Nursing Comprehensive Exam 2

50 Questions | Total Attempts: 1301

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Nursing Quizzes & Trivia

As we get to know more about nursing and what it entails, it is paramount that we get to get some revision work done so that the exams don’t seem so hard. Do you need some revision materials? Below is nursing comprehensive review 2 in the series of quizzes to help you ace your final tests. Give it a try!


Questions and Answers
  • 1. 
    A client with a burn injury is transferred to the nursing unit, and a regular diet has been prescribed. Which dietary items should the nurse encourage the client to eat in order to promote wound healing?      
    • A. 

      Veal, potatoes, Jell - O, Orange juice

    • B. 

      Peanut butter and jelly, cantaloupe, tea

    • C. 

      Chicken breast, Broccoli, Strawberries, Milk

    • D. 

      Spaghetti with tomato sauce, Garlic bread, Ginger ale

  • 2. 
    A nurse is preparing to access an implanted vascular port to administer chemotherapy. The nurse:            
    • A. 

      Anchors the port with the dominant hand

    • B. 

      Palpates the port to locate the center of the septum

    • C. 

      Places a warm pack over the area for several minutes to alleviate possible discomfort

    • D. 

      Cleans the area with alcohol working from the outside inward

  • 3. 
    A nurse has assisted the physician with a liver biopsy that was done at the bedside. On completion of the procedure, the nurse assists the client into which of the following positions?     
    • A. 

      Left side - lying with a small pillow or towel under the puncture site

    • B. 

      Right side - lying with a small pillow or towel under the puncture site

    • C. 

      Left side - lying with the right arm elevated above the head

    • D. 

      Right side - lying with the left arm elevated above the head

  • 4. 
    A client has an order for "enemas until clear" before major bowel surgery. After preparing the equipment and the solution, the nurse assists the client into which of the following positions to administer the enema?  
    • A. 

      Left - lateral Sims' position

    • B. 

      Right - lateral Sims' position

    • C. 

      Left side - lying with the head of the bed elevated 45 degrees

    • D. 

      Right side - lying with the head of the bed elevated 45 degrees

  • 5. 
    A physician had just inserted a Cantor tube in a client with bowel obstruction. When the procedure is complete, the nurse assists the client into which of the following positions initially to maximize the effect of the tube?
    • A. 

      Right side

    • B. 

      Left side

    • C. 

      Prone

    • D. 

      Supine

  • 6. 
    A nurse is caring for a client following craniotomy who has a supratentorial incision. The nurse places a sign above the client's bed stating that the client should be maintained in which of the following positions?
    • A. 

      Semi fowler

    • B. 

      Dorsal recumbent

    • C. 

      Prone

    • D. 

      Supine

  • 7. 
    A physician's order reads "acetaminophen ( Tylenol ) liquid, 450mg PO every 4 hours PRN for pain." The medication label reads "160mg / 5mL." The nurse prepares how many milliliters to administer one dose?       
    • A. 

      10ml

    • B. 

      12ml

    • C. 

      13ml

    • D. 

      14ml

  • 8. 
    A client is unable  to expectorate to yield a sputum sample  and the nurse decides  to use the saline  inhalation  method to  obtain the sample. The nurse instructs the client to inhale the warm saline vapor via nebulizer by:
    • A. 

      Holding the nebulizer under the nose

    • B. 

      Keeping the lips closed lightly over the mouthpiece

    • C. 

      Keeping the lips closely tightly over the mouthpiece

    • D. 

      Alternating one vapor breath with one breath from room air

  • 9. 
    A nurse  has completed  tracheostomy care for a client  whose tracheostomy tube has a nondisposable inner cannula. The nurse  reinserts  the inner cannula  into the  tracheostomy immediately after:     
    • A. 

      Suctioning the client's airway

    • B. 

      Rinsing it with sterile water

    • C. 

      Tapping it against a sterile surface to dry it

    • D. 

      Drying it thoroughly with a sterile gauze

  • 10. 
    A nurse suspects  that an air embolism has occurred in a client  receiving  total  parenteral nutrition(TPN)  through a central nervous catheter when the central line disconnects from the IV tubing. The nurse  immediately turns the client  to the:
    • A. 

      Left side with the head higher than the feet

    • B. 

      Right side with the head higher than the feet

    • C. 

      Left side with the feet higher than the head

    • D. 

      Right side with the feet higher than the head

  • 11. 
    An anxious client enters  the emergency department  seeking the treatment  for a laceration of the finger that occurred when using  a power tool. The client's  vital signs are pulse (P) 96 beats/min, blood pressure (BP) 148/88 mm Hg, and respirations (R) 24 breaths/min. After cleansing  the injury and reassuring  the client, the nurse rechecks the vital signs and notes P 82 beats/min,BP 130/80 mm Hg, and R 20 breaths/min. The change  in vital signs is caused by:           
    • A. 

      Reduced stimulation of the sympathetic nervous system

    • B. 

      The cooling effects of the cleansing solution

    • C. 

      The body's physical adaptation to the air conditioning

    • D. 

      Possible impending cardiovascular collapse

  • 12. 
    • A. 

      Chest x-ray examination in the morning ,echocardiogram in the afternoon, and the CT scan the morning of the following day

    • B. 

      Chest x-ray examination and echocardiogram together in the morning, and the CT scan in the afternoon of the same day

    • C. 

