FUNDAMENTAL OF NURSING

Prepared By- Ms Josfeena Bashir

Nursing Tutor
Nims Nursing College

Q1. “Nursing practice is a direct service ,goal directed and adaptable to the needs of the individual ,the
family,and community during health and illness” , was given by
a) American Nurses Association
b) W.H.O
c) UNICEF
d) International Council of Nursing

Q2. Principles applied to the nursing procedure are:

a) Safety
b) Good Workmanship
c) Both a & b
d) Security

Q3. Message that the receiver returns to the sender is called:

a) Decoding
b) Feedback
c) Encoding
d) None of above

Q4. Most reliable method of measuring body temperature is:

a) Elbow
b) Axillary
c) Oral
d) Rectal

Q5.1 Gram is equal to:

a) 10000mg
b) 2000mg
c) 1000ng
d) 1000mg
Q6. The angle of insertion of intramuscular injection is:

a) 150
b) 250
c) 900
d) 450

Q7. Appropriate size of rectal tube for giving enema for school age children is:

a) No-12
b) No-22
c) No-0
d) No-16

“Q8.Florence Nightingale” was born in :

a) England
b) Italy
c) France
d) India

Q9. Causes of urinary incontinence are except:

a) Sphincter damage
b) Urinary tract infection
c) Weak Perineal muscle
d) Urethral Obstruction

Q10.The difference between oral and axillary temperature is:

a) 0.50c
b) 10c
c) 1.50c
d) 2.50c

Q11. To protect the client's skin from injury during hygiene care, including bathing or showering,
application of lotion, and bed making, you most need to do which of the following things?

a. Cover your rings and bracelets with gloves.

b. Briskly dry client's skin after bath to ensure dryness.
c. Keep bottom sheets somewhat loose.
d. Cut your fingernails to a short length.
Q12. The skin produces and absorbs which of the following vitamins in conjunction with the ultraviolet
rays of the Sun, which activate this particular vitamin's precursor present in the skin?

a) vitamin D
b) vitamin C
c) vitamin E
d) vitamin K

Q13. You are working with a client who has dentures but does not wear them. When questioned about
the reason for not wearing the dentures, the client says it makes him feel old. Which of the following
responses would be best?

a) "You are not really old."

b) "It is all right not to wear your dentures."
c) "You look better with dentures."
d) "Wearing dentures helps gums not to shrink.

Q14. When assessing the client's hair, you are especially looking for pediculosis capitis. If it is present,
which of the following signs will you most likely find?

a) Oval particles looking like dandruff on the hairs.

b) Crusts on the scalp, especially at the client's hairline.
c) Brown or black threadlike lesions.
d) Small insects with red leg

Q15. You are preparing to bathe and wash the hair of an African American woman. Which of the
following questions would be most important to ask the client?

a) "Will you please unbraid your hair?"

b) "Do you have or want oil put on your hair and scalp?"
c) "Is it all right if I shampoo your hair twice?"
d) "Will you brush your hair before the shampoo?"

Q16. . You need to remove the artificial eye of a client, and you need to clean it. Which of the following
methods is recommended for removal?

a) Put pressure on either side of the eye and pop it out.

b) Apply pressure directly above the eye
c) Apply pressure directly to the eye with a small rubber bulb.
d) Apply pressure with a rubber bulb to lower half of the eye
 Q17. It is most likely that an acutely ill client will need the room temperature set at which of the
following temperatures?

a) 64 degrees F
b) 68 degrees F
c) 74 degrees F
d) 78 degrees F

Q18. . You are cleaning a client's partial dentures, which have a metal clasp. Which of the following
actions are best on your part?

a) Place a washcloth in the sink where you are cleaning.

b) Remove the partial dentures by the metal clasp.
c) Use hot water to rinse the dentures after cleaning.
d) Soak the partial plate with the metal clasp overnight.

Q19. A nurse getting report at the beginning of shift learns that an assigned client has hyperpyrexia. The
nurse realizes that this client is experiencing which of the following signs or symptoms?

a) extreme bleeding of the gums

b) a very high fever, such as 41\B0C or 105.8\B0F
c) waxy flexibility of the muscles
d) third-degree burns over much of the body

Q20. You are ready to take the client's oral temperature. You ask this client how long it has been since
drinking something hot or cold or smoking. The client admits having just drunk a cup of hot coffee. You
will wait how long before taking the temperature?

a) 5 minutes
b) 10 minutes
c) 20 minutes
d) 30 minutes

Q21. Which of the following actions by a practical/vocational nursing student represents the best
example of deductive reasoning?

a) observing that a client is constipated then doing some data gathering on client's health practices
b) assessing a client using Maslow's Hierarchy, then defining client's problem in terms of nutrition
c) suspecting that a client is not being truthful and checking other sources for information
d) identifying several alternative courses of action and deciding on the best course of action
Q22. In the daily practice of nursing, nurses use critical thinking in:

a) setting priorities for the day.

b) every decision that is made.
c) calling the pharmacy to obtain a medication.
d) checking supplies in the client's room.

