Professional Documents
Culture Documents
1. A nurse hears her patient crying. Upon entering the room, the patient quickly changes
their demeanour and starts engaging with the nurse in a positive and bubbly tone. The
nurse enquires about the patient’s mood as she heard crying earlier. What is she
engaging in:
a. Perceptual bias
b. Perception
c. Therapeutic communication
d. Curiosity
3. Validating health care needs and priorities through verbal discussion with the patient is
what part of therapeutic communication?
a. Nursing diagnosis
b. Planning
c. Assessment
d. Intervention
4. Delegation and verbal discussion with the healthcare team is what part of therapeutic
communication?
a. Planning
b. Evaluation
c. Intervention
d. Implementation
8. Using all five sense in communication that do not involve spoken or written word is
known as:
a. Therapeutic communication
b. Denotative communication
c. Verbal communication
d. Non-verbal communication
10. Select all factors that influence communication: (select all that apply)
a. Hunger
b. Euphoria
c. Age
d. Level of trust between participants
e. Balance of power between participants
f. Privacy level
g. Noise level
h. Distraction level
i. Media influences
j. Comfort and safety
11. The nurse is having difficulty communicating with an older patient. What method should
she try?
a. Choose a dimly lit environment and minimize visual/auditory distractions
b. Allow time for the patient to respond
c. Speak loudly and use “elderspeak”
d. Use “elderspeak” when communicating with older patients.
ANSWER KEY AT THE END
12. What are the two purposes of infection control? (Select two)
a. Protect patients from acquiring infections
b. Limit the spread of disease by wearing N95
c. Protecting healthcare workers from becoming infected
d. Ration the use of PPE
14. What is included in the chain of infection? (Select all that apply).
a. Pathogen
b. PPE
c. Reservoir
d. Portal of exit from the reservoir
e. Mode of transmission
f. Portal of entry to a host
g. Susceptible host
19. Which reservoir can Herpes Simplex virus (Type 1) be found in?
a. Lesions of mouth, skin, saliva, feces
b. Lesions in adult genitalia only
c. Blood, semen, vaginal secretions
d. Lesions of mouth, skin, saliva, genitalia
20. What is the ideal pH level for most microorganisms to survive in?
a. pH of 10
b. pH of 3-5
c. pH of 5-8
d. pH 1
23. What is the mode of transmission for varicella-zoster virus (chicken pox)?
a. Airborne
b. Direct
c. Droplet
d. Vectorborne
25. What is the mode of transmission for MRSA (methicillin resistant staphylococcus
aureus)?
a. Direct
b. Droplet
c. Vehicle
d. Vectorborne
a. Direct
b. Droplet
c. Vehicle
d. Vectorborne
29. What is a health-care associated infection (HAI)? Select all that apply.
a. Nosocomial infection
b. An infection common to healthcare workers
c. Iatrogenic infection
d. An infection you get after eating hospital food
32. Steam under pressure, ethylene oxide gas, hydrogen peroxide plasma are commonly
used for:
a. Surgical instruments
b. Sterilization
c. Catheters
d. Patient discharge plans
33. What is the most important and basic technique in preventing transmission of
infections?
ANSWER KEY AT THE END
a. Wearing gloves
b. Disinfecting equipment with sterile saline solutions
c. Hand hygiene
d. Teeth brushing
34. What precautions should the nurse take when treating a patient who is under airborne
precautions?
a. Ensure patient is in a private room, use of N95 mask
b. Surgical mask worn within 2m of the patient
c. Private room with open door, gloves and gown upon entry
d. No precautions necessary
35. What precautions should the nurse take when treating a patient who is under contact
precautions?
a. Ensure patient is in a private room, use of N95 mask
b. Surgical mask worn within 2m of the patient
c. Private room, gloves and gown upon entry
d. No precautions necessary
36. Talking should be kept to a minimum to reduce respiratory airflow for patients who are
under precautions.
a. True
b. False
38. What is the minimum handwashing time with soap and water necessary to remove most
transient microorganisms?