      Echocardiogram in the morning, and the chest x-ray examination and CT scan together in the afternoon of the same day

    • D. 

      CT scan in the morning, and the chest x-ray examination and echocardiogram on the following morning

  • 13. 
    Before administering a tube feeding, a nurse aspirates 40 mL of undigested formula from a client’s nasogastric tube.  The nurse understands that before administering the tube feeding, the 40 mL of gastric aspirate should be:       
    • A. 

      Discarded properly and recorded as output on the client’s I&O record.

    • B. 

      Poured into the nasogastric tube through a syringe with the plunger removed

    • C. 

      Mixed with the formula and poured into the nasogastric tube through a syringe without a plunger

    • D. 

      Diluted with water and injected into the nasogastric tube by putting pressure on the plunger

  • 14. 
    A multi disciplinary team has been working with a home care client who has an end-stage liver failure and has been teaching the spouse interventions for the management of pain.  Which statement by the spouse indicates the need for further teaching?
    • A. 

      " If the pain increases, I must let the nurse know immediately."

    • B. 

      "I should have my husband try the breathing exercises to control the pain."

    • C. 

      "This narcotic will cause very deep sleep, which is what my husband needs."

    • D. 

      "If constipation is a problem, increased fluids will help."

  • 15. 
    A home care nurse finds a client in the bedroom, unconscious, with pill bottle in hand.  The pill bottle contained the selective serotonin reuptake inhibitor (SSRI) sertraline (Zoloft).  The nurse immediately assess the client’s:         
    • A. 

      Blood pressure

    • B. 

      Respirations

    • C. 

      Pulse

    • D. 

      Urinary output

  • 16. 
    A nurse is checking a unit of blood from the blood bank and notes the presence of gas bubbles in the bag.  The nurse should take which of the following actions?          
    • A. 

      Add 10 mL of normal saline solution to the bag

    • B. 

      Agitate the bag gently to mix contents

    • C. 

      Add 100 units of heparin to the bag

    • D. 

      Return the blood to the blood bank

  • 17. 
    A nurse has an order to infuse a unit of blood.  The nurse checks the client’s intravenous line to make sure that the gauge of the intravenous catheter is at least:     
    • A. 

      14

    • B. 

      19

    • C. 

      22

    • D. 

      24

  • 18. 
    A client began receiving a unit of blood 30 minutes ago.  The client rings the call bell and complains of breathing difficulty, itching and a tight sensation in the chest.  Which of the following is the first action of the nurse?   
    • A. 

      Recheck the unit of blood for compatibility

    • B. 

      Check the client’s temperature

    • C. 

      Stop the transfusion

    • D. 

      Call the physician

  • 19. 
    A nurse has an order to discontinue the nasogastric tube of an assigned client.  After explaining to the client, the nurse raises the bed to semi-Fowlers position, places a towel across the chest, clear the tube with normal saline, clamps the tube, and removes the tube           
    • A. 

      During inspiration

    • B. 

      During expiration

    • C. 

      After inspiration, but before expiration

    • D. 

      After expiration, but before inspiration

  • 20. 
    A nurse is caring for a client who has as order to receive an intravenous intralipid infusion.  Which of the following actions does the nurse takes as part of proper procedure before hanging the infusion?
    • A. 

      Add 100 mL of normal saline solution to the bottle

    • B. 

      Attach an in-line filter

    • C. 

      Remove the bottle from the refrigerator

    • D. 

      Check the solution for separation or an oily appearance

  • 21. 
    A nurse is administering continuous tube feedings to a client.  The nurse takes which of the following actions as part of routine for this client? 
    • A. 

      Checks the residual every 4 hours

    • B. 

      Changes the feeding bag and tubing every 12 hours

    • C. 

      Pours additional feeding into the bag when 25 ml are left

    • D. 

      Holds the feeding if greater than 200 mL are aspirated.

  • 22. 
    In a client receiving total parenteral nutrition (TPN), chest pain, dyspnea, tachycardia, cyanosis, and decreased level of consciousness suddenly develop.  The nurse suspects which complication of TPN?     
    • A. 

      Hyperglycemia

    • B. 

      Catheter-related sepsis

    • C. 

      Allergic reaction to the TPN catheter

    • D. 

      Air embolism

  • 23. 
    The nurse suspects the occurrence of an air embolism in a client with a triple-lumen catheter. If an air embolism is present, the nurse would most likely note which of the following?          
    • A. 

      Hypertension

    • B. 

      Diminished breath sounds

    • C. 

      A churning sound heard over the right ventricle on auscultation

    • D. 

      Rales heard in the lung bases on auscultation

  • 24. 
    When administering an intramuscular injection in the gluteal muscle,  the nurse places the client in which best position to relax the muscle?        
    • A. 

      On their side with the knee of the uppermost leg flexed

    • B. 

      On their side with the knee of the lowermost leg flexed

    • C. 

      Prone with a toe-in position

    • D. 

      Sims’ with a toe-in position

  • 25. 
    A nurse plans to administer a medication by IV bolus through the IV primary line.    The nurse notes that the medication is incompatible with the primary IV solution.   The most appropriate nursing action to safely administer the medication is to:        
    • A. 

      Call the physician for an order to change the route of the medication

    • B. 

      Start a new IV line for the medication

    • C. 

      Flush the tubing before and after the medication with normal saline

    • D. 

      Flush the tubing before and after the medication with sterile water