Example Test Questions from Class

A client with diabetes has impaired sensation in her lower extremities. What education would be necessary to reduce her risk of injury? A. "Always test the temperature of bath water before stepping in." B. "Take your insulin twice a day as we have discussed." C. Remember to follow your diet so you lose weight this month." D. "Rub lotion on the skin of your legs and feet twice a day."

A. "Always test the temperature of bath water before stepping in."

Which activity generally occurs during the orientation phase of the helping relationship? A. An agreement or contract about the relationship is established B. The nurse provides any assistance needed to achieve patient goals C. The nurse provides patient counseling and teaching D. The patient and nurse examine the goals of the helloing relationship for indications of attainment

A. An agreement or contract about the relationship is established

The nurse is reviewing prescribed orders for a client. Which has the highest rick of infection? A. Indwelling urinary catheter B. Soap suds enema C. Subcutaneous injection D. Oral hygiene with suctioning

A. Indwelling urinary catheter

While making rounds, the nurse finds a patient on the floor in the hall. What should be the nurse's initial response? A. Inspect the patient for injury B. Transfer the patient back to bed C. Move the patient to the closest chair D. Report the incident to the nursing supervisor

A. Inspect the patient for injury

A nurse reassuring oneself of being prepared to speak in front of a peer group is using which of the following types of communications? A. Intrapersonal B. Interpersonal C. group D. organizational

A. Intrapersonal

The nurse is going to help set up the breakfast tray of a patient with congestive heart failure. What item of PPE should the nurse wear? A. None B. Gloves only C. Gloves & gown D. Gloves, gown, & mask

A. None

A nurse admitting a client to a geriatric medicine unit following the client's recent diagnosis of acute renal failure. Which nursing actions is most likely to reduce the client's chance of experiencing a fall while on the unit? A. Orient the client to the room and environment thoroughly upon admission. B. Provide the client with a bedpan to reduce the need to transfer to a commute or washroom. C. Administer pain medication sparingly in order to minimize cognitive or musculoskeletal side effects. D. Place the client in a shared room with a client who is stablehand oriented.

A. Orient the client to the room and environment thoroughly upon admission.

A student nurse is on a clinical rotation at a busy hospital unit. The RN tells the student to change a surginal dressing on a patient while she cares for the other patients. The student nurse has not done this procedure before and is not confident in his/her skills. What is the student's best response? A. Tell the RN that she/he lacks the technical competencies to change the dressing independently. B. Assemble the equipment for the procedure and follow the steps in the procedure manual. C. Ask another student nurse to work with him/her to change the dressing. D. Report the Rn to his/her instructor for delegating a task that should not be assigned to students.

A. Tell the RN that she/he lacks the technical competencies to change the dressing independently.

When performing hand hygiene, the nurse prefers to use an alcohol-based hand sanitizer. In which situation should the nurse use a different method? A. Visibly soiled hands B. Before putting on clean gloves C. Entering a client's room D. After assisting a client to bed

A. Visibly soiled hands

A staff development nurse is providing an in-service to a group of nurses on the use of restraints in health care facilities. What is an example of a chemical restraint? A. a dose of an antipsychotic B. side rails C. a geriatric chair with a tray D. a dose of an analgesic

A. a dose of an antipsychotic

A group of nursing students is working together on a presentation for their clinical instructor. One student in the group participates by arguing and attempting to block each step of the process of this presentation. The student's behavior is causing frustration for the others and slowing their progress. Which of the following best describes the role this individual student is playing in relationship to the group? A. self-serving B. task-oriented C. maintenance D. group-buidling

A. self-serving

A recent nursing graduate is attending shift report and asks a question about whether a patient can change her own vacuum dressing. Nurse bursts into laughter and yells, "Rookie!" After report, the recent graduate seeks out this nurse to address this incident. What is the most effective statement. A. "You need to remember that when you first graduated you didn't know every little nuance about nursing either." B. "It made me feel really embarrassed when you laughed and said 'Rookie' in front of everyone" C. "What you did and said was disrespectful and inappropriate. I expect that you won't do that again." D. "That was an example of incivility and it's simply not appropriate. It also hurt my feelings and shatter my confidence."