a. 10 seconds
b. 150 seconds
c. 40-60 seconds
d. 3 minutes
39. A patient is on isolation precautions for pulmonary tuberculosis. The nurse notes that
the patient seems to be angry but knows this is a normal response to isolation. The
nurse’s best intervention is to:
a. Provide a dark, quiet room to calm the patient
b. Explain the isolation procedures and provide meaningful stimulation
c. Reduce the level of precautions to keep the patient from becoming angry
d. Limit family and other caregiver visits to reduce the risk of spreading infection
ANSWER KEY AT THE END
41. When performing surgical hand hygiene, the nurse’s hands must be kept:
a. Above the elbows
b. Below the elbows
c. At a 45-degree angle
d. In a comfortable position
42. What are the three types of patient safety incidents (adverse events)? Select all that
apply.
a. Harmful incident
b. Near miss
c. No-harm incident
d. Code Red incident
a. Corrosive
b. Flammable
c. Fire hazard
d. Oxidizing material
a. Compressed gas
b. Corrosive material
c. Dangerously reactive
d. Poisonous and infectious
ANSWER KEY AT THE END
53. When teaching parents about responding to poisoning in children, the nurse should
instruct them to:
a. Give oral fluids
b. Induce vomiting
c. Call the local poison control centre
d. Drive the child to the emergency department
MATH PRACTICE
a. 0.0485 kg
b. 0.00485 kg
c. 0.000485 kg
d. 0.0000485 kg
c. 2235 hr
d. 2135 hr
68. This type of electronic documentation keeps a lifetime record of all healthcare
encounters for an individual patient:
a. EMR
b. EHR
c. EPR
d. PHS
69. This type of electronic documentation is the legal record that describes a single
encounter/visit created in hospitals and outpatient healthcare settings that is the source
of data for the HER:
a. EMR
b. EPR
c. PHS
d. CHI
72. When a health care provider gives a therapeutic order over the phone to a nurse is
known as:
a. Short notice order
b. Verbal order
c. Telephone order
d. Secondary order
75. What areas should you consider when taking a general survey of the patient? Select all
that apply.
a. Physical appearance
b. Facial expression
c. Body structure
d. Mobility
e. Behaviour
f. Level of consciousness
g. Range of motion
76. The patient seems older than they’ve stated. What could this be an indicator of:
a. Patient is lying
ANSWER KEY AT THE END
78. A patient who has an exceptionally wide base and is staggering and stumbling upon
ambulation would have:
a. Problems with gait
b. Shortened limbs
c. Cushing’s disease
d. Problems with posture
79. A patient experiencing paralysis on the left side would likely have:
a. Problems with posture
b. Tics
c. Limited range of motion/absence of movement
d. Tremors
83. How long should you wait to take oral temperature if the patient just drank hot tea?
a. 20 mins
b. 10 mins
ANSWER KEY AT THE END
c. 30 mins
d. 1 hour
84. How long should you wait to take oral temperature if the patient had just smoked?
a. 5 minutes
b. 10 minutes
c. 2 minutes
d. 20 mins
85. When taking an adult’s rectal temperature, how far into the rectum should the
thermometer be inserted?
a. 1 cm
b. 1 inch
c. 5 cm
d. 0.5 inch
86. The nurse is assessing an Olympic athlete’s heart rate at rest. She notes the heart rate is
48 bpm. What is this an indication of:
a. Bradycardia
b. Tachycardia
c. This is normal for the patient
d. Bradypnea
87. The patient has a weak and thready pulse. How would this pulse force be recorded on a
three-point scale?
a. 3+
b. 2+
c. 1+
d. 0
89. A 13 month old comes into the clinic with a respiratory rate of 40 breaths per minute.
What is the best response from the nurse?
a. Assess for 2 full minutes to confirm the breathing rate
b. This is a normal finding
c. Document that the baby is experiencing hyperventilation
d. Advise the parent to take the baby to the hospital as this can be life threatening.
