Nursing Practice I -foundation Of Professional Nursing Practice (exam Mode)

100 Questions  I  By Rnpedia on July 1, 2010
NLE Exam Mode
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1.  Nurse Hazel will administer a unit of whole blood, which priority information should the nurse have about the client?
A.
B.
C.
D.
2.  A 65 years old male client requests his medication at 9 p.m. instead of 10 p.m. so that he can go to sleep earlier. Which type of nursing intervention is required?
A.
B.
C.
D.
3.  Nurse Ronald is aware that the best tool for data gathering is?
A.
B.
C.
D.
4.  The physician orders DS 500 cc with KCl 10 mEq/liter at 30 cc/hr. The nurse in-charge is going to hang a 500 cc bag. KCl is supplied 20 mEq/10 cc. How many cc’s of KCl will be added to the IV solution?
A.
B.
C.
D.
5.  A male client with diabetes mellitus is receiving insulin. Which statement correctly describes an insulin unit?
A.
B.
C.
D.
6.  Which stage of pressure ulcer development does the ulcer extend into the subcutaneous tissue?
A.
B.
C.
D.
7.  Nurse Myrna is aware that the Board of Nursing has quasi-judicial power. An example of this power is:
A.
B.
C.
D.
8.  She finds out that some managers have benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely?
A.
B.
C.
D.
9.  Which dietary guidelines are important for nurse Oliver to implement in caring for the client with burns?
A.
B.
C.
D.
10.  If a central venous catheter becomes disconnected accidentally, what should the nurse in-charge do immediately?
A.
B.
C.
D.
11.  Nurse Betty is assigned to the following clients. The client that the nurse would see first after endorsement?
A.
B.
C.
D.
12.  Nurse Gail places a client in a four-point restraint following orders from the physician. The client care plan should include:
A.
B.
C.
D.
13.  A female client with a fecal impaction frequently exhibits which clinical manifestation?
A.
B.
C.
D.
14.  Tony, a basketball player twist his right ankle while playing on the court and seeks care for ankle pain and swelling. After the nurse applies ice to the ankle for 30 minutes, which statement by Tony suggests that ice application has been effective?
A.
B.
C.
D.
15.  Cherry notes down ideas that were derived from the description of an investigation written by the person who conducted it. Which type of reference source refers to this?
A.
B.
C.
D.
16.  The maximum transfusion time for a unit of packed red blood cells (RBCs) is:
A.
B.
C.
D.
17.  Nurse Michelle witnesses a female client sustain a fall and suspects that the leg may be broken. The nurse takes which priority action?
A.
B.
C.
D.
18.  A newly admitted female client was diagnosed with deep vein thrombosis. Which nursing diagnosis should receive the highest priority?
A.
B.
C.
D.
19.  Which nursing intervention takes highest priority when caring for a newly admitted client who's receiving a blood transfusion?
A.
B.
C.
D.
20.  Nurse Amy has documented an entry regarding client care in the client’s medical record. When checking the entry, the nurse realizes that incorrect information was documented. How does the nurse correct this error?
A.
B.
C.
D.
21.  The physician inserts a chest tube into a female client to treat a pneumothorax. The tube is connected to water-seal drainage. The nurse in-charge can prevent chest tube air leaks by:
A.
B.
C.
D.
22.  The nurse In-charge in labor and delivery unit administered a dose of terbutaline to a client without checking the client’s pulse. The standard that would be used to determine if the nurse was negligent is:
A.
B.
C.
D.
23.  The nurse is assessing a 48-year-old client who has come to the physician’s office for his annual physical exam. One of the first physical signs of aging is:
A.
B.
C.
D.
24.  Asking the questions to determine if the person understands the health teaching provided by the nurse would be included during which step of the nursing process?
A.
B.
C.
D.
25.  Which type of evaluation occurs continuously throughout the teaching and learning process?
A.
B.
C.
D.
26.  When a nurse in-charge causes an injury to a female patient and the injury caused becomes the proof of the negligent act, the presence of the injury is said to exemplify the principle of:
A.
