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1.Cellulitis on the floor of mouth is known as...???
A. Stomatitis
B. Glositis
C. Angina pectoris
D. Angina Ludovici
E. Gingivitis
Answer:D/ ludwing's angina
2. To remove soft contact lenses from the eyes of an unconscious patient the nurse should:
A. Uses a small suction cup placed on the lenses
B. Pinches the lens off the eye then slides it off the cornea
C. Lifts the lenses with a dry cotton ball that adheres to the lenses
D. Tenses the lateral canthus while stimulating a blink reflex by the patient
Answer:B
3.A patient undergoes laminectomy. In the immediate post-operative period, the nurse should
A. Monitor the patient's vital signs and log roll him to prone position
B. Monitor the patient's vital signs and encourage him to ambulate
C. Monitor the patient's vital signs and auscultate his bowel sounds
D. Monitor the patient's vital signs, check sensation and motor power of the feet
Answer:D
4. A patient with duodenal peptic ulcer would describe his pain as:
A. Generalized burning sensation
B. Intermittent colicky pain
C. Gnawing sensation relieved by food
D. Colicky pain intensified by food
Answer:D
5.A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine
(Apresoline) 20mg IV stat for blood pressure greater than 190/100 mmHg. The best response of the
nurse to this order is to:
A. Give the dose immediately and once
B. Give medication if patient's blood pressure is > 190/100 mmHg
C. Call the physician because the order is not clear
D. Administer the dose and repeat as necessary
Answer:A
6. Whilst recovering from surgery a patient develops deep vein thrombosis. The sign that would indicate
this complication to the nurse would be:
A. Intermittent claudication
B. Pitting edema of the area
C. Severe pain when raising the legs
D. Localized warmth and tenderness of the site
Answer:D
7. A patient presents to the emergency department with diminished and thready pulses,hypotension and
an increased pulse rate. The patient reports weight loss, lethargy, and decreased urine output. The lab
work reveals increased urine specific gravity. The nurse should suspect:
A. Renal failure
,B. Sepsis
C. Pneumonia
D. Dehydration
Answer:D
8.client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess
first?
A. Blood pressure
B. Respirations
C. Temperature
D. Cardiac rhythm
Answer: D
9.The nurse is planning care for a client with pneumococcal pneumonia. Which of the following would be
most effective in removing respiratory secretions?
A. Administration of cough suppressants
B. Increasing oral fluid intake to 3000 cc per day
C. Maintaining bed rest with bathroom privileges
D. Performing chest physiotherapy twice a day
Answer is B: Increasing oral fluid intake to 3000 cc per day. Secretion removal is enhanced with adequate
hydration which thins and liquefies secretions.
10.Method to diagnosis & locate seizures?
A. EEG
B. PET
C. MRI
D. CT scan
Answer: A
11.The primary goal of therapy for a client with pulmonary edema and heart failure?
A Enhance comfort
B Improve respiratory status
C Peripheral edema decreased
D Increase cardiac output
Answer: D
12.The nurse is preparing to administer an I.M. injection in a client with a spinal cord injury that has
resulted in paraplegia. Which of the following muscles is best site for the injection in this case?
A. Deltoid.
B. Dorsal gluteal.
C. Vastus lateralis.
D. Ventral gluteal.
Answer: A
13. The nurse is to collect a sputum specimen from a client. The best time to collect this specimen is:
A. early in the evening.
B. anytime during the day.
C. in the morning, as soon as the client awakens.
D. before bedtime.
Answer: C Because sputum accumulates in the lungs during sleep, the nurse should collect a sputum
specimen in the morning, as soon as the client awakens and before he eats or drinks. This specimen will
be concentrated, increasing the likelihood of an accurate culture
14. An obese client has returned to the unit after receiving sedation and electroconvulsive therapy. The
nurse requests assistance moving the client from the stretcher to the bed. There are 2 people available to
assist. Which of the following is the best method of transfer for this patient?
A. Carry lift.
,B. Sliding board.
C. Lift sheet transfer.
D. Hydraulic lift.
Answer:B
Which type of nursing intervention does the nurse perform when she administers oral care to a client?
A. Psychomotor.
B. Educational.
C. Maintenance.
D. Supervisory.
Answer:c
On her 3rd postpartum day, a client complains of chills and aches. Her chart shows that she has had a
temperature of 100.6° F (38.1° C) for the past 2 days. The nurse assesses foul-smelling, yellow lochia.
What do these findings suggest?
A. Lochia alba
B. Lochia serosa
C. Localized infection
D. Cervical laceration
. What is the term used for normal respiratory rhythm and depth in a client?
A. Eupnea
B. Apnea
C. Bradypnea
D. Tachypnea
QJ1. A client receives a painkiller. Thirty minutes
later , The nurse asks the client if the pain is
relieved. Which step of nursing process the
nurse is using?
A. Assessment
B. Nursing diagnosis
C. Implementation
D. Evaluation
A client says to the nurse "I know that I'm going to die." Which of the following responses by the nurse
would be best?
A. "We have special equipment to monitor you and your problem."
B. "Don't worry. We know what we're doing and you aren't going to die."
C. "Why do you think you're going to die?"
D. "Oh no, you're doing quite well considering your condition."
A dull percussion is noted over the symphysis pubis , it may indicate
A. Pelvic inflammatory disease
B. Prostatitis
C. Peritonitis
D. Distended Bladder
Answer: D
The nurse is assessing the reflexes of a newborn. The nurse assesses which of the following reflexes by
placing a finger in the newborn’s mouth?
A. Moro reflex
B. Sucking reflex
C. Rooting reflex
D. Babinski reflex
, Answer: B
When caring for a patient who has intermittent claudication, a cardiac/vascular nurse advises the patient
to:
A. apply graduated compression stockings before getting out of bed.
B. elevate the legs when sitting.
C. refrain from exercise.
D. walk as tolerated.
Answer: D
The client is brought to the emergency department due to drug poisoning. Which of the following nursing
interventions is most effective in the management of the client’s condition?
a) Gastric lavage
b) Activated charcoal
c) Cathartic administration
d) Milk dilution
Answer:B Activated charcoal
The administration of activated charcoal is the most effective in the management of poisoning because it
absorbs chemicals in the gastrointestinal tract, thus reducing its toxicity.
A nurse is assessing a group of clients. The nurse knows that which of the following clients is at risk for
fluid volume deficit?(DHA)
a) Client diagnosed with liver cirrhosis.
b) Client with diminished kidney function.
c) Client diagnosed with congestive heart failure.
d) Client attached to a colostomy bag.
Answer: D
Best time to check IOP?
A. Early morning
B. After noon
C. Late evening
D. At noon
Answer: A
The physician teaches a client about the need to increase her intake of calcium. At a follow-up
appointment, the nurse asks the client which foods she has been consuming to increase her calcium
intake. Which answer suggests that teaching about calcium-rich foods was effective?
A. Broccoli and nuts
B. Yogurt and kale
C. Bread and shrimp
D. Beans and potatoes
Answer: B
The nurse is caring for a client diagnosed with a stroke. Because of the stroke, the client has dysphagia
(difficulty swallowing). Which intervention by the nurse is best for preventing aspiration?
A. Placing the client in high Fowler's position to eat.
B. Offering liquids and solids together.
C. Keeping liquids thinned.
D. Placing food on the affected side of the mouth.
Answer: A
When administering an I.M. injection to an infant, the nurse in charge should use which site?
a. Deltoid
b. Dorsogluteal
c. Ventrogluteal
d. Vastus lateralis
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