Nursing Comprehensive Exam For Nurses! Trivia Quiz
With the finals just around the corner, it is important to ensure that we have a good understanding of what we have covered so far. The comprehensive nursing exam below is designed for nurses, and it is perfect for preparing for the finals, do you think that you have what it takes to handle it? Take it up and get to find out!
- 1.A nurse working on an adult nursing unit is told to review the client census to determine which clients could be discharged if there are a large number of admissions from a newly declared disaster. The nurse interprets that the client with which of the following problems would not be able to be discharged, even if support was available at home?
- A.
Laparoscopic cholecystectomy ( same day )
- B.
Ongoing ventricular dysrhythmias while on procainamide ( Procan )
- C.
Diabetes mellitus with blood glucose at 180 mg / dL
- D.
Fractured hip pinned 5 days ago
- 2.A registered nurse ( RN ) is orienting a nursing assistant to the clinical nursing unit. The RN would intervene if the nursing assistant did which of the following during a routine handwashing procedure?
- A.
Kept hands lower than elbows
- B.
Used 3 to 5 mL of soap from the dispenser
- C.
Washed continuously for 10 to 15 seconds
- D.
Dried from forearm down to fingers
- 3.A nurse is preparing to assist the client from the bed to a chair using a hydraulic lift. The nurse would do which of the following to move the client safely with this device?
- A.
Have three people available to assist
- B.
Position the client in the center of the sling
- C.
Have the client grasp the chains attaching the sling to the lift.
- D.
Lower the client rapidly once positioned over the chair
- 4.An elderly client in a long-term care facility has a nursing diagnosis of risk for Injury related to confusion. The client's gait is stable. The nurse uses which of the following methods of restraint to prevent injury to the client?
- A.
Vest restraint
- B.
Waist restraint
- C.
Chair with locking lap tray
- D.
Alarm - activitating bracelet
- 5.Furosemide ( Lasix ) 40 mg PO has been prescribed for a client. A nurse administers Lasix 80 mg PO to the client at 10:00 A.M. Following discovery of the error, the nurse completes an incident report. Which of the following would the nurse document on this report?
- A.
Lasix 80 mg was given to the client instead of 40 mg.
- B.
The wrong dose of medication was given to the client at 10:00 A.M
- C.
I meant to give 40 mg of Lasix but I was rushed to get to another client who needed me and I gave the wrong dose.
- D.
Lasix 80 mg administered at 10:00 A.M.
- 6.A registered nurse (RN) on the night shift assists a staff member in completing an incident report for a client who was found sitting on the floor. Following completion on the report, the RN avoids which action?
- A.
Documents in the nurses notes that an incident report was filed.
- B.
Forwards the incident report to the Continuous Quality Improvement Department
- C.
Asks the unit secretary to call the physician
- D.
Notifies the nursing supervisor
- 7.A physician visits a client on the nursing unit. During the visit, the physician is called to another nursing unit to assess a client in extreme pain. The physician states to the nurse, “I'm in a hurry. Can you write the order to decrease the atenolol (Tenormin) to 25 mg daily?” Which of the following is the most appropriate nursing action?
- A.
Write the order as stated
- B.
Call the nursing supervisor to write the order
- C.
Ask the physician to return to the nursing unit to write the order
- D.
Inform the client of the change of medication
- 8.A nurse is taking a temperature on a client using a glass thermometer. The nurse shakes down the thermometer and drops the thermometer on the floor. Which of the following actions will the nurse take?
- A.
Carefully wipe up the spill, avoiding getting cut from the glass
- B.
Use a mop and dustpan to clean up the spill, avoiding contact with the glass and mercury
- C.
Notify the Environmental Services Department of the spill
- D.
Call house keeping department to clean up the spill and broken glass
- 