Foundation Of Nursing Test IV - Set A
This test contains 25 items Questions about Foundation of Nursing For Answer Key visit: Foundation of Nursing Test IV - Set A: Answers with Rationales For more Nursing Review Test visit: www. NurseTopic. Com
- 1.Which of the following nursing interventions promotes patient safety?
- A.
Asses the patient’s ability to ambulate and transfer from a bed to a chair
- B.
Demonstrate the signal system to the patient
- C.
Check to see that the patient is wearing his identification band
- D.
All of the above
- 2.The nurse’s most important legal responsibility after a patient’s death in a hospital is:
- A.
Obtaining a consent of an autopsy
- B.
Notifying the coroner or medical examiner
- C.
Labeling the corpse appropriately
- D.
Ensuring that the attending physician issues the death certification
- 3.Which of the following patients is at greatest risk for developing pressure ulcers?
- A.
An alert, chronic arthritic patient treated with steroids and aspirin
- B.
An 88-year old incontinent patient with gastric cancer who is confined to his bed at home
- C.
An apathetic 63-year old COPD patient receiving nasal oxygen via cannula
- D.
A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed.
- 4.All of the following can cause tachycardia except:
- A.
Fever
- B.
Exercise
- C.
Sympathetic nervous system stimulation
- D.
Parasympathetic nervous system stimulation
- 5.Fter 1 week of hospitalization, Mr. Gray develops hypokalemia. Which of the following is the most significant symptom of his disorder?
- A.
Lethargy
- B.
Increased pulse rate and blood pressure
- C.
Muscle weakness
- D.
Muscle irritability
- 6.Which of the following is the most common cause of dementia among elderly persons?
- A.
Parkinson’s disease
- B.
Multiple sclerosis
- C.
Amyotrophic lateral sclerosis (Lou Gerhig’s disease)
- D.
Alzheimer’s disease
- 7.The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?
- A.
Apical
- B.
Radial
- C.
Pedal
- D.
Femoral
- 8.A prescribed amount of oxygen s needed for a patient with COPD to prevent:
- A.
Cardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2)
- B.
Circulatory overload due to hypervolemia
- C.
Respiratory excitement
- D.
Inhibition of the respiratory hypoxic stimulus
- 9.Which of the following vascular system changes results from aging?
- A.
Increased peripheral resistance of the blood vessels
- B.
Decreased blood flow
- C.
Increased work load of the left ventricle
- D.
All of the above
- 10.A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. An appropriate nursing diagnosis would be:
- A.
Ineffective airway clearance related to thick, tenacious secretions.
- B.
Ineffective airway clearance related to dry, hacking cough.
- C.
Ineffective individual coping to COPD.
- D.
Pain related to immobilization of affected leg.
- 11.The most common injury among elderly persons is:
- A.
Atheroscleotic changes in the blood vessels
- B.
Increased incidence of gallbladder disease
- C.
Urinary Tract Infection
- D.
Hip fracture
- 12.The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowler’s position. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis Impaired gas exchange related to increased secretions. Which of the following nursing interventions has the greatest potential for improving this situation?
- A.
Encourage the patient to increase her fluid intake to 200 ml every 2 hours
- B.
Place a humidifier in the patient’s room.
- C.
Continue administering oxygen by high humidity face mask
- D.
Perform chest physiotheraphy on a regular schedule
- 13.The most common psychogenic disorder among elderly person is:
- A.
Depression
- B.
Sleep disturbances (such as bizarre dreams)
- C.
Inability to concentrate
- D.
Decreased appetite
- 14.When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to:
- A.
Protect the patient from injury
- B.
Insert an airway
- C.
Elevate the head of the bed
- D.
Withdraw all pain medications
- 15.The most common deficiency seen in alcoholics is:
- A.
Thiamine
- B.
Riboflavin
- C.
Pyridoxine
- D.
Pantothenic acid
- 16.A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate?
- A.
Encourage the patient to walk in the hall alone
- B.
Discourage the patient from walking in the hall for a few more days
- C.
Accompany the patient for his walk.
- D.
Consuit a physical therapist before allowing the patient to ambulate
- 17.Mrs. Lim begins to cry as the nurse discusses hair loss. The best response would be:
- A.
“Don’t worry. It’s only temporary”
- B.
“Why are you crying? I didn’t get to the bad news yet”
- C.
“Your hair is really pretty”
- D.
“I know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy”
- 18.Palpating the midclavicular line is the correct technique for assessing
- A.
Baseline vital signs
- B.
Systolic blood pressure
- C.
Respiratory rate
- D.
Apical pulse
- 19.Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?
- A.
Side rails are ineffective
- B.
Side rails should not be used
- C.
Side rails are a deterrent that prevent a patient from falling out of bed.
- D.
Side rails are a reminder to a patient not to get out of bed
- 20.Before rigor mortis occurs, the nurse is responsible for:
- A.
Providing a complete bath and dressing change
- B.
Placing one pillow under the body’s head and shoulders
- C.
Removing the body’s clothing and wrapping the body in a shroud
- D.
Allowing the body to relax normally
- 21.Which of the following statement is incorrect about a patient with dysphagia?
- A.
The patient will find pureed or soft foods, such as custards, easier to swallow than water
- B.
Fowler’s or semi Fowler’s position reduces the risk of aspiration during swallowing
- C.
The patient should always feed himself
- D.
The nurse should perform oral hygiene before assisting with feeding.
- 22.An additional Vitamin C is required during all of the following periods except:
- A.
Infancy
- B.
Young adulthood
- C.
Childhood
- D.
Pregnancy
- 23.Which of the following statement is incorrect about a patient with dysphagia?
- A.
The patient will find pureed or soft foods, such as custards, easier to swallow than water
- B.
Fowler’s or semi Fowler’s position reduces the risk of aspiration during swallowing
- C.
The patient should always feed himself
- D.
The nurse should perform oral hygiene before assisting with feeding.
- 24.Examples of patients suffering from impaired awareness include all of the following except:
- A.
A semiconscious or over fatigued patient
- B.
A disoriented or confused patient
- C.
A patient who cannot care for himself at home
- D.
A patient demonstrating symptoms of drugs or alcohol withdrawal
- 25.Certain substances increase the amount of urine produced. These include:
- A.
Caffeine-containing drinks, such as coffee and cola.
- B.
Beets
- C.
Urinary analgesics
- D.
Kaolin with pectin (Kaopectate)