Q23. When the nurse problem solves and has implemented a solution from several solutions identified,
the nurse most needs to do which of the following things?

a. Discard the solutions that were not selected for implementation.

b. Implement a second solution, comparing its usefulness with the first solution.
c. Evaluate the effectiveness of the solution implemented.
d. Consider the problem solving completed in this case.

Q24 . Nurses, as they progress in their education, will most likely do which of the following things?

a. Learn to develop a personal theory of nursing.

b. Become less interested in bedside nursing.
c. Lose their ability to think critically in clinical areas.
d. Have increased enjoyment when doing paperwork.

Q25. When nurses assist clients in exploring their lifestyle habits and health behaviors to identify health
risks, nurses are most likely to use which of the following models?

a. medical model
b. wellness models
c. psychosocial model
d. physiological model

Q26. The lowest level of needs in Maslow's Hierarchy of Needs is which of the following?

a. safety and security needs

b. love and belonging needs
c. physiologic needs
d. self-esteem needs

Q27.Which of the following people have the largest percentage of water in their bodies?
a. fat men
b. lean men
c. lean women
d. fat women
Q28. When talking with a client about complete and incomplete proteins, which of the following would
you use as the best example of a complete protein?

a. olives
b. rice
c. eggs
d. Nuts

Q29. In instructing a client on cholesterol, the nurse will teach which of the following things?

a. The body does not need cholesterol.

b. Most cholesterol in the body is destroyed in the small intestine.
c. The majority of cholesterol in the body comes from eating fatty foods.
d. Most cholesterol is synthesized in the liver.

Q30. A client asks which of the vitamins can be stored in the body. Which of the following answers by
the nurse would be correct?

a. C
b. B1 thiamine
c. Biotin
d. D

Q31. The newborn infant's stomach capacity is approximately which of the following in milliliters?
a. 50
b. 90
c. 120
d. 160

Q32. Which of the following reasons is the most important, as well as the most widely accepted, reason
for nurses using nursing process?

a. Increase the unique body of knowledge known as nursing.

b. Help clients meet their actual and potential health problems.
c. Communicate with other members of the team.
d. Standardize the care of clients with the same diagnoses.
Q33. The primary source of data for the client's database is which of the following sources?
a. Client
b. recent clinic or hospital records
c. physician's history and physical
d. both a & b

Q34. Which of the following statements best describes a wellness nursing diagnosis for an individual,
family, or community?

a. clinical judgment of transition to a higher level of wellness

b. nursing judgment that in some area no pathology exists
c. a judgment that in some area there is more wellness than illness
d. statement of an area of family strength to use in interventions

Q35 . The physician writes an order for "progressive ambulation, as tolerated." The RN writes an order
for "Dangle for 5 min. 12 h post op and stand at bedside 24 h post op." The LVN assigned to care for this
client should do which of the following?

a. Call the physician for clarification of the ambulation orders.

b. Check with the State Board of Nursing for an opinion.
c. Check client's vital signs before dangling or standing client.
d. Dangle or stand client only if they are agreeable to this.

Q 36 . When does the nurse chart an intervention that involves administering medication to a client?

a. before the end of shift

b. before the next dose of medication or treatment is due
c. within one hour
d. Immediately

Q 37. When writing goals/outcomes for clients, the nurse should do which of the following?

a. Combine related diagnoses and write a goal or goals for this set.
b. Write goals that the treatment team believes are important.
c. Involve the client in determining the goals/desired outcomes.
d. Combine no more than two nursing diagnoses per goal.
Q38. A physician orders 1000 ml of NS to infuse over 12 hours . the drop factor is 15 dropd per ml . A
nurse prepares to set the flow rate at how many drops per minute?

a. 15 drops per minute

b. 17 drops per minute
c. 21 drops per minute
d. 23 drops per minute

Q39. A physician orders 3000 ml of dextrose to infuse over a 24 hour period. The drop factor is 10 drops
per ml. A nurse sets the flow rate at how many drops per minute?

a. 15 drops per minute

b. 17 drops per minute
c. 21 drops per minute
d. 24 drops per minute

Q40. The formula used for calculation of drug dosage is?

a. Required dose/stock dose*volume
b. Stock dose/required dose*volume
c. Total volume*drop factor/time in minutes
d. None of above

ANSWER KEY

Q1-a Q2-c Q3-b Q4-c Q5-d

Q6-c Q7-d Q8-b Q9-d Q10-a
Q11-d Q12-a Q13-d Q14-a Q15-b
Q16-c Q17-d Q18-a Q19-b Q20-d
Q21-b Q22-a Q23-c Q24-a Q25-b
Q26-c Q27-b Q28-c Q29-d Q30-d
Q31-b Q32-c Q33-d Q34-a Q35-c
Q36-d Q37-c Q38-c Q39-c Q40-a