B.
C.
D.
27.  Nurse Amy has an order to obtain a urinalysis from a male client with an indwelling urinary catheter. The nurse avoids which of the following, which contaminate the specimen?
A.
B.
C.
D.
28.  Nurse Len refers a female client with terminal cancer to a local hospice. What is the goal of this referral?
A.
B.
C.
D.
29.  Nurse Janah is collecting a sputum specimen for culture and sensitivity testing from a client who has a productive cough. Nurse Janah plans to implement which intervention to obtain the specimen?
A.
B.
C.
D.
30.  A male client is being transferred to the nursing unit for admission after receiving a radium implant for bladder cancer. The nurse in-charge would take which priority action in the care of this client?
A.
B.
C.
D.
31.  A male client is receiving total parenteral nutrition suddenly demonstrates signs and symptoms of an air embolism. What is the priority action by the nurse?
A.
B.
C.
D.
32.  Patient’s refusal to divulge information is a limitation because it is beyond the control of Tifanny”. What type of research is appropriate for this study?
A.
B.
C.
D.
33.  The physician orders dextrose 5 % in water, 1,000 ml to be infused over 8 hours. The I.V. tubing delivers 15 drops/ml. Nurse John should run the I.V. infusion at a rate of:
A.
B.
C.
D.
34.  Nurse John develops methods for data gathering. Which of the following criteria of a good instrument refers to the ability of the instrument to yield the same results upon its repeated administration?
A.
B.
C.
D.
35.  Nurse Marian is preparing to administer a blood transfusion. Which action should the nurse take first?
A.
B.
C.
D.
36.  Nurse Patricia is reconstituting a powdered medication in a vial. After adding the solution to the powder, she nurse should:
A.
B.
C.
D.
37.  An 80-year-old male client is admitted to the hospital with a diagnosis of pneumonia. Nurse Oliver learns that the client lives alone and hasn’t been eating or drinking. When assessing him for dehydration, nurse Oliver would expect to find:
A.
B.
C.
D.
38.  Nurse Len is administering sublingual nitrglycerin (Nitrostat) to the newly admitted client. Immediately afterward, the client may experience:
A.
B.
C.
D.
39.  Nurse Myrna is providing instructions to a nursing assistant assigned to give a bed bath to a client who is on contact precautions. Nurse Myrna instructs the nursing assistant to use which of the following protective items when giving bed bath?
A.
B.
C.
D.
40.  Mary finally decides to use judgment sampling on her research. Which of the following actions of is correct?
A.
B.
C.
D.
41.  The physician prescribes meperidine (Demerol), 75 mg I.M. every 4 hours as needed, to control a client’s postoperative pain. The package insert is “Meperidine, 100 mg/ml.” How many milliliters of meperidine should theclient receive?
A.
B.
C.
D.
42.  A 45 year old client, has no family history of breast cancer or other risk factors for this disease. Nurse John should instruct her to have mammogram how often?
A.
B.
C.
D.
43.  Ronald plans to conduct a research on the use of a new method of pain assessment scale. Which of the following is the second step in the conceptualizing phase of the research process?
A.
B.
C.
D.
44.  The doctor orders hourly urine output measurement for a postoperative male client. The nurse Trish records the following amounts of output for 2 consecutive hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml. Based on these amounts, which action should the nurse take?
A.
B.
C.
D.
45.  The nursing theorist who developed transcultural nursing theory is:
A.
B.
C.
D.
46.  A 10 year old child with type 1 diabetes develops diabetic ketoacidosis and receives a continuous insulin infusion. Which condition represents the greatest risk to this child?
A.
B.
C.
D.
47.  Nurse Oliver must apply an elastic bandage to a client’s ankle and calf. He should apply the bandage beginning at the client’s:
A.
B.
C.
D.
48.  Marion is aware that the sampling method that gives equal chance to all units in the population to get picked is:
A.
B.
C.
D.
49.   A male client is admitted and diagnosed with acute pancreatitis after a holiday celebration of excessive food and alcohol. Which assessment finding reflects this diagnosis?
