Nursing Comprehensive Exam Quiz! Trivia
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Nursing comprehensive exam quiz trivia! Nurses are helpers to the doctors, and they assist in ensuring that a patient gets back to being healthy. Some of the duties that nurses undertake include giving patient their medications as needed, checking their vitals, carrying different tests and helping the perform duties they would have done if they were healthy. Do take up this quiz and see if you know enough to be a good nurse.
- 1.The nurse is preparing a client who speaks little English for discharge after emergency gallbladder surgery. Which nursing action would be most effective in helping this client understand wound care instructions?
- A.
Ask frequently if the client understands the instructions.
- B.
Ask an interpreter to relay the instructions to the client.
- C.
Write out the instructions and have a family member read them to the client.
- D.
Demostrate the procedure to the client and have the client return the demonstration.
- 2.Which of the following clients would qualify for hospice care?
- A.
A client with late-stage acquired immunodeficiency syndrome (AIDS).
- B.
A client with left-side paralysis after a cerebrovascular accident (CVA).
- C.
A client who is undergoing treatment for heroin addiction.
- D.
A client who had coronary artery bypass surgery 2 weeks ago.
- 3.Which of these serves as a framework for nursing education and clinical practice?
- A.
Scientific breakthroughs
- B.
Technological advances
- C.
Theoretical models
- D.
Medical practices
- 4.A client is hospitalized with Pneumocystis carinii pneumonia. The nurse observes that the client had no visitors, seems withdrawn, avoids eye contact, and refuses to engage in conversation. In a loud and angry voice, the client demands that the nurse leave the room. The nursing diagnosis for this client is social isolation. Based on this diagnosis, what is an appropriate goal for this client's care?
- A.
Identify one way to increase social interaction
- B.
Report increased adaptation to changes in health status.
- C.
Identify at least one factor contributing to altered sexuality patterns.
- D.
Return a demonstration of measures that can increase independence
- 5.For a hospitalized client, which statement reflects appropriate documentation in the client's medical record?
- A.
Small decubitus ulcer noted on left leg.
- B.
Seems to be mad at the doctor.
- C.
Client had a good day.
- D.
Skin moist and cool.
- 6.A client receives meperidine (Demerol), 50 mg I.M., for relief of surgical pain. Thirty minutes later the nurse asks the client if the pain is relieved. Which step of the nursing process is the nurse using?
- A.
Assessment
- B.
Nursing diagnosis
- C.
Implementation
- D.
Evaluation
- 7.Which assessment finding by the nurse would prohibit the application of a heating pad?
- A.
Active bleeding
- B.
Reddened abscess
- C.
Edematous lower leg
- D.
Purulent wound drainage
- 8.A client is admitted with the following vital signs: temperature, 102oF (38.8oC); pulse, 144 breaths/minute and irregular; and respirations, 26 breaths/minute. Which nursing diagnosis has the highest priority when planning this client's care?
- A.
Decreased cardiac output
- B.
Ineffective thermoregulation
- C.
Ineffective breathing pattern
- D.
Altered renal tissue perfusion
- 9.To assess the effectiveness of cardiac compressions during adult cardiopulmonary resuscitation (CPR), the nurse should palpate which pulse site?
- A.
Radial
- B.
Apical
- C.
Carotid
- D.
Brachial
- 10.Which action by the nurse is essential when cleansing the area around a Jackson Pratt wound drain?
- A.
Clean from the center out in a circular
- B.
Remove the drain before cleansing the skin.
- C.
Clean briskly around the site with alcohol.
- D.
Wear sterile gloves and a mask.
- 11.A client with a cerebrovascular accident has a nursing diagnosis of ineffective airway clearance. The goal for this client is to mobilize pulmonary secretions. Which action should the nurse plan to take to meet this goal?
- A.
Reposition the client every 2 hours
- B.
Restrict fluids to 1,000 ml in 24 hours.
- C.
Administer oxygen by cannula as ordered.
- D.
Keep the head of the bed at a 30-degree angle.
- 12.A client with a fecal impaction typically exhibits which clinical manifestation?
- A.
Liquid or semi-liquid stools
- B.
Hard, brown formed stools
- C.
Loss of urge to defecate
- D.
Increased appetite
- 13.Two days after undergoing a modified radical mastectomy, a client tells the nurse, "Now I won't be sexually attractive to my husband." Based on this statement, which nursing diagnosis is most appropriate?
