1. You have finished with several nursing interventions.

To evaluate interventions, you need to

examine the: appropriateness of the interventions and the correct application of the
implementation process

2. Final step of the nursing process. In this step, you determine if your patient’s condition or
well-being has improved: Evaluation

3. It is the responsibility the of nurses keep legally and ethically obligated to keep all patient
information: Confidential

4. The following is an example of direct nursing care EXCEPT: Documentation

5. The following is an example of indirect nursing care: Documentation
6. Interventions are treatments performed away from a patient but on behalf of the patient or
group of patients, documentation, and interdisciplinary collaboration: Indirect care
7. Passage of medication molecules into the blood from the site of administration: Absorption
8. It is the coordinated efforts of the musculoskeletal and nervous systems: Body Mechanics
9. Which of the following is the most common use of restraint: Side rails
10. Gingivitis is defined as: Inflammation of the gums
11. Xerostomia is defined as: Dry Mouth
12. Medications are metabolized into a less-potent or an inactive form: Metabolism
13. It refers to a person’s ability to move about freely: Mobility
14. It is Weight force exerted on the body: Gravity
15. It is Force that occurs in a direction opposite to movement: Friction
16. A sublingual drug is administered by placing the drug in what part of the body: under the
tongue
17. substance used in the diagnosis, treatment, cure, relief, or prevention of health problems:
Medication
18. The six rights for medication administration: Right medication, right route, right date, right
documentation, right dose, right time.
19. The manufacturer who first develops the drug assigns the name, and it is then listed in the
U.S.Pharmacopeia: Generic Name
20. Also known as brand or proprietary name. This is the name under which a manufacturer
markets the medication: Trade Name
21. Provides the exact description of medication’s composition: Chemical Brand
22. Unintended, undesirable, often unpredictable: Adverse effect
23. Predictable, unavoidable secondary effect: Side effect
24. Accumulation of medication in the bloodstream: Toxic effect
25. Overreaction or underreaction or different reaction from normal: Idiosyncratic Reaction
26. Unpredictable response to a medication: Allergic Reaction
27. Mr. R is admitted in Surgical ward post Total knee replacement complaining of moderate
pain. The doctor order to administer tramadol 75 mg IM STAT. The stock on hand
100mg/2ml. How many ml are you going to administer: 1.5 ml

28. The most common and most convenient route of administration: Oral

29. Intramuscular, Subcutaneous, Intradermal and epidural are four major site: Parenteral

30. A 3 year old is admitted to the Pediatric unit with a diagnosis of Pneumonia.
The doctor has standing order of Gentamycin 16 mg IV Q12H. The stock on hand 80
mg/2ml. How many ml are you going to administer: 0.4 ml

31. A 4-year-old pediatric patient resists going to sleep. To assist this patient, the best action to
take would be: maintaining the child’s home sleep routine

32. Which statement made by the parent of a school-age child requires follow-up by the nurse:
“I encourage evening exercise about an hour before bedtime.”

33. The nurse is developing a plan of care for a patient experiencing obstructive sleep apnea
(OSA). Which intervention is appropriate to include on the plan: Elevate head of bed and
assume a side or prone position

34. The effects of immobility on the cardiac system include which of the following? (Select all
that apply.): Thrombus formation, Increased cardiac workload, Orthostatic hypotension

35. Stage 1 Pressure ulcer is described as: Intact skin with non blanchable redness

36. Type of pressure ulcer that has partial Thickness skin loss involving dermis, epidermis or
both: Stage 2
37. Stage 4 Pressure ulcer is described as: Full thickness tissue loss with expose bone and
tendon

38. Type of pressure ulcer that has Full thickness tissue loss with visible fat: Stage 3

39. During rounds on the night shift, you note that a patient stops breathing for 1 to 2 minutes
several times during the shift. This condition is known as: sleep apnea

40. A 72-year-old patient asks the nurse about using an over-the-counter antihistamine as a
sleeping pill to help her get to sleep. What is the nurse's best response: “Antihistamines
should not be used because they can cause confusion and increase your risk of falls.”

41. A patient suffers from sleep pattern disturbance. To promote adequate sleep, most
important nursing intervention is: synchronizing the medication, treatment, and vital signs
schedule.

42. Which of the following best describes Collaborative nursing intervention: Interdependent—
Require combined knowledge, skill, and expertise of multiple health care professionals

43. Concept mapping is one way to: connect concepts to a central subject, relate ideas to
patient health problems. challenge a nurse’s thinking about patient needs and problems,
graphically display ideas by organizing data.

44. The guidelines for writing an appropriate nursing diagnosis include all of the following
except: Use medical terminology to describe the probable cause of the patient's response

45. The nurse performs an assessment of a newly admitted patient. The nurse understands
that this admission assessment is conducted primarily to: Identify important data

46. A nurse has just admitted a patient with a medical diagnosis of congestive heart failure.
When completing the admission paperwork, the nurse needs to record: objective data that
are observed.
47. Which of the following is an end result that translates into observable patient behaviors that
are measurable and desirable: Expected outcome

48. Your patient has met the goals set for improvement of ambulatory status. You would now:
discontinue the care plan.

49. Nurse-initiated interventions are: determined by state Nurse Practice Acts.

50. A health care provider may suspect that a patient is experiencing urinary retention when the
patient has: small amounts of urine voided two to three times per hour.

51. A patient with a long-standing history of diabetes mellitus is voicing concerns about kidney
disease. The patient asks the nurse where urine is formed in the kidney. The nurse’s
response is the: nephron.

52. A postoperative patient is using PCA. You will evaluate the effectiveness of the medication
when: you compare assessed pain w/baseline pain.

