1. Nurse Brenda is teaching a patient about a newly prescribed drug. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications?
a. Decreased plasma drug levels
b. Sensory deficits
c. Lack of family support
d. History of Tourette syndrome
2. When examining a patient with abdominal pain the nurse in charge should assess:
a. Any quadrant first
b. The symptomatic quadrant first
c. The symptomatic quadrant last
d. The symptomatic quadrant either second or third
3. The nurse is assessing a postoperative adult patient. Which of the following should the nurse document as subjective data?
a. Vital signs
b. Laboratory test result
c. Patient’s description of pain
d. Electrocardiographic (ECG) waveforms
4. A male patient has a soft wrist-safety device. Which assessment finding should the nurse consider abnormal?
a. A palpable radial pulse
b. A palpable ulnar pulse
c. Cool, pale fingers
d. Pink nail beds
5. Which of the following planes divides the body longitudinally into anterior and posterior regions?
a. Frontal plane
b. Sagittal plane
c. Midsagittal plane
d. Transverse plane
6. A female patient with a terminal illness is in denial. Indicators of denial include:
a. Shock dismay
d. Preparatory grief
7. The nurse in charge is transferring a patient from the bed to a chair. Which action does the nurse take during this patient transfer?
a. Position the head of the bed flat
b. Helps the patient dangle the legs
c. Stands behind the patient
d. Places the chair facing away from the bed
8. A female patient who speaks a little English has emergency gallbladder surgery, during discharge preparation, which nursing action would best help this patient understand wound care instruction?
a. Asking frequently if the patient understands the instruction
b. Asking an interpreter to replay the instructions to the patient.
c. Writing out the instructions and having a family member read them to the patient
d. Demonstrating the procedure and having the patient return the demonstration
9. Before administering the evening dose of a prescribed medication, the nurse on the evening shift finds an unlabeled, filled syringe in the patient’s medication drawer. What should the nurse in charge do?
a. Discard the syringe to avoid a medication error
b. Obtain a label for the syringe from the pharmacy
c. Use the syringe because it looks like it contains the same medication the nurse was prepared to give
d. Call the day nurse to verify the contents of the syringe
10. When administering drug therapy to a male geriatric patient, the nurse must stay especially alert for adverse effects. Which factor makes geriatric patients to adverse drug effects?
a. Faster drug clearance
b. Aging-related physiological changes
c. Increased amount of neurons
d. Enhanced blood flow to the GI tract
11. A female patient is being discharged after cataract surgery. After providing medication teaching, the nurse asks the patient to repeat the instructions. The nurse is performing which professional role?
d. Patient advocate
12. A female patient exhibits signs of heightened anxiety. Which response by the nurse is most likely to reduce the patient’s anxiety?
a. “Everything will be fine. Don’t worry.”
b. “Read this manual and then ask me any questions you may have.”
c. “Why don’t you listen to the radio?”
d. “Let’s talk about what’s bothering you.”
13. A scrub nurse in the operating room has which responsibility?
a. Positioning the patient
b. Assisting with gowning and gloving
c. Handling surgical instruments to the surgeon
d. Applying surgical drapes
14. A patient is in the bathroom when the nurse enters to give a prescribed medication. What should the nurse in charge do?
a. Leave the medication at the patient’s bedside
b. Tell the patient to be sure to take the medication. And then leave it at the bedside
c. Return shortly to the patient’s room and remain there until the patient takes the medication
d. Wait for the patient to return to bed, and then leave the medication at the bedside
15. The physician orders heparin, 7,500 units, to be administered subcutaneously every 6 hours. The vial reads 10,000 units per milliliter. The nurse should anticipate giving how much heparin for each dose?
a. ¼ ml
b. ½ ml
c. ¾ ml
d. 1 ¼ ml
16. The nurse in charge measures a patient’s temperature at 102 degrees F. what is the equivalent Centigrade temperature?
a. 39 degrees C
b. 47 degrees C
c. 38.9 degrees C
d. 40.1 degrees C
17. To evaluate a patient for hypoxia, the physician is most likely to order which laboratory test?
a. Red blood cell count
b. Sputum culture
c. Total hemoglobin
d. Arterial blood gas (ABG) analysis
18. The nurse uses a stethoscope to auscultate a male patient’s chest. Which statement about a stethoscope with a bell and diaphragm is true?
a. The bell detects high-pitched sounds best
b. The diaphragm detects high-pitched sounds best
c. The bell detects thrills best
d. The diaphragm detects low-pitched sounds best
19. A male patient is to be discharged with a prescription for an analgesic that is a controlled substance. During discharge teaching, the nurse should explain that the patient must fill this prescription how soon after the date on which it was written?
a. Within 1 month
b. Within 3 months
c. Within 6 months
d. Within 12 months
20. Which human element considered by the nurse in charge during assessment can affect drug administration?
a. The patient’s ability to recover
b. The patient’s occupational hazards
c. The patient’s socioeconomic status
d. The patient’s cognitive abilities
21. An employer establishes a physical exercise area in the workplace and encourages all employees to use it. This is an example of which level of health promotion?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Passive prevention
22. What does the nurse in charge do when making a surgical bed?
a. Leaves the bed in the high position when finished
b. Places the pillow at the head of the bed
c. Rolls the patient to the far side of the bed
d. Tucks the top sheet and blanket under the bottom of the bed
23. The physician prescribes 250 mg of a drug. The drug vial reads 500 mg/ml. how much of the drug should the nurse give?
a. 2 ml
b. 1 ml
c. ½ ml
d. ¼ ml
24. Nurse Mackey is monitoring a patient for adverse reactions during barbiturate therapy. What is the major disadvantage of barbiturate use?
a. Prolonged half-life
b. Poor absorption
c. Potential for drug dependence
d. Potential for hepatotoxicity
25. Which nursing action is essential when providing continuous enteral feeding?
a. Elevating the head of the bed
b. Positioning the patient on the left side
c. Warming the formula before administering it
d. Hanging a full day’s worth of formula at one time
26. When teaching a female patient how to take a sublingual tablet, the nurse should instruct the patient to place the table on the:
a. Top of the tongue
b. Roof of the mouth
c. Floor of the mouth
d. Inside of the cheek
27. Which action by the nurse in charge is essential when cleaning the area around a Jackson-Pratt wound drain?
a. Cleaning from the center outward in a circular motion
b. Removing the drain before cleaning the skin
c. Cleaning briskly around the site with alcohol
d. Wearing sterile gloves and a mask
28. The doctor orders dextrose 5% in water, 1,000 ml to be infused over 8 hours. The I.V. tubing delivers 15 drops per milliliter. The nurse in charge should run the I.V. infusion at a rate of:
a. 15 drop per minute
b. 21 drop per minute
c. 32 drop per minute
d. 125 drops per minute
29. A male patient undergoes a total abdominal hysterectomy. When assessing the patient 10 hours later, the nurse identifies which finding as an early sign of shock?
b. Pale, warm, dry skin
c. Heart rate of 110 beats/minute
d. Urine output of 30 ml/hour
30. Which pulse should the nurse palpate during rapid assessment of an unconscious male adult?