Practice Test Questions Downloaded From FILIPINO NURSES CENTRAL
Practice Test Questions Downloaded From FILIPINO NURSES CENTRAL
Practice Test Questions Downloaded From FILIPINO NURSES CENTRAL
(A) to a private room so she will not infect other patients and health care
workers.
(B) to a private room so she will not be infected by other patients and health
care workers.
(C) to a semiprivate room so she will have stimulation during her hospitalization.
(D) to a semiprivate room so she will have the opportunity to express her
feelings about her illness.
3. While inserting a nasogastric tube, the nurse should use which of the following
protective measures?
(A) Sims'.
(B) Side-lying.
(C) Supine.
(D) Prone.
(A) A 72-year-old patient with diabetes who requires a dressing change for a
stasis ulcer.
(B) A 42-year-old patient with cancer of the bone complaining of pain.
(C) A 55-year-old patient with terminal cancer being transferred to hospice home
care.
(D) A 23-year-old patient with a fracture of the right leg who asks to use the
urinal.
Question: What are the needs of the patient with acute lymphocytic leukemia
and thrombocytopenia?
(A) to a private room so she will not infect other patients and health care
workers — poses little or no threat
(B) to a private room so she will not be infected by other patients and health
care workers — CORRECT: protects patient from exogenous bacteria, risk
for developing infection from others due to depressed WBC count,
alters ability to fight infection
(C) to a semiprivate room so she will have stimulation during her hospitalization
— should be placed in a room alone
(D) to a semiprivate room so she will have the opportunity to express her
feelings about her illness — ensure that patient is provided with opportunities to
express feelings about illness
Strategy: Think about each answer choice. How is each measure protecting the
nurse?
Needed Info: Mask, eye protection, face shield protect mucous membrane
exposure; used if activities are likely to generate splash or sprays. Gowns used if
activities are likely to generate splashes or sprays.
(A) Gloves, gown, goggles, and surgical cap — surgical caps offer protection to
hair but aren't required.
(B) Sterile gloves, mask, plastic bags, and gown — plastic bags provide no direct
protection and aren't part of universal precautions
(C) Gloves, gown, mask, and goggles — CORRECT: must use universal
precautions on ALL patients; prevent skin and mucous membrane
exposure when contact with blood or other body fluids is anticipated
(D) Double gloves, goggles, mask, and surgical cap — surgical cap not required;
unnecessary to double glove
Question: What is the best position after tonsillectomy to help with drainage of
oral secretions?
(A) Sims' — on side with top knee flexed and thigh drawn up to chest and lower
knee less sharply flexed: used for vaginal or rectal examination
(B) Side-lying — CORRECT: most effective to facilitate drainage of
secretions from the mouth and pharynx; reduces possibility of airway
obstruction.
(C) Supine — increased risk for aspiration, would not facilitate drainage of oral
secretions
(D) Prone — risk for airway obstruction and aspiration, unable to observe the
child for signs of bleeding such as increased swallowing
(A) A 72-year-old patient with diabetes who requires a dressing change for a
stasis ulcer — CORRECT: stable patient with an expected outcome
(B) A 42-year-old patient with cancer of the bone complaining of pain — requires
assessment; RN is the appropriate caregiver
(C) A 55-year-old patient with terminal cancer being transferred to hospice home
care — requires nursing judgement; RN is the appropriate caregiver
(D) A 23-year-old patient with a fracture of the right leg who asks to use the
urinal — standard unchanging procedure; assign to the nursing assistant
3. The nurse performs a home visit on a client who delivered two days ago. The
client states that she is bottle-feeding her infant. The nurse notes white, curd-
like patches on the newborn's oral mucous membranes. The nurse should take
which of the following actions?
(A) Determine the baby's blood glucose level.
(B) Suggest that the newborn's formula be changed.
(C) Remind the caretaker not to let the infant sleep with the bottle.
(D) Explain that the newborn will need to receive some medication.
(A) from the beginning of one contraction to the end of the next contraction.
(B) from the beginning of one contraction to the end of the same contraction.
(C) by the strength of the contraction at its peak.
(D) by the number of contractions that occur within a given period of time.
1. The answer is B.
Question: The fetus is ROA. Where should the nurse listen for the FHT?
Strategy: Picture the situation described. It may be helpful for you to draw this
out so that you can imagine where the heartbeat would be found.
(A) Determine the baby's blood glucose level — thrush in newborns caused by
poor handwashing or exposure to an infected vagina during birth
(B) Suggest that the newborn's formula be changed — not related to thrush
(C) Remind the caretaker not to let the infant sleep with the bottle — not related
to thrush
(D) Explain that the newborn will need to receive some medication —
CORRECT: thrush most often treated with nystatin (Mycostatin)
Needed Info: Subluxation: most common type of congenital hip dislocation. Head
of femur remains in contact with acetabulum but is partially displaced. Diagnosed
in infant less than 4 weeks old S/S: unlevel gluteal folds, limited abduction of hip,
shortened femur affected side, Ortolani's sign (click). Treatment: abduction
splint, hip spica cast, Bryant's traction, open reduction.