B. "It made me feel really embarrassed when you laughed and said 'Rookie' in front of everyone"

The patient is a chronic carrier of an infection. To prevent spread of the infection to other patients or healthcare providers, the nurse emphasizes interventions that doe which of the following? A. Eliminate the reservoir B. Block the portal if exit from the reservoir C. Block the portal of exit from the reservoir D. decrease the susceptibility of the host

B. Block the portal if exit from the reservoir

The client is a chronic carrier of infection. To prevent the spread of infection to other clients of health care providers: A. Eliminate the reservoir B. Block the portal of exit from the reservoir C. Block the portal of entry into the host D. Decrease the susceptibility of the host

B. Block the portal of exit from the reservoir

The primary nurse assigns a staff nurse to insert an indwelling urinary (Foley) catheter? What is the first thing the staff nurse should do? A. Wash hands thoroughly B. Check the physician's order C. Explain the equipment to the patient D. Gather the equipment at the bedside

B. Check the physician's order

Touch is a personal behavior that means the same thing to all persons. A. True B. False

B. False

The nurse is drawing peripheral blood from the antecubital vein of a patient with AIDS. What items of PPE should the nurse wear? A. None B. Gloves only C. Gloves & gown D. Gloves, gown, & mask

B. Gloves only

Health care professional are required to follow certain prinicles to ensure that healthcare-associated infections (HAI) do not occure in the health care facility. What contributes to infections during health care? A. Health professionals with short hair B. Health professionals donning artifical nails C. Health professionals with leather footwear D. Health professionals with earrings

B. Health professionals donning artifical nails

Several nurses on the same hospital unit communicate on the same social networking site. A nurse posts the following statement to the social networking page, "The lady in room 34 with heart failure was a train wreck!" This statement: A. Is acceptable because the client's name was not used B. Is unacceptable and breaks the client's confidentially rights. C. Is acceptable because the hospital's name was not mentioned D. In unacceptable because the diagnosis of heart failure was listed

B. Is unacceptable and breaks the client's confidentially rights.

Critique the following outcome criteria: A. Patient will be instructed to TCOB q 2 hr. B. Patient will ambulate to nurses station TID and do leg exercises q 4 hr. C. Mrs. Smith with restore optimal wellness. D. Patient's radial and ulnar pulse will be checked q 4 hr.

B. Patient will ambulate to nurses station TID and do leg exercises q 4 hr.

Bioterrorism has become a commonly used term. What is the definition of bioterrorism? A. A written threat calculated to produce terror in a family B. The deliberate spread of pathogens into a community C. A verbal threat by those wishing to harm specific individuals D. A worldwide plan to produce illness and injury

B. The deliberate spread of pathogens into a community

Who is the most compromised host? A. 2 month old who is breast feeding B. 20 year old who works in a day care center C. 40 year old who is receives chemotherapy for cancer D. 60 year old taking antibiotics x 10 day after having ankle surgery

C. 40 year old who is receives chemotherapy for cancer

A patient is diaphoretic and is receiving oxygen by nasal cannula. During a bath, the patient experiences dyspnea and complains of feeling tired. Which of the following is the best plan of care? A. Give a complete bath quickly B. Bathe only the body parts that need bathing C. Arrange for several rest periods during the bath D. Continue with the bath because dyspnea is unavoidable

C. Arrange for several rest periods during the bath

A patient returns to the clinic after taking a 7 day course of antibiotic therapy and is still exhibiting signs of a urinary tract infection. What should be the nurse's initial action? A. Obtain another urine specimen B. Secure an order for a new antibiotic C. Determine if the patient took the medication as prescribed D. Make an appointment for the patient to be seen by the physician