ANSWER KEY AT THE END
90. A newborns head measure about 38 cm and is larger than the chest circumference. This
is a(n):
a. Normal finding
b. Abnormal finding
91. At 2 years old, the child’s chest circumference is twice that of the cranium. This is a(n):
a. Normal finding
b. Abnormal finding
92. At 3 years old, the chest circumference is the same size as the head circumference. This
is a(n):
a. Normal finding
b. Abnormal finding
93. When should you use the Doppler technique? Select all that apply.
a. To locate the peripheral pulse sites
b. For BP measurements
c. To evaluate sounds that are hard to hear with a stethoscope
d. During ultrasounds
95. Excessive secretion of growth hormone by the anterior pituitary results in:
a. Gigantism
b. Dwarfism
c. Acromegaly
d. Normal response to growth and development
97. At what point does the individual become aware of a painful sensation?
a. Transduction
b. Perception
c. Modulation
d. Transmission
98. This type of pain is derived from skin surface and subcutaneous tissue:
ANSWER KEY AT THE END
a. Nociceptive pain
b. Somatic pain
c. Visceral pain
d. Neuropathic pain
99. Mrs. Smithers is experiencing pain in her hip. What type of pain is this?
a. Visceral pain
b. Somatic pain
c. Neuropathic pain
d. Deep somatic pain
101. Melanie has a pinched nerve and experiencing burning and tingling along her left
arm, specifically in her hand. What type of pain is this?
a. Nociceptive pain
b. Deep somatic pain
c. Somatic pain
d. Neuropathic pain
102. A patient has been experiencing pain for 3 months. What type of pain is this
classified as:
a. Acute pain
b. Chronic pain
c. Persistent pain
d. Non-malignant pain
103. Men are 2x more likely to experience migraines with aura, fibromyalgia, IBS, and
rheumatoid arthritis.
a. True
b. False
a. When one dose of opioid’s pain-relieving effects are equivalent to another dose
b. When two dose of opioids are used to balance the side effects of another opioid
c. When one dose of stronger opioid is used instead of one of lower strength
d. To provide the patient with two doses of opioids that are of equal strength
107. What is one way a nurse can reduce her risk of injury?
a. Lift/move patients manually
b. Use a slider sheet/slide board or transfer board when assisting patients to move
manually
c. Get help from the patient’s family to move the patient during exercise
d. Keep the bed low to the ground when performing bed baths
109. Shiny, flexible bands of fibrous tissue that support the skeletal system are known
as:
a. Fibrous joints
b. Synovial joints
c. Ligaments
d. Syndesmodial joint
112. Turning of a body part away from the midline is known as:
a. Hyperextension
b. Inversion
c. Eversion
d. Supination
113. Movement of extremities away from the midline of the body is known as:
a. Abduction
b. Adduction
c. Pronation
d. Supination
115. When the patient is lying chest down, they are in the:
a. Supine position
b. Fowler’s position
c. Semi fowler’s position
d. Prone position
116. An older person has limited mobility as a result of a total knee replacement.
During assessment, the nurse notes that the patient has difficulty breathing while lying
flat. Which of the following assessment data support a possible pulmonary problem
related to impaired mobility? Select all that apply.
a. BP is 128/84
b. Respirations are 26/min on RA
c. HR is 114 bpm
d. Crackles over lower lobes heard on auscultation
e. Pain reported as 3 on scale of 0-10 after medication
117. The nurse is caring for a patient whose calcium intake must increase because of
high risk factors for osteoporosis. Which of the following menus should the nurse
recommend?
a. Cream of broccoli soup with whole-wheat crackers, cheese, tapioca
b. Hot dog on whole-wheat bun, side salad, apple
c. Low fat turkey chili with sour cream, side salad, fresh pairs
d. Turkey salad on toast with tomato and lettuce, honey bun
ANSWER KEY AT THE END
119. What is something a nurse should REFRAIN from doing while providing a bed
bath?
a. Provide privacy
b. Keep side rails up while they are away from patient’s bedside
c. Keep room warm/control drafts
d. Discourage the patient from participating in bathing activities on their own
120. When caring for a patient’s feet during bath time, what must the nurse
remember?