A.
B.
C.
D.
50.  In preventing the development of an external rotation deformity of the hip in a client who must remain in bed for any period of time, the most appropriate nursing action would be to use:
A.
B.
C.
D.
51.  Nursing care for a female client includes removing elastic stockings once per day. The Nurse Betty is aware that the rationale for this intervention?
A.
B.
C.
D.
52.  The physician prescribes a loop diuretic for a client. When administering this drug, the nurse anticipates that the client may develop which electrolyte imbalance?
A.
B.
C.
D.
53.  Nurse May attends an educational conference on leadership styles. The nurse is sitting with a nurse employed at a large trauma center who states that the leadership style at the trauma center is task-oriented and directive. The nurse determines that the leadership style used at the trauma center is:
A.
B.
C.
D.
54.  Nurse Oliver measures a client’s temperature at 102° F. What is the equivalent Centigrade temperature?
A.
B.
C.
D.
55.  When the license of nurse Krina is revoked, it means that she:
A.
B.
C.
D.
56.  A female client was recently admitted. She has fever, weight loss, and watery diarrhea is being admitted to the facility. While assessing the client, Nurse Hazel inspects the client’s abdomen and notice that it is slightly concave. Additional assessment should proceed in which order:
A.
B.
C.
D.
57.  Ms. Garcia is responsible to the number of personnel reporting to her. This principle refers to:
A.
B.
C.
D.
58.  A newly admitted female client was diagnosed with agranulocytosis. The nurse formulates which priority nursing diagnosis?
A.
B.
C.
D.
59.  The leader of the study knows that certain patients who are in a specialized research setting tend to respond psychologically to the conditions of the study. This referred to as :
A.
B.
C.
D.
60.  Nurse Michelle hears the alarm sound on the telemetry monitor. The nurse quickly looks at the monitor and notes that a client is in a ventricular tachycardia. The nurse rushes to the client’s room. Upon reaching the client’s bedside, the nurse would take which action first?
A.
B.
C.
D.
61.  A child of 10 years old is to receive 400 cc of IV fluid in an 8 hour shift. The IV drip factor is 60. The IV rate that will deliver this amount is:
A.
B.
C.
D.
62.  Which intervention should the nurse Trish use when administering oxygen by face mask to a female client?
A.
B.
C.
D.
63.  Which type of medication order might read "Vitamin K 10 mg I.M. daily × 3 days?"
A.
B.
C.
D.
64.  Ensuring that there is an informed consent on the part of the patient before a surgery is done, illustrates the bioethical principle of:
A.
B.
C.
D.
65.  John plans to use a Likert Scale to his study to determine the:
A.
B.
C.
D.
66.  Dr. Garcia writes the following order for the client who has been recently admitted “Digoxin .125 mg P.O. once daily.” To prevent a dosage error, how should the nurse document this order onto the medication administration record?
A.
B.
C.
D.
67.  Nurse Hazel is preparing to ambulate a female client. The best and the safest position for the nurse in assisting the client is to stand:
A.
B.
C.
D.
68.  Which of the following vital sign assessments that may indicate cardiogenic shock after myocardial infarction?
A.
B.
C.
D.
69.  Which of the following item is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs?
A.
B.
C.
D.
70.  A male client has the following arterial blood gas values: pH 7.30; Pao2 89 mmHg; Paco2 50 mmHg; and HCO3 26mEq/L. Based on these values, Nurse Patricia should expect which condition?
A.
B.
C.
D.
71.  Harry knows that he has to protect the rights of human research subjects. Which of the following actions of Harry ensures anonymity?
A.
B.
C.
D.
72.  Monica is aware that there are times when only manipulation of study variables is possible and the elements of control or randomization are not attendant. Which type of research is referred to this?
A.
B.
C.
D.
73.  Which of the following theory addresses the four modes of adaptation?
A.
B.
C.
D.
74.   Nurse Oliver is assessing a client's abdomen. Which finding should the nurse report as abnormal?
A.
B.
C.
D.