- A.
Anxiety
- B.
Body image disturbance
- C.
Altered sexuality pattern
- D.
Ineffective individual coping
- 14.While preparing to start a STAT I.V. infusion, the nurse notices the ground on the infusion pump's plug is missing. What should the nurse do first?
- A.
Use the pump as is because the medication is ordered STAT.
- B.
Obtain another pump from central supply for the infusion
- C.
Tape the broken ground to the plug and use the pump.
- D.
Report the broken prong to the supervisor.
- 15.When obtaining a sterile urine specimen from an indwelling (Foley) catheter, which nursing action is appropriate to prevent infection?
- A.
Aspirate urine from the tubing port using a sterile syringe and needle.
- B.
Disconnect the catheter from the tubing and obtain urine.
- C.
Open the drainage bag and pour out some urine.
- D.
Wear sterile gloves when obtaining urine.
- 16.A client with chronic renal failure is admitted with these findings: pulse, 122 beats/minute; respirations, 32 breaths/minute; blood pressure, 190/110 mm Hg; neck vein distention; and bibasilar crackles. Which nursing diagnosis should receive the highest priority?
- A.
Fear
- B.
Urinary retention
- C.
Fluid volume excess
- D.
Toileting self-care deficit
- 17.A client with chronic renal failure is admitted with these findings: pulse, 122 beats/minute; respirations, 32 breaths/minute; blood pressure, 190/110 mm Hg; neck vein distention; and bibasilar crackles. Which nursing diagnosis should receive the highest priority?
- A.
Fear
- B.
Urinary retention
- C.
Fluid volume excess
- D.
Toileting self-care deficit
- 18.A client with congestive heart failure has not slept for the past three nights due to dyspnea. The client's arterial blood gas (ABG) values are pH, 7.32; PaO2, 79; PaCO2, 50; and HCO3, 29. Which nursing diagnosis should receive the highest priority for this client?
- A.
Fatigue
- B.
High risk for injury
- C.
Activity intolerance
- D.
Sleep pattern disturbance
- 19.Which action is essential when the nurse provides a continuous enteral feeding?
- A.
Elevate the head of the bed.
- B.
Position the client on the left side.
- C.
Warm the formula before administering it.
- D.
Hang a full day's worth of formula at one time.
- 20.A client is admitted with multiple decubitus ulcers. To promote healing, the nurse should include which of these foods in the client's diet plan?
- A.
Fresh orange slices
- B.
Ground beef patties
- C.
Steamed broccoli
- D.
Ice cream
- 21.For a hospitalized client, the physician prescribes meperidine (Demerol), 75 mg I.M., every 3 hours as needed for pain. However, the client refuses to take injections. Which nursing action is most appropriate?
- A.
Administer the injection as prescribed
- B.
Call the physician and request an oral pain medication.
- C.
Withhold the injection until the client understands its importance
- D.
Explain that no other medication can be given until the client takes the injection.
- 22.A client is admitted to the hospital with a productive cough, night sweats, and fever. Which of these actions is most important in the client's initial plan of care?
- A.
Assess the client's temperature every 8 hours.
- B.
Place the client in respiratory isolation
- C.
Monitor the client's fluid intake and output.
- D.
Wear gloves during all client contact
- 23.A client is being discharged after undergoing abdominal surgery and colostomy formation to treat colon cancer. When planning for this client's discharge, which nursing action is most likely to promote continuity of care?
- A.
Notify the Cancer Society of the client's diagnosis.
- B.
Request Meals On Wheels to provide adequate nutrition intake.
- C.
Refer the client to a home health nurse for follow-up visits to provide colostomy care.
- D.
Ask an occupational therapist to evaluate the client at home.
- 24.What is a common goal of discharge planning in all care settings?
- A.
Prolong hospitalization until the client can function independently.
- B.
Teach the client how to perform self-care.
- C.
Provide the financial resources needed to ensure proper care.
- D.
Prevent the need for further medical follow-up.
- 25.A client is receiving an I.V. infusion of dextrose 5% in water and Ringer's lactate solution at 125 ml/hour to treat a fluid volume deficit. Which of these signs indicates a need for additional I.V. fluids?
- A.
Serum sodium level of 135 mEq/liter
- B.
Temperature of 99.6oF (37.5oC)
- C.
Neck vein distention
- D.
Dark amber urine
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