a. Do not apply lotion between toes, as excessive moisture can result in infection
b. Apply excess amounts of lotion onto areas that are dry and cracked
c. Cut corns and calluses using commercial removers
d. Allow the patient to walk barefoot
121. How often should mouth care be performed for an unconscious patient?
a. Every day
b. Every hour
c. At least every 2 hours
d. Not necessary as they can swallow saliva themselves
122. What is important for the nurse to remember when caring for a patient with
dentures?
a. Dentures must be worn at night
b. Dentures must be removed at night
c. Dentures must be cleaned using saline
d. Dentures must be brushed using a firm bristled brush twice a day
123. How should the nurse provide care for the patient’s eyes?
a. Wipe from the outer canthus to the inner canthus
b. Wipe form the inner canthus to the outer canthus
c. Use the same section of the washcloth for both eyes
d. Lather the soap on the washcloth before wiping the eye
124. A thorough skin assessment is very important because the skin can provide
information about which of the following?
a. Support system
b. Circulatory status
c. Psychological wellness
ANSWER KEY AT THE END
d. Fundamental skills
125. When assessing for inflammation in a darkly pigmented patient, the nurse should
do which of the following?
a. Assess the skin for swelling
b. Palpate the skin for edema and increased warmth
c. Assess the oral mucosa for cyanosis
d. Palpate the skin for tenderness
126. When providing hair care for a patient, which of the following is NOT an
important consideration?
a. Caregiver preferences
b. Family preferences
c. Cultural preference
d. Patient preferences
127. What are the classifications of food? Select all that apply.
a. Functional
b. Nutritional
c. Organic
d. Novel
131. Infants have the greatest percentage of total body water, and older adults have
the least.
a. True
b. False
135. Adults aged 65+ have a decreased need for energy because the metabolic rate
slows with age; vitamin and mineral requirements remain unchanged.
a. True
b. False
136. Milk is not an efficient food for older adults to protect against osteoporosis.
a. True
b. False
138. The Canadian Nutritional Screening Tool only asks two questions related to:
a. Age and weight
b. Exercise and fluid intake
c. Age and weight loss
d. Weight loss and fluid intake
ANSWER KEY AT THE END
139. Two “YES” answers on the Canadian Nutritional Screening Tool indicates:
a. Increased nutritional risk
b. Decreased nutritional risk
140. What type of teaspoon is best to use for patients with bite reflexes?
a. Plastic spoon
b. Metal spoon
c. Rubber spoon
d. Wooden spoon
141. What should the nurse consider when feeding a patient with dysphagia? Select
all that apply.
a. Allow 5-10 seconds or longer for each bite/sip
b. Allow for 2 completed swallows between mouthfuls
c. If food is still present, offer an empty spoonful to stimulate swallowing
d. Provide sips of water in between each bite of solid food.
142. A patient asks if he should take vitamin pills to get the nutrients his body needs.
You tell him that essential nutrients:
a. Are made by the body
b. Generally must be supplied by food
c. Include herbal teas and alcohol
d. Are best obtained through taking vitamin pills
143. What are the determinants of healthy eating? Select all that apply.
a. Educational level
b. Income
c. Food preferences
d. Vitamin supplementation
e. Availability and accessibility of fresh produce
f. Policies that increase taxation of high-energy, low nutrient dense foods
148. The patient most at risk for fluid volume deficit is a(n):
a. Older person
b. Young to middle adult
c. Child
d. Infant
149. One reason that older people experience fluid and electrolyte imbalance and
acid-base imbalances is that they:
a. Eat poor-quality food
b. Have decreased thirst sensation
c. Have a more severe stress response
d. Have an overly active thirst response
150. A patient drinks 200mL of tea in the morning with 250mL oatmeal, has 100mL of
water at lunch with a turkey sandwich, and 300mL of milk with pasta at night. They
voided 400mL of urine throughout the day. What is the total amount of intake?