C. Determine if the patient took the medication as prescribed

During an annual performance review with an employee, the nurse manager does not maintain eye contact and seems concerned about the time and the next appointment. What type of communication is the manager exhibiting? A. Consistent B. Verbal C. Nonverbal D. Clarifying

C. Nonverbal

The nurse is caring for a diabetic patient admitted with foot ulcers. Which intervention is the FIRST priory in preventing infection when providing care for this patient? A. Not taking supplies between patient rooms B. Donning gloves C. Performing hand hygiene D. Performing dressing changes every 12 hours

C. Performing hand hygiene

When entering the room to change a central line dressing, the nurse notices the patient is coughing and sneezing. Which action is most appropriate when preparing the sterile field? A. Keep the sterile field on the far side of the patient's room away from the bedside B. Instruct the patient to refrain from coughing and sneezing during the dressing change C. Place a surgical mask on the patient to wear during the dressing change D. Give the patient a box of tissues to use during the dressing change

C. Place a surgical mask on the patient to wear during the dressing change

Which nursing action represents the best technique to set up sterile field? A. Place all supplies as close to the edge as possible B. Wear gown and gloves at all times C. Set up the field above the waist line D. Open supplies with sterile gloves

C. Set up the field above the waist line

The nurse is performing a physical assessment of a newly admitted patient. Which of the following statements is the priority subject statement to document? A. "I have sores between my toes." B. "I dye my hair but it is really grey." C. "My left leg drags in the floor when I walk." D. "My joints hurt when I get up in the morning."

D. "My joints hurt when I get up in the morning."

A nurse is caring for a patient who is immunocompromised and on protective isolation. A visitor arrives and wants to deliver a basket containing fruit and flowers into the room. What action should the nurse take? A. Allow the visitor to take the basket into the room B. Ask the patient if he/she wants the basket in the room C. Call the doctor for an order to take the basket into the room D. Advise the visitor the basket cannot be taken into the room

D. Advise the visitor the basket cannot be taken into the room

Besides using health care records, which forms of communication should the nurse use to provide client details to the health care team coming on duty in the next shift? A. Team conferences B. Telephone calls C. Client assignments D. Change-of-shift reports

D. Change-of-shift reports

The Nurse is caring for a patient who underwent a right knee placement 3 days ago. Which findings indicate the patient might be developing a wound infection? A. Fever, malaise, anorexia, nausea, and vomiting B. Palpitations, irritability, and heart intolerance C. Tingling and numbness of the right lower leg D. Edema, redness, heat, and pain at the incision

D. Edema, redness, heat, and pain at the incision

The nurse knows that a healthcare facility should determine its disaster-preparedness plan for delivering care in the event of an emergency or disaster. When should this be done? A. As soon as the disaster is announced publicly B. When officially informed that a disaster has occurred C. After the first disaster has been experienced D. In advance of a possible emergency or disaster

D. In advance of a possible emergency or disaster

Nurses provide many interventions to prevent falls in health care settings. What would be an appropriate intervention to prevent falls? A. Keep bad in the high position. B. Keep side rails up at all times. C. Apply restraints to all confused clients. D. Lock wheels on beds & wheelchairs.

D. Lock wheels on beds & wheelchairs.

The nurse takes the patient's blood pressure and records a diastolic pressure of 120. What should the nurse do first? A. Notify the physician B. Call a code C. Take the other vital signs D. Retake the blood pressure

D. Retake the blood pressure

The patient has suffered a cerebrovascular accident, has left-sided hemiparesis, and is incontinent. Which is an appropriately worded nursing diagnosis for the patient? A. Need to maintain skin integrity B. Stroke evinced by hemiparesis and insentience C. Clean and dry and receive range of motion every 4 hours D. Risk for impaired skin integrity related to left-sided hemiparesis and incontinence

D. Risk for impaired skin integrity related to left-sided hemiparesis and incontinence