. Vivid dreaming occurs in which stage of sleep? C. Denial, anger, bargaining, depression
A. Stage I non-REM acceptance
B. Rapid eye movement (REM) stage D. Bargaining, denial, anger, depression,
C. Stage II non-REM acceptance
D. Delta stage 9. A terminally ill patient usually experiences all of the
4. The natural sedative in meat and milk products following feelings during the anger stage except:
(especially warm milk) that can help induce sleep is: A. Rage
A. Flurazepam B. Envy
B. Temazepam C. Numbness
C. Tryptophan D. Resentment
D. Methotrimeprazine 10. Nurses and other health care provides often have
5. Nursing interventions that can help the patient to difficulty helping a terminally ill patient through the
relax and sleep restfully include all of the following necessary stages leading to acceptance of death.
except: Which of the following strategies is most helpful to
A. Have the patient take a 30- to 60-minute nap the nurse in achieving this goal?
in the afternoon A. Taking psychology courses related to
B. Turn on the television in the patient’s room gerontology
C. Provide quiet music and interesting reading B. Reading books and other literature on the
material subject of thanatology
D. Massage the patient’s back with long strokes C. Reflecting on the significance of death
6. Restraints can be used for all of the following D. Reviewing varying cultural beliefs and
purposes except to: practices related to death
A. Prevent a confused patient from removing 11. Which of the following symptoms is the best
tubes, such as feeding tubes, I.V. lines, and indicator of imminent death?
urinary catheters A. A weak, slow pulse
B. Increased muscle tone
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
C. Fixed, dilated pupils D. Bleeding
D. Slow, shallow respirations 18. To ensure homogenization when diluting
12. A nurse caring for a patient with an infectious powdered medication in a vial, the nurse should:
disease who requires isolation should refers to A. Shake the vial vigorously
guidelines published by the: B. Roll the vial gently between the palms
A. National League for Nursing (NLN) C. Invert the vial and let it stand for 1 minute
B. Centers for Disease Control (CDC) D. Do nothing after adding the solution to the
C. American Medical Association (AMA) vial
D. American Nurses Association (ANA) 19. The nurse is teaching a patient to prepare a
13. To institute appropriate isolation precautions, the syringe with 40 units of U-100 NPH insulin for self-
nurse must first know the: injection. The patient’s first priority concerning self-
A. Organism’s mode of transmission injection in this situation is to:
B. Organism’s Gram-staining characteristics A. Assess the injection site
C. Organism’s susceptibility to antibiotics B. Select the appropriate injection site
D. Patient’s susceptibility to the organism C. Check the syringe to verify that the nurse has
14. Which is the correct procedure for collecting a removed the prescribed insulin dose
sputum specimen for culture and sensitivity testing? D. Clean the injection site in a circular manner
A. Have the patient place the specimen in a with and alcohol sponge
container and enclose the container in a 20. The physician’s order reads “Administer 1 g
plastic bag cefazolin sodium (Ancef) in 150 ml of normal saline
B. Have the patient expectorate the sputum solution in 60 minutes.” What is the flow rate if the
while the nurse holds the container drop factor is 10 gtt = 1 ml?
C. Have the patient expectorate the sputum A. 25 gtt/minute
into a sterile container B. 37 gtt/minute
D. Offer the patient an antiseptic mouthwash C. 50 gtt/minute
just before he expectorate the sputum D. 60 gtt/minute
15. An autoclave is used to sterilize hospital supplies 21. A patient must receive 50 units of Humulin regular
because: insulin. The label reads 100 units = 1 ml. How many
A. More articles can be sterilized at a time milliliters should the nurse administer?
B. Steam causes less damage to the materials A. 0.5 ml
C. A lower temperature can be obtained B. 0.75 ml
D. Pressurized steam penetrates the supplies C. 1 ml
better D. 2 ml
16. The best way to decrease the risk of transferring 22. How should the nurse prepare an injection for a
pathogens to a patient when removing contaminated patient who takes both regular and NPH insulin?
gloves is to: A. Draw up the NPH insulin, then the regular
A. Wash the gloves before removing them insulin, in the same syringe
B. Gently pull on the fingers of the gloves when B. Draw up the regular insulin, then the NPH
removing them insulin, in the same syringe
C. Gently pull just below the cuff and invert the C. Use two separate syringe
gloves when removing them D. Check with the physician
D. Remove the gloves and then turn them 23. A patient has just received 30 mg of codeine by
inside out mouth for pain. Five minutes later he vomits. What
17. After having an I.V. line in place for 72 hours, a should the nurse do first?
patient complains of tenderness, burning, and A. Call the physician