a. 600mL
b. 850mL
c. 450mL
d. 200mL
151. 15 minutes after blood administration, your patient develops dyspnea, a cough,
and a rapid heart rate. You suspect:
a. Sepsis
b. Anaphylaxis
c. Acute hemolytic reaction
d. Circulatory overload
a. 40-50
b. 60
c. 20
d. 35
153. The temporomandibular joint allows for which functions? Select all that apply.
a. Gliding
b. Open and close
c. Side-to-side
d. Circumduction
155. What are the three bony articulations of the elbow? Select all that apply
a. Forearm
b. Ulna
c. Humerus
d. Radius
156. More than half of the bones in our body are located in our hands and feet.
a. True
b. False
164. What test is used for checking for hip dislocation in babies?
a. Ortolani maneuver
b. Romberg Test
c. Allis Test
d. Bloomberg Test
166. A parent brings their 11 month old to the clinic to be assessed. The nurse notes
that the child has genu varum. What is the appropriate intervention?
a. Have the parent teach the child a series of lower leg exercises to build strength
b. This is a normal finding and will resolve on its own
c. The child may need surgical intervention before the age of 5
d. Aqua fit classes are the most appropriate to fix genu varum in children.
ANSWER KEY AT THE END
167. A 2 year old patient is positive for rickets and has a waddling gait as a result of
knock knees. What is this condition known as?
a. Genu varum
b. Genu valgum
c. Pes Planus
d. This is a normal gait for 2 year olds.
169. Which lobe is concerned with personality, behaviour, emotions and intellectual
functions?
a. Frontal lobe
b. Parietal lobe
c. Occipital lobe
d. Temporal lobe
174. The patient is seemingly healthy with no significant subjective findings. What
type of neurological exam should the nurse perform?
a. Screening
b. Complete
c. Neurological recheck
d. Partial
175. The patient is complaining of a headache and loss of coordination. What type of
neurological exam should the nurse perform?
a. Screening
b. Complete
c. Neurological recheck
d. Partial
176. The patient demonstrates neurological deficits and require periodic assessments.
What type of neurological exam should the nurse perform?
a. Screening
b. Complete
c. Neurological recheck
d. Partial
180. Which cranial nerve is responsible for sense of taste and facial expression?
a. CN VI
b. CN VIII
c. CN VI
ANSWER KEY AT THE END
d. CN XI
181. Which cranial nerve is responsible for determining the patient’s ability to hear?
a. CN VI
b. CN VII
c. CN VIII
d. CN X
182. Which cranial nerve is responsible for the movement of the tonsillar pilars?
a. CN IX and X
b. CN V
c. CN XII
d. CN VIII
184. When a patient can say the phrase “light, tight, dynamite” clearly and distinctly,
this means that cranial nerve _____ is intact:
a. CN X
b. CN XI
c. CN XII
d. CN VI
187. Slow, clumsy and sloppy response to rapid alternating movements is known as:
a. Dysdiadochokinesia
b. Cerebellar disease
c. Hypovolemia
d. Rothberg’s Response
188. What is the inability to identify objects correctly when placed in their hand?
ANSWER KEY AT THE END
a. Stereognosis
b. Astereognosis
c. Tactile discrimination
d. Kinaesthesia
189. This is known as the ability to read a number by having it traced on the skin:
a. Stereognosis
b. Kinaesthesia
c. Graphaesthesia
d. Dysdiadochokinesia
190. When a baby can raise their head and arch their back, similar to a swan dive, is
known as:
a. Landau reflex
b. Babinski reflex
c. Sensory reflex
d. Osgoode reflex
192. What are the anterior thoracic landmarks? Select all that apply.
a. Suprasternal Notch
b. Sternum
c. Sternal Angle
d. Costal Angle
196. Women incur greater lung damage from exposure to environmental tobacco
smoke than men do.
a. True
b. False
197. How should a nurse position her hand when evaluating for tactile fremitus?
a. Use the dorsa of the hand
b. Use two fingers
c. Use the palmar base of fingers or ulnar edge of the hand
d. Use both hands, palms down
198. The patient has a hairy chest, and the nurse knows that movement of hairs
under a stethoscope sounds like crackles. How should she minimize this false
adventitious sound when auscultating?
