FUNDAMENTALS OF NURSING QUESTIONS
1. Nurse Brenda is teaching a patient about a newly prescribed drug. What could cause ageriatric patient to have difficulty retaining knowledge about prescribed medications?a. Decreased plasma drug levels b. Sensory deficitsc. Lack of family supportd. History of Tourette syndrome2. When examining a patient with abdominal pain the nurse in charge should assess:a. Any quadrant first b. The symptomatic quadrant firstc. The symptomatic quadrant lastd. The symptomatic quadrant either second or third3. The nurse is assessing a postoperative adult patient. Which of the following should the nursedocument as subjective data?a. Vital signs b. Laboratory test resultc. Patient’s description of paind. Electrocardiographic (ECG) waveforms4. A male patient has a soft wrist-safety device. Which assessment finding should the nurseconsider abnormal?a. A palpable radial pulse b. A palpable ulnar pulsec. Cool, pale fingersd. Pink nail beds5. Which of the following planes divides the body longitudinally into anterior and posteriorregions?a. Frontal plane b. Sagittal planec. Midsagittal planed. Transverse plane6. A female patient with a terminal illness is in denial. Indicators of denial include:a. Shock dismay b. Numbnessc. Stoicismd. Preparatory grief 7. The nurse in charge is transferring a patient from the bed to a chair. Which action does thenurse take during this patient transfer?a. Position the head of the bed flat b. Helps the patient dangle the legsc. Stands behind the patientd. Places the chair facing away from the bed8. A female patient who speaks a little English has emergency gallbladder surgery, duringdischarge 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 patientd. Demonstrating the procedure and having the patient return the demonstration9. Before administering the evening dose of a prescribed medication, the nurse on the eveningshift finds an unlabeled, filled syringe in the patient’s medication drawer. What should the nursein 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 preparedto gived. Call the day nurse to verify the contents of the syringe10. 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 changesc. Increased amount of neuronsd. Enhanced blood flow to the GI tract11. A female patient is being discharged after cataract surgery. After providing medicationteaching, the nurse asks the patient to repeat the instructions. The nurse is performing whichprofessional role?a. Manager b. Educatorc. Caregiverd. Patient advocate12. A female patient exhibits signs of heightened anxiety. Which response by the nurse is mostlikely 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 glovingc. Handling surgical instruments to the surgeond. Applying surgical drapes14. A patient is in the bathroom when the nurse enters to give a prescribed medication. Whatshould 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 bedsidec. Return shortly to the patient’s room and remain there until the patient takes the medicationd. 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 heparinfor each dose?a. ¼ ml b. ½ mlc. ¾ mld. 1 ¼ ml16. The nurse in charge measures a patient’s temperature at 102 degrees F. what is theequivalent Centigrade temperature?a. 39 degrees C b. 47 degrees Cc. 38.9 degrees Cd. 40.1 degrees C17. To evaluate a patient for hypoxia, the physician is most likely to order which laboratory test?a. Red blood cell count b. Sputum culturec. Total hemoglobind. Arterial blood gas (ABG) analysis18. The nurse uses a stethoscope to auscultate a male patient’s chest. Which statement about astethoscope with a bell and diaphragm is true?a. The bell detects high-pitched sounds best b. The diaphragm detects high-pitched sounds bestc. The bell detects thrills bestd. The diaphragm detects low-pitched sounds best19. A male patient is to be discharged with a prescription for an analgesic that is a controlledsubstance. During discharge teaching, the nurse should explain that the patient must fill thisprescription how soon after the date on which it was written?a. Within 1 month b. Within 3 monthsc. Within 6 monthsd. Within 12 months20. Which human element considered by the nurse in charge during assessment can affect drugadministration?a. The patient’s ability to recover b. The patient’s occupational hazardsc. The patient’s socioeconomic statusd. The patient’s cognitive abilities21. An employer establishes a physical exercise area in the workplace and encourages allemployees to use it. This is an example of which level of health promotion?a. Primary prevention b. Secondary preventionc. Tertiary preventiond. Passive prevention
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