(A) from the beginning of one contraction to the end of the next contraction —
not accurate
(B) from the beginning of one contraction to the end of the same contraction —
defines duration
(C) by the strength of the contraction at its peak — describes intensity
(D) by the number of contractions that occur within a given period of time —
CORRECT
1. An adolescent male being treated for depression arrives with his family at the
Adolescent Day Treatment Center for an initial therapy meeting with the staff.
The nurse explains that one of the goals of the family meeting is to encourage
the adolescent to:
3. The nurse cares for an elderly patient with moderate hearing loss. The nurse
should teach the patient's family to use which of the following approaches when
speaking to the patient?(A) Raise your voice until the patient is able to hear you.
(B) Face the patient and speak quickly using a high voice.
(C) Face the patient and speak slowly using a slightly lowered voice.
(D) Use facial expressions and speak as you would normally.
5. After two weeks of recieving lithium therapy, a patient in the psychiatric unit
becomes depressed. Which of the following evaluations of the patient's behavior
by the nurse would be MOST accurate?
(A) The treatment plan is not effective; the patient requires a larger dose of
lithium.
(B) This is a normal response to lithium therapy; the patient should continue with
the current treatment plan.
(C) This is a normal response to lithium therapy; the patient should be monitored
for suicidal behavior.
(D) The treatment plan is not effective; the patient requires an antidepressant.
(A) trust the nurse who will solve his problem — not realistic
(B) learn to live with anxiety and tension — minimizes concerns
(C) accept responsibility for his actions and choices — CORRECT
(D) use the members of the therapeutic milieu to solve his problems — must do
it himself
(A) The nurse should explain the procedure to the patient and ask her to sign
the consent form — Physician should get patient to sign consent
(B) The nurse should verify that the consent form has been signed by the patient
and that it is attached to her chart — CORRECT
(C) The nurse should tell the physician that the patient agrees to have the
examination — Physician should explain procedure and get consent form signed
(D) The nurse should verify that the patient or a family member has signed the
consent form — must be signed by patient unless unable to do
Needed Info: Presbycusis: age-related hearing loss due to inner ear changes.
Decreased ability to hear high sounds.
(A) Raise your voice until the patient is able to hear you — would result in high
tones patient unable to hear
(B) Face the patient and speak quickly using a high voice — usually unable to
hear high tones
(C) Face the patient and speak slowly using a slightly lowered voice —
CORRECT: also decrease background noise; speak at a slow pace, use
nonverbal cues
(D) Use facial expressions and speak as you would normally — nonverbal cues
help, but need low tones
Needed Info: Stages of grief: 1) shock and disbelief, 2) awareness of pain and
loss, 3) restitution. Acute period: 4-8 weeks, usual resolution: 1 year.
(A) She has already moved through the stages of the grieving process — takes
one year
(B) She is repressing anger related to her husband's death — not accurate;
second stage: crying, regression
(C) She is experiencing shock and disbelief related to her husband's death —
CORRECT: denial first stage; inability to comprehend reality of
situation
(D) She is demonstrating resolution of her husband's death — too soon
(A) The treatment plan is not effective; the patient requires a larger dose of
lithium — not accurate
(B) This is a normal response to lithium therapy; the patient should
continue with the current treatment plan — does not address safety
needs
(C) This is a normal response to lithium therapy; the patient should be
monitored for suicidal behavior — CORRECT: delay of 1-3 weeks
before med benefits seen
(D) The treatment plan is not effective; the patient requires an
antidepressant — normal response
(A) muscular.
(B) near the heart.
(C) non-hairy.
(D) over a bony prominence.
Question: Which lab values should you monitor for a patient receiving
Gentamicin?
Question: What nursing diagnosis is seen with acute lymphocytic leukemia and
thromocytopenia?
Needed Info: Thromocytopenia: decreased platelet count increases the patient's
risk for injury, normal count: 200,000-400,000 per mm3. Leukemia: group of
malignant disorders involving overproduction of immature leukocytes in bone
marrow. This shuts down normal bone marrow production of erythrocytes,
platelets, normal leukocytes. Causes anemia, leukopenia, and thrombocytopenia
leading to infection and hemorrhage. Symptoms: pallor of nail beds and
conjunctiva, petechiae (small hemorrhagic spot on skin), tachycardia, dyspnea,
weight loss, fatigue. Treatment: chemotherapy, antibiotics, blood transfusions,
bone marrow transplantation. Nursing responsibilities: private room, no raw
fruits or vegs, small frequent meals, O2, good skin care.
(A) Potential for injury — CORRECT: low platelet increases risk of bleeding
from even minor injuries. Safety measures: shave with an electric
razor, use soft tooth brush, avoid SQ or IM meds and invasive
procedures (urinary drainage catheter or a nasogastric tube), side-rails
up, remove sharp objects, frequently assess for signs of bleeding,
bruising, hemorrhage.
(B) Self-care deficit — may feel weak, doesn't address condition
(C) Potential for self-harm — implies risk for purposeful self-injury, not given any
info, assumption
(D) Alteration in comfort — patient is not comfortable, and comfort measures
would address problem
Needed Info: total volume x the drop factor divided by the total time in minutes.
(A) 21 — inaccurate
(B) 28 — inaccurate
(C) 31 — CORRECT: 3,000 x 15 divided by 24 x 60
(D) 42 — inaccurate
(A) 21
(B) 28
(C) 31
(D) 42