a. Ask the patient to shave
b. Auscultate over clothes
c. Wet the hair with a damp cloth
d. Avoid auscultating that area
199. What is the normal range on a pulse oximeter for a healthy adult with no lung
disease or anemia?
a. SPO2 of 95
b. SPO2 of 96
c. SPO2 of 98
d. SPO2 of 91
200. A 6MWT is administered for a patient with no health deficits. What is a normal
finding under these conditions?
a. Patient ambulates more than 300m in six minutes
b. Patient ambulates without the need of assistive devices
c. Patient maintains a respiratory rate between 16-20 breaths per minute
d. Patients pulse oximeter reads 95+ after six minutes
202. Which artery can be found between the trachea and the sternomastoid muscle?
a. Radial
b. Facial
c. Carotid
d. Apical
203. Which valve can be found at the fifth intercostal psace at the left lower sternal
border?
a. Aortic
b. Pulmonic
c. Erbs
d. Tricuspid
207. A child is brought into your clinic and upon assessment, you note that the child
has a venous hum. This is:
a. An abnormal finding
b. A normal finding
215. An individual with this inherited condition has an 87% change of developing
colon cancer by age 45.
a. IBD
b. Colorectal cancer
c. Abdominal adhesions
d. Familial adenomatous polyposis
216. What is the correct order to do a health assessment for the abdomen?
ANSWER KEY AT THE END
217. A patient is laying on the bed in supine position and you notice their abdomen is
caving inwards towards the internal organs. What would you describe the contour as?
a. Flat
b. Scaphoid
c. Rounded
d. Protuberant
218. A patient is admitted with striae along their abdomen. You notice majority of the
striae is pink and blue. What does this indicate?
a. Striae is old
b. Striae is newly developed
c. Striae is associated with Cushing’s syndrome
d. Striae is caused by prolonged stretching
219. When auscultating for bowel sounds, which quadrant should you start in?
a. RLQ
b. RUQ
c. LLQ
d. LUQ
220. The nurse is assessing for rebound tenderness when the patient is reporting
abdominal pain. He holds his hand 90 degrees to the abdomen at a spot away from the
area of pain and lifts up quickly. The patient does not report any pain on release. What
is this test called, and is this a positive or negative result?
a. Babinksi Test, negative
b. Blumberg’s Sign, positive
c. Blumberg’s Sign, negative
d. Rothberg’s Exam, negative
ANSWER KEY AT THE END
1. B 2. C 3. A 4. D 5. B 6. A 7. C 8. D
9. All 10. All 11. B 12. A, C 13. B 14. All 15. D 16. A
b bu
ut t
G B
17. B 18. B 19. D 20. C 21. A 22. All 23. A 24. B
bu
tF
25. A 26. D 27. B 28. B 29. A, 30. A 31. B 32. B
C
33. C 34. A 35. C 36. A 37. A 38. C 39. B 40. D
41. 1 42. A, 43. B 44. A 45. C 46. D 47. B 48. All
B, but
C C
49. B 50. B 51. B 52. C 53. C 54. B 55. B 56. A
57. B 58. C 59. D 60. D 61. A 62. A 63. C 64. A
65. C 66. C 67. A 68. B 69. A 70. B 71. D 72. C
73. C 74. B 75. A 76. B 77. C 78. A 79. C 80. A
,
C,
D
,
E
81. C 82. D 83. A 84. C 85. B 86. C 87. C 88. A
89. B 90. A 91. B 92. B 93. A, 94. A 95. A 96. D
B,
C
97. B 98. B 99. D 100. 101. 102. 103. 104.
B dD aA bB AA
105. 106. 107. 108. 109. 110. 111. 112.
AA CC BB BB CC AA B C
113. 114. 115. 116. 117. 118. 119. 120.
A D D BCD A C D A
121. 122. 123. 124. 125. 126. 127. 128.
C B B B B A ACD A
129. 130. 131. 132. 133. 134. 135. 136.
C A A B C D A B
137. 138. 139. 140. 141. 142. 143. 144.
D D A B ABC B All but D
D
ANSWER KEY AT THE END