swelling. Assessment of the I.V. site reveals that it is B. Remedicate the patient
warm and erythematons. This usually indicates: C. Observe the emesis
A. Infection D. Explain to the patient that she can do
B. Infiltration nothing to help him
C. Phlebitis
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
24. A patient is characterized with a #16 indwelling 30. A client had oral surgery following a motor vehicle
urinary (Foley) catheter to determine if: accident. The nurse assessing the client finds the skin
A. Trauma has occurred flushed and warm. Which of the following would be
B. His 24-hour output is adequate the best method to take the client’s body
C. He has a urinary tract infection temperature?
D. Residual urine remains in the bladder after A. Oral
voiding B. Axillary
25. A staff nurse who is promoted to assistant nurse C. Arterial line
manager may feel uncomfortable initially when D. Rectal
supervising her former peers. She can best decrease 31. A client who is unconscious needs frequent mouth
this discomfort by: care. When performing a mouth care, the best
A. Writing down all assignments position of a client is:
B. Making changes after evaluating the A. Fowler’s position
situation and having discussions with the B. Side lying
staff. C. Supine
C. Telling the staff nurses that she is making D. Trendelenburg
changes to benefit their performance 32. A client is hospitalized for the first time, which of
D. Evaluating the clinical performance of each the following actions ensure the safety of the client?
staff nurse in a private conference A. Keep unnecessary furniture out of the way
26. Using the principles of standard precautions, the B. Keep the lights on at all time
nurse would wear gloves in what nursing C. Keep side rails up at all time
interventions? D. Keep all equipment out of view
A. Providing a back massage 32. A walk-in client enters into the clinic with a chief
B. Feeding a client complaint of abdominal pain and diarrhea. The nurse
C. Providing hair care takes the client’s vital sign hereafter. What phrase of
D. Providing oral hygiene nursing process is being implemented here by the
27. The nurse is preparing to take vital sign in an alert nurse?
client admitted to the hospital with dehydration A. Assessment
secondary to vomiting and diarrhea. What is the best B. Diagnosis
method used to assess the client’s temperature? C. Planning
A. Oral D. Implementation
B. Axillary 33. It is best describe as a systematic, rational method
C. Radial of planning and providing nursing care for individual,
D. Heat sensitive tape families, group and community
28. A nurse obtained a client’s pulse and found the A. Assessment
rate to be above normal. The nurse document this B. Nursing Process
finding as: C. Diagnosis
A. Tachypnea D. Implementation
B. Hyper pyrexia 34. Exchange of gases takes place in which of the
C. Arrythmia following organ?
D. Tachycardia A. Kidney
29. Which of the following actions should the nurse B. Lungs
take to use a wide base support when assisting a C. Liver
client to get up in a chair? D. Heart
A. Bend at the waist and place arms under the 35. The Chamber of the heart that receives
client’s arms and lift oxygenated blood from the lungs is the?
B. Face the client, bend knees and place hands A. Left atrium
on client’s forearm and lift B. Right atrium
C. Spread his or her feet apart C. Left ventricle
D. Tighten his or her pelvic muscles D. Right ventricle
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
37. A muscular enlarge pouch or sac that lies slightly 45. It is describe as a collection of people who share
to the left which is used for temporary storage of some attributes of their lives.
food… A. Family
A. Gallbladder B. Illness
B. Urinary bladder C. Community
C. Stomach D. Nursing
D. Lungs 46. Five teaspoon is equivalent to how many milliliters
38. The ability of the body to defend itself against (ml)?
scientific invading agent such as baceria, toxin, viruses A. 30 ml
and foreign body B. 25 ml
A. Hormones C. 12 ml
B. Secretion D. 22 ml
C. Immunity 47. 1800 ml is equal to how many liters?
D. Glands A. 1.8
39. Hormones secreted by Islets of Langerhans B. 18000
A. Progesterone C. 180
B. Testosterone D. 2800
C. Insulin 48. Which of the following is the abbreviation of
D. Hemoglobin drops?
40. It is a transparent membrane that focuses the light A. Gtt.
that enters the eyes to the retina. B. Gtts.
A. Lens C. Dp.
B. Sclera D. Dr.
C. Cornea 49. The abbreviation for micro drop is…
D. Pupils A. µgtt
41. Which of the following is included in Orem’s B. gtt
theory? C. mdr
A. Maintenance of a sufficient intake of air D. mgts
B. Self perception 50. Which of the following is the meaning of PRN?
C. Love and belonging A. When advice
D. Physiologic needs B. Immediately
42. Which of the following cluster of data belong to C. When necessary
Maslow’s hierarchy of needs D. Now
A. Love and belonging 51. Which of the following is the appropriate meaning
B. Physiologic needs of CBR?
C. Self actualization A. Cardiac Board Room