53. When a smiling and cooperative patient complains of discomfort, nurses caring for this
patient often harbor misconceptions about the patient's pain. Which of the following is true:
Patients are the best judges of their pain.

54. A symptom, not a disease; infrequent stool and/or hard, dry, small stools that are difficult to
eliminate: Constipation

55. Inability to control passage of feces and gas to the anus: Incontinence

56. Results from unrelieved constipation; a collection of hardened feces wedged in the rectum
that a person cannot expel: Impaction

57. Nutrients are provided intravenously: Parenteral Nutrition

58. To maintain normal elimination patterns in the hospitalized patient, you should instruct the
patient to defecate 1 hour after meals because: mass colonic peristalsis occurs at this time.

59. Dilated, engorged veins in the lining of the rectum: Hemorrhoids

60. An increase in the number of stools and the passage of liquid, unformed feces: Diarrhea

61. It provides nutrients into the GI tract. It is physiological, safe, and economical nutritional
support: Enteral Feeding

62. Is not protective, has no purpose, may or may not have an identifiable cause:
Chronic/persistent noncancer

63. Chronic pain without identifiable physical or psychological cause: Idiopathic

64. Occurs sporadically over an extended duration: Chronic episodic

65. The type of pain which is Protective, identifiable, short duration; limited emotional response:
Acute/Transient pain

66. It is given when the patient requires it: PRN

67. Administered until the dosage is changed or another medication is prescribed: Standing
order

68. A 50 year old female in admitted ICU has diagnosis of deep vein thrombosis has ongoing
heparin infusion. According to protocol the infusion need to titrate to 6 units per hour. The
stock on hand 250 units in 250 ml of d5 water. How many ml per hour are you going to
administer: 6 ml
69. A 60 years old female newly diagnosed with Diabetes mellitus is for discharge today. The
physician order to take metformin 1000 mg BID P.O. The stock on hand 500 mg/tab. How
many tablet are you going to administer: 2 tablets

70. You assign in ICU when the patient suddenly the cardiac monitor shows Rapid Atrial
Fibrillation. The physician order 150 mg of amiodarone to run for 10 minutes. The stock on
hand 150 mg/100 ml in d5 water. How many ml are you going to administer: 100 ml

71. A nurse floats to a busy surgical unit and administers a wrong medication to a patient. This
error can be classified as: procedure-related accident.

72. Nurses are legally required to document medications that are administered to patients. The
nurse is mandated to document which of the following: Medication after administering it.

73. If a nurse experiences a problem reading a physician’s medication order, the most
appropriate action will be to: call the physician to verify order.

74. You are caring for a patient who has diabetes complicated by kidney disease. You need to
make a detailed assessment when administering medications because this patient may
experience problems with: excretion

75. While caring for a child, you identify that additional safety teaching is needed when a young
and inexperienced mother states that: a 3-year-old can safely sit in the front seat of the car.

76. When caring for a patient who has multiple health problems and related medical diagnoses,
nurses can best perform nursing diagnoses and nursing interventions by developing a:
concept map

77. Which of the following best describes Nurse-initiated: Independent—Actions that a nurse
initiates

78. Which of the following best describe Health care provider initiated: Dependent—Require an
order from a physician or other health care professional
79. Types of Nursing Diagnoses. Select all that apply: Problem focused, Health promotion, risk

80. Is a clinical judgment vulnerability for that response by an individual, family, or community
that a nurse is licensed and competent to treat. Patients are actively involved. Nursing
diagnoses are ever changing on the basis of a patient’s needs: Nursing Diagnosis

81. your judgment or interpretation of these cues: inference

82. information that you obtain through use of the senses: Cue

83. The separation and restriction of movement of ill persons with contagious diseases:
Isolation

84. The complete elimination or destruction of all microorganisms, including spores:

Sterilization

85. A process that eliminates many or all microorganisms, with the exception of bacterial
spores, from inanimate objects: Disinfection

86. What are the types of Isolation Precaution? Select all that apply: Airborne, Droplet, Contact,
Protective environment.

87. Involves collecting information from the patient and from secondary sources (e.g., family
members),along with interpreting and validating the information to form a complete
database: Assessment

88. The steps in Nursing Process includes: Assessment, Diagnosis, Planning, Implementation,
Evaluation

89. Which of the following statement best describe nursing process: is a critical thinking
process that professional nurses use to apply the best available evidence to caregiving and
to promoting human functions and responses to health and illness. continuous and
dynamic, so you may move back and forth among the steps.
90. Types of HAI infection from a procedure: Iatrogenic

91. The type of HAI when the patient’s flora becomes altered and an overgrowth results:
Endogenous

92. The type of HAI from microorganisms outside the individual: Exogenous

93. Absence of pathogenic microorganisms: Asepsis

94. You notice a respiratory change in your immobilized postoperative patient. The change you
note is most consistent with: atelectasis.

95. When obtaining a wound culture to determine the presence of a wound infection, from
where should the specimen be taken: Cleansed wound

96. You are caring for a non–English-speaking male patient. When preparing to assist him with
personal hygiene, you should: ensure that culture and ethnicity influence hygiene practices.

97. A postoperative patient arrives at an ambulatory care center and states, “I am not feeling
good.” Upon assessment, you note an elevated temperature. An indication that the wound
is infected would be: it shows purulent drainage coming from the incision site: it shows
purulent drainage coming from the incision site.

98. The infectious process transmitted from one person to another: Communicable disease

99. What are the four stages of Infectious process. Select all that apply: Incubation period,
Prodomal stage, Illnesses stage, Convalescence.