75.  Nurse Amy is aware that the following is true about functional nursing
A.
B.
C.
D.
76.   Which instruction should nurse Tom give to a male client who is having external radiation therapy:
A.
B.
C.
D.
77.  When Nurse Trish is providing care to his patient, she must remember that her duty is bound not to do doing any action that will cause the patient harm. This is the meaning of the bioethical principle:
A.
B.
C.
D.
78.  Nurse Oliver is caring for a client with impaired mobility that occurred as a result of a stroke. The client has right sided arm and leg weakness. The nurse would suggest that the client use which of the following assistive devices that would provide the best stability for ambulating?
A.
B.
C.
D.
79.  A male client complains of abdominal discomfort and nausea while receiving tube feedings. Which intervention is most appropriate for this problem?
A.
B.
C.
D.
80.  A male client with a right pleural effusion noted on a chest X-ray is being prepared for thoracentesis. The client experiences severe dizziness when sitting upright. To provide a safe environment, the nurse assists the client to which position for the procedure?
A.
B.
C.
D.
81.  Nurse Trish is caring for a female client with a history of GI bleeding, sickle cell disease, and a platelet count of 22,000/μl. The female client is dehydrated and receiving dextrose 5% in half-normal saline solution at 150 ml/hr. The client complains of severe bone pain and is scheduled to receive a dose of morphine sulfate. In administering the medication, Nurse Trish should avoid which route?
A.
B.
C.
D.
82.  In assisting a female client for immediate surgery, the nurse In-charge is aware that she should:
A.
B.
C.
D.
83.  A client is admitted with multiple pressure ulcers. When developing the client's diet plan, the nurse should include:
A.
B.
C.
D.
84.  Nurse Meredith is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls the nurse on the intercom to tell the nurse that there is an emergency phone call. The appropriate nursing action is to:
A.
B.
C.
D.
85.  Nurse Reese is teaching a female client with peripheral vascular disease about foot care; Nurse Reese should include which instruction?
A.
B.
C.
D.
86.  The nurse prepares to administer a cleansing enema. What is the most common client position used for this procedure?
A.
B.
C.
D.
87.  Nurse Janah is monitoring the ongoing care given to the potential organ donor who has been diagnosed with brain death. The nurse determines that the standard of care had been maintained if which of the following data is observed?
A.
B.
C.
D.
88.  Which is the most appropriate nursing action in obtaining a blood pressure measurement?
A.
B.
C.
D.
89.  Nurse Betty is assessing tactile fremitus in a client with pneumonia. For this examination, nurse Betty should use the:
A.
B.
C.
D.
90.  Nurse Monique is monitoring the effectiveness of a client's drug therapy. When should the nurse Monique obtain a blood sample to measure the trough drug level?
A.
B.
C.
D.
91.  A male client who has severe burns is receiving H2 receptor antagonist therapy. The nurse In-charge knows the purpose of this therapy is to:
A.
B.
C.
D.
92.  Nurse Ron is assisting with transferring a client from the operating room table to a stretcher. To provide safety to the client, the nurse should:
A.
B.
C.
D.
93.  A female client is to be discharged from an acute care facility after treatment for right leg thrombophlebitis. The Nurse Betty notes that the client's leg is pain-free, without redness or edema. The nurse's actions reflect which step of the nursing process?
A.
B.
C.
D.
94.  Nurse May is aware that the main advantage of using a floor stock system is:
A.
B.
C.
D.
95.  When the method of wound healing is one in which wound edges are not surgically approximated and integumentary continuity is restored by granulations, the wound healing is termed
A.
B.
C.
D.
96.  Nurse Trish must verify the client’s identity before administering medication. She is aware that the safest way to verify identity is to:
A.
B.
C.
D.
2 comments
97.  When caring for a male client with a 3-cm stage I pressure ulcer on the coccyx, which of the following actions can the nurse institute independently?
A.
B.
C.
D.
98.  Nurse Ron is observing a male client using a walker. The nurse determines that the client is using the walker correctly if the client:
A.
B.
C.
D.