D. All of the above B. Complete Bathroom
43. This is characterized by severe symptoms relatively C. Complete Bed Rest
of short duration. D. Complete Board Room
A. Chronic Illness 52. 1 tsp is equals to how many drops?
B. Acute Illness A. 15
C. Pain B. 60
D. Syndrome C. 10
44. Which of the following is the nurse’s role in the D. 30
health promotion 53. 20 cc is equal to how many ml?
A. Health risk appraisal A. 2
B. Teach client to be effective health consumer B. 20
C. Worksite wellness C. 2000
D. None of the above D. 20000
54. 1 cup is equals to how many ounces?
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
A. 8 C. Application of cold compress at the back
B. 80 D. Application of hot compress at the back
C. 800 62. It refers to the preparation of the bed with a new
D. 8000 set of linens
55. The nurse must verify the client’s identity before A. Bed bath
administration of medication. Which of the following B. Bed making
is the safest way to identify the client? C. Bed shampoo
A. Ask the client his name D. Bed lining
B. Check the client’s identification band 63. Which of the following is the most important
C. State the client’s name aloud and have the purpose of handwashing
client repeat it A. To promote hand circulation
D. Check the room number B. To prevent the transfer of microorganism
56. The nurse prepares to administer buccal C. To avoid touching the client with a dirty
medication. The medicine should be placed… hand
A. On the client’s skin D. To provide comfort
B. Between the client’s cheeks and gums 64. What should be done in order to prevent
C. Under the client’s tongue contaminating of the environment in bed making?
D. On the client’s conjuctiva A. Avoid funning soiled linens
57. The nurse administers cleansing enema. The B. Strip all linens at the same time
common position for this procedure is… C. Finished both sides at the time
A. Sims left lateral D. Embrace soiled linen
B. Dorsal Recumbent 65. The most important purpose of cleansing bed
C. Supine bath is:
D. Prone A. To cleanse, refresh and give comfort to the
58. A client complains of difficulty of swallowing, client who must remain in bed
when the nurse try to administer capsule medication. B. To expose the necessary parts of the body
Which of the following measures the nurse should C. To develop skills in bed bath
do? D. To check the body temperature of the client
A. Dissolve the capsule in a glass of water in bed
B. Break the capsule and give the content with 66. Which of the following technique involves the
an applesauce sense of sight?
C. Check the availability of a liquid preparation A. Inspection
D. Crash the capsule and place it under the B. Palpation
tongue C. Percussion
59. Which of the following is the appropriate route of D. Auscultation
administration for insulin? 67. The first techniques used examining the abdomen
A. Intramuscular of a client is:
B. Intradermal A. Palpation
C. Subcutaneous B. Auscultation
D. Intravenous C. Percussion
60. The nurse is ordered to administer ampicillin D. Inspection
capsule TIP p.o. The nurse shoud give the 68. A technique in physical examination that is use to
medication… assess the movement of air through the
A. Three times a day orally tracheobronchial tree:
B. Three times a day after meals A. Palpation
C. Two time a day by mouth B. Auscultation
D. Two times a day before meals C. Inspection
61. Back Care is best describe as: D. Percussion
A. Caring for the back by means of massage 69. An instrument used for auscultation is:
B. Washing of the back A. Percussion-hammer
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
B. Audiometer 78. A patient states that he has difficulty sleeping in
C. Stethoscope the hospital because of noise. Which of the following
D. Sphygmomanometer would be an appropriate nursing action?
70. Resonance is best describe as: A. Administer a sedative at bedtime, as ordered
A. Sounds created by air filled lungs by the physician
B. Short, high pitch and thudding B. Ambulate the patient for 5 minutes before he
C. Moderately loud with musical quality retires
D. Drum-like C. Give the patient a glass of warm milk before
71. The best position for examining the rectum is: bedtime
A. Prone D. Close the patient’s door from 9pm to 7am
B. Sim’s 79. Which of the following nursing theorists dveloped
C. Knee-chest a conceptual model based on the belief that all
D. Lithotomy persons strive to achieve self-care?
72. It refers to the manner of walking A. Martha Rogers
A. Gait B. Dorothea Orem
B. Range of motion C. Florence Nightingale
C. Flexion and extension D. Cister Callista Roy
D. Hopping 80. Which of the following nursing theorists is
73. The nurse asked the client to read the Snellen credited with developing a conceptual model specific
chart. Which of the following is tested: to nursing, with man as the central focus?
A. Optic A. Martha Rogers
B. Olfactory B. Dorothea Orem
C. Oculomotor C. Florence Nightingale
D. Trochlear D. Sister Callista Roy
74. Another name for knee-chest position is: 81. Which of the following questions is most
A. Genu-dorsal appropriate to ask when interviewing a potential
B. Genu-pectoral candidate fo an RN position?
C. Lithotomy A. What was your last nursing experience?
D. Sim’s B. Are you willing to do overtime on weekends?
75. The nurse prepare IM injection that is irritating to C. How many children do you have?
the subcutaneous tissue. Which of the following is the D. Do you plan to get pregnant?
best action in order to prevent tracking of the 82. If a patient is injured because a nurse acted in a
medication wrongful manner, which party could be held liable
A. Use a small gauge needle along with the nurse?
B. Apply ice on the injection site A. The private attending physician
C. Administer at a 45° angle B. The nursing supervisor
D. Use the Z-track technique C. The hospital
76. A sudden redness of the skin is known as: D. All of the above
A. Flush 83. Which of the following may be considered a
B. Cyanosis patient’s right?
C. Jaundice A. The right to euthanasia
D. Pallor B. The right to refuse treatment
77. The term gavage indicates: C. The right to ignore hospital regulations
A. Administration of a liquid feeding into the D. The right to refuse to pay for what the
stomach patient considers to be inferior service.
B. Visual examination of the stomach 84. If a patient sues a nurse for malpractice, the
C. Irrigation of the stomach with a solution patient must be able to prove:
D. A surgical opening through the abdomen to A. Error, proximal cause, and lack of concern
the stomach B. Error, injury and proximal cause
C. Injury, error and assault
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
D. Proximal cause, negligence and nurse error C. Second right intercoastal space at the sternal
85. Which communication skills is most effective in border
dealing with covert communication? D. Second left intercoastal space at the sternal
A. Validation border
B. Listening 93. The nurse’s main priority when caring foar a
C. Evaluation patient with hemiplegia?
D. Clarification A. Educating the patient
86. Which of the following qualities are relevant in B. Providing a safe environment
documenting patient care? C. Promoting a positive self-image
A. Accuracy and conciseness D. Helping the patient accept the illness
B. Thoroughness and currentness 94. Constipation is a common problem for
C. Organization immobilized patients because of:
D. All of the above A. Decreased peristalsis and positional
87. The usual sequence for assessing the bowel is: discomfort
A. Right lower quadrant, right upper quadrant, B. An increased defacation reflex
left upper quadrant. left lower quadrant C. Decreased tightening of the anal sphincter
B. Right lower lobe, right upper lobe, left upper D. Increased colon motility
lobe, left lower lobe 95. Antiembolism stockings are used primarily to:
C. Right hypochondriac, left hypochondriac and A. Promote venous circulation
umbilical regions B. Provide external warmth
D. Rectum, pancreas, stomach and liver C. Prevent dependent edema
88. The nurse should take a rectal temperature of a D. Hold foot dressings
patient who has: 96. To promote correct anatomic alignment in a
A. His arm in a cast supine patient, the nurse should:
B. Nasal packing A. Place the patient’s feet in dorsiflexion
C. External hemorrhoids B. Place a pillow under the patient’s knees
D. Gastrostomy feeding tubes C. Hyperextend the patient’s neck
89. Blood pressure measurement is an important part D. Adduct the patient’s shoulder
of the patient’s data base. It is considered to be: 97. An appropriate interdependent intervention to
A. The basis of the nursing diagnosis prevent thrombophebitis would be:
B. Objective data A. Elevate the knee gatch of the bed
C. An indicator of the patient’s well being B. Massage the legs vigorously
D. Subjective data C. Apply antiembolism stockings to both legs.
90. Postural drainage to relieve respiratory congestion D. Encourage the patient to sit with his knees
should take place: crossed
A. Before meals 98. The average daily amount of urine excreted by an
B. After meals adult is:
C. At the nurse’s convenience A. 500 to 600 ml
D. At the patient’s convenience B. 800 to 1,400 ml
91. The correct site at which to verify a radial pulse C. 1,000 to 1,200 ml
measurement is the: D. 1,500 to 2,000 ml
A. Brachial artery 99. According to Maslow’s hierarchy of needs, which
B. Apex of the heart of the following is a basic physiologic need after
C. Temporal artery oxygen?
D. Inguinal site A. Activity
92. S1 is heard best at the: B. Safety
A. 5th left intercoastal space along the C. Love
midclavicular line D. Self esteem
B. 3rd intercoastal space to the left of the
midclavicular line
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
100. Mr. Jose is admitted to the hospitalwith a
diagnosis of pneumonia and COPD. The physician
orders an oxygen therapy for him. The most
comfortable method of delivering oxygen to Mr. Jose
is by:
A. Croupette
B. Nasal Cannula
C. Nasal catheter
D. Partial rebreathing
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1

ANSWERS and RATIONALE

1. Answer – D. Dry skin will eventually crack, 7. Answer – D. When applying restraints, the
ranking the patient more prone to nurse must document the type of behavior
infection. To prevent this, the nurse should that prompted her to use them, document
provide adequate hydration through fluid the type of restraints used, and obtain a
intake, use nonirritating soaps or no soap physician’s written order for the restraints.
when bathing the patient, and lubricate
8. Answer – C. Kubler-Ross’s five successive
the patient’s skin with lotion. Bathing may
stages of death and dying are denial,
be limited but need not be avoided
anger, bargaining, depression, and
entirely. The attending physician and
acceptance. The patient may move back
dietitian may be consulted for treatment,
and forth through the different stages as
but home-laundered items usually are not
he and his family members react to the
necessary.
process of dying, but he usually goes
2. Answer – C. Washing from distal to through all of these stages to reach
proximal areas stimulates venous blood acceptance.
flow, thereby preventing venous stasis. It
9. Answer – C. Numbness is typical of the
improves circulation but does not result in
depression stage, when the patient feels a
vasoconstriction. The nurse can assess the
great sense of loss. The anger stage
patient’s condition throughout the bath,
includes such feelings as rage, envy,
regardless of washing technique, and
resentment, and the patient’s questioning
should feel no strain while bathing the
“Why me?”
patient.
10. Answer – C. According to thanatologists,
3. Answer – B. Other characteristics of rapid
reflecting on the significance of death
eye movement (REM) sleep are deep sleep
helps to reduce the fear of death and
(the patient cannot be awakened easily),
enables the health care provider to better
depressed muscle tone, and possibly
understand the terminally ill patient’s
irregular heart and respiratory rates. Non-
feelings. It also helps to overcome the
REM sleep is a deep, restful sleep without
belief that medical and nursing measures
dreaming. Delta stage, or slow-wave sleep,
have failed, when a patient cannot be
occurs during non-REM Stages III and IV
cured.
and is often equated with quiet sleep.
11. Answer – C. Fixed, dilated pupils are sign of
4. Answer – C. Tryptophan is a natural
imminent death. Pulse becomes weak but
sedative; flurazepam (Dalmane),
rapid, muscles become weak and atonic,
temazepam (Restoril), and
and periods of apnea occur during
methotrimeprazine (Levoprome) are
respiration.
hypnotic sedatives.
12. Answer – B. The Center of Disease Control
5. Answer – A. Napping in the afternoon is
(CDC) publishes and frequently updates
not conductive to nighttime sleeping.
guidelines on caring for patients who
Quiet music, watching television, reading,
require isolation. The National League of
and massage usually will relax the patient,
Nursing’s (NLN’s) major function is
helping him to fall asleep.
accrediting nursing education programs in
6. Answer – D. By restricting a patient’s the
movements, restraints may increase stress United States. The American Medical
and lead to confusion, rather than prevent Association (AMA) is a national
it. The other choices are valid reasons for organization of physicians. The American
using restraints. Nurses’ Association (ANA) is a national
organization of registered nurses.
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
13. Answer – A. Before instituting isolation sensation are signs and symptoms of
precaution, the nurse must first determine phlebitis. Infection is less likely because no
the organism’s mode of transmission. For drainage or fever is present. Infiltration
example, an organism transmitted through would result in swelling and pallor, not
nasal secretions requires that the patient erythema, near the insertion site. The
be kept in respiratory isolation, which patient has no evidence of bleeding.
involves keeping the patient in a private
room with the door closed and wearing a
18. Answer – B. Gently rolling a sealed vial
mask, a grown, and gloves when coming in
between the palms produces sufficient
direct contact with the patient. The
heat to enhance dissolution of a powdered
organism’s Gram-straining characteristics
medication. Shaking the vial vigorously can
reveal whether the organism is gram-
break down the medication and alter its
negative or gram-positive, an important
pharmacologic action. Inverting the vial or
criterion in the physician’s choice for drug
leaving it alone does not ensure thorough
therapy and the nurse’s development of an
homogenization of the powder and the
effective plan of care. The nurse also needs
solvent.
to know whether the organism is
susceptible to antibiotics, but this could 19. Answer – C. When the nurse teaches the
take several days to determine; if she waits patient to prepare an insulin injection, the
for the results before instituting isolation patient’s first priority is to validate the
precautions, the organism could be dose accuracy. The next steps are to select
transmitted in the meantime. The patient’s the site, assess the site, and clean the site
susceptibility to the organism has already with alcohol before injecting the insulin.
been established. The nurse would not be
instituting isolation precautions for a 20. Answer – A. 25 gtt/minute
noninfected patient.
21. Answer – A. 0.5 ml
14. Answer – C. Placing the specimen in a
sterile container ensures that it will not
22. Answer – B. Drugs that are compatible may
become contaminated. The other answers
be mixed together in one syringe. In the
are incorrect because they do not mention
case of insulin, the shorter-acting, clear
sterility and because antiseptic mouthwash
insulin (regular) should be drawn up before
could destroy the organism to be cultured
the longer-acting, cloudy insulin (NPH) to
(before sputum collection, the patient may
ensure accurate measurements.
use only tap water for nursing the mouth).
23. Answer – C. After a patient has vomited,
15. Answer – D. An autoclave, an apparatus
the nurse must inspect the emesis to
that sterilizes equipment by means of
document color, consistency, and amount.
high-temperature pressured steam, is used
In this situation, the patient recently
because it can destroy all forms of
ingested medication, so the nurse needs to
microorganisms, including spores.
check for remnants of the medication to
help determine whether the patient
16. Answer – C. Turning the gloves inside out retained enough of it to be effective. The
while removing them keeps all nurse must then notify the physician, who
contaminants inside the gloves. They will decide whether to repeat the dose or
should than be placed in a plastic bag with prescribe an antiemetic.
soiled dressings and discarded in a soiled
24. Answer – B. A 24-hour urine output of less
utility room garbage pail (double bagged).
than 500 ml in an adult is considered
The other choices can spread pathogens
inadequate and may indicate kidney
within the environment.
failure. This must be corrected while the
patient is in the acute state so that
17. Answer – C. Tenderness, warmth, swelling, appropriate fluids, electrolytes, and
and, in some instances, a burning medications can be administered and
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
excreted. Indwelling catheterization is not 44. B. Teach client to be effective health
needed to diagnose trauma, urinary tract consumer
infection, or residual urine.
45. C. Community

46. B. 25 ml
25. Answer – B. A new assistant nurse manger
should not make changes until she has had 47. A. 1.8
a chance to evaluate staff members,
patients, and physicians. Changes must be 48. B. Gtts.
planned thoroughly and should be based
49. A. µgtt
on a need to improve conditions, not just
for the sake of change. Written 50. C. When necessary
assignments allow all staff members to
know their own and others responsibilities 51. C. Complete Bed Rest
and serve as a checklist for the manager, 52. B. 60
enabling her to gauge whether the unit is
being run effectively and whether patients 53. B. 20
are receiving appropriate care. Telling the
54. A. 8
staff nurses that she is making changes to
benefit their performance should occur 55. A. Ask the client his name
only after the nurse has made a thorough
evaluation. Evaluations are usually done on 56. B. Between the client’s cheeks and gums
a yearly basis or as needed.
57. A. Sims left lateral
26. D. Providing oral hygiene
58. C. Check the availability of a liquid
27. B. Axillary preparation

28. D. Tachycardia 59. C. Subcutaneous

29. B. Face the client, bend knees and place 60. A. Three times a day orally
hands on client’s forearm and lift
61. A. Caring for the back by means of
30. B. Axillary massage

31. B. Side lying 62. B. Bed making

32. C. Keep side rails up at all time 63. B. To prevent the transfer of
microorganism
33. A. Assessment
64. A. Avoid funning soiled linens
34. B. Nursing Process
65. A. To cleanse, refresh and give comfort to
35. B. Lungs the client who must remain in bed

36. A. Left atrium 66. A. Inspection

37. C. Stomach 67. D. Inspection

38. C. Immunity 68. B. Auscultation

39. C. Insulin 69. C. Stethoscope

40. C. Cornea 70. A. Sounds created by air filled lungs

41. A. Maintenance of a sufficient intake of air 71. C. Knee-chest

42. D. All of the above 72. A. Gait

43. B. Acute Illness 73. A. Optic

 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
74. B. Genu-pectoral 83. Answer :(B) The right to refuse treatment.
Under the bill of rights law, the patient has
75. D. Use the Z-track technique
the right to refuse treatment/life – giving
76. Answer : (A) Flush. Flush is a sudden measures, to the extent permitted by law,
redness of the skin. Cyanosis is a slightly and to be informed of the medical
bluish, grayish skin discoloration caused by consequences of his action.
abnormal amounts or reduced hemoglobin
84. Answer :(B) Error, injury and proximal
in the blood. Jaundice is a yellow
cause. Three criteria must be met to
discoloration of the skin, mucous
establish malpractice: a nursing error, a
membranes and sclerae caused by
patient injury, and a connection between
excessive amounts of bilirubin in the
the two.
blood. Pallor is an unnatural paleness or
absence of color in the skin indicating 85. Answer :(A) Validation. Covert
insufficient oxygen and excessive carbon communication reflects inner feelings that
dioxide in the blood. a person may be uncomfortable talking
about. Such communication may be
77. Answer :(A) Administration of a liquid
revealed through body language, silence,
feeding into the stomach. Gavage is the
withdrawn behavior, or crying. Validation is
administration of a liquid feeding into the
an attempt to confirm the observer’s
stomach
perceptions through feedback,
78. Answer :(C) Give the patient a glass of interpretation and clarification.
warm milk before bedtime. Warm milk will
86. Answer :(D) All of the above.
relax the patient because it contains
Documentation should leave no room for
tryptophan, a natural sedative.
misinterpretation. Thus, the nurse must
79. Answer :(B) Dorothea Orem. Dorothea ensure that all information pertinent to
Orem’s conceptual model is based on the patient care is reworded accurately,
premise that all persons need to achieve concisely and thoroughly. The information
self-care. She also views the goal of must be up-to-date and well organized.
nursing as helping the patient to develop
87. Answer :(A) Right lower quadrant, right
self-care practices to maintain maximum
upper quadrant, left upper quadrant. left
wellness.
lower quadrant. This sequence follows the
80. Answer :(A) Martha Rogers. Martha anatomy of the bowel. The lobes are parts
Roger’s life process model views man as an of the lung. the right and left
evolving creature interacting with the hypochondriac and the umbilical area are
environment in an open, adaptive manner. three of the nine regions of the abdomen.
According to this model, the purpose of
88. Answer :(B) Nasal packing. A rectal
nursing is to help man achieve maximum
temperature is usually recommended
health in his environment.
whenever an oral temperature is
81. Answer :(A) What was your last nursing contraindicated (e.g. the patient who have
experience?. An interviewer’s question undergone oral or nasal surgery, infants
should center on the applicant’s and those who have history of seizures,
qualifications for the position. Questions etc). However, a rectal temperature is
about the applicant’s personal life are contraindicated in patients having rectal
inappropriate and may be illegal. disease, rectal surgery or diarrhea)

82. Answer :(C) The hospital. Under the master 89. Answer :(B) Objective data. Objective data
servant rule (also known as the doctrine or are those such as BP, which can be
respondeat superior), when a person is measured or perceived by someone other
injured by an employee as a result of than the patient. Subjective data are those
negligence in the course of the employee’s such as pain, which only the patient can
work, the employer is responsible to the perceive.
injured person.
 COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1
90. Answer :(A) Before meals. Postural 99. Answer :(A) Activity. According to Maslow,
drainage is best performed before, rather activity is one of the man’s most basic
after meals to avoid tiring the patient or physiologic needs, along with oxygen,
inducing vomiting. The patient’s safety shelter, food, water, erst, sleep and
supersedes the convenience in scheduling temperature maintenance.
this procedure.
100. Answer :(B) Nasal Cannula. The nasal
91. Answer :(B) Apex of the heart. The best site cannula is the most comfortable method
for verifying a pulse rate is the apex of the of delivering oxygen because it allows the
heart, where the heartbeat is measured patient to talk, eat and drink.
directly.

92. Answer :(A) 5th left intercoastal space

along the midclavicular line. The S1 heart
sound is best heard at the apex of the
heart, at the fifth intercoastal space along
the midclavicular line. (An infant’s apex is
located at the third or fourth intercoastal
space just to the left of the midclavicular
line)

93. Answer :(B) Providing a safe environment.

A patient with hemiplegia (paralysis of one
side of the body) has a high risk of injury
because of his altered motor and sensory
function, so safety is the nurse’s main
priority.

94. Answer :(A) Decreased peristalsis and

positional discomfort. Increased adrenalin
production in the immobile patient results
in decrease peristalsis and colon motility
and more tightly constricted sphincters.

95. Answer :(A) Promote venous circulation.

Antiembolism stockings are elastic
stockings designed to maintain
compression of small veins and capillaries
in the legs.

96. Answer :(A) Place the patient’s feet in

dorsiflexion. Anatomic alignment prevents
strain on body parts, maintains balance,
and promotes physiologic functioning. To
promote this position, the nurse should
place the feet in dorsiflexion (at right
angles to the legs)

97. Answer :(C) Apply antiembolism stockings

to both legs.. Antiembolism stockings
increase venous return to the heart, which
helps prevent thromboplebitis.

98. Answer :(D) 1,500 to 2,000 ml. An adult’s

average urine output ranges between
1,500 and 2,000 ml/day.
COMPILED NURSING QUESTIONS
FUNDAMENTALS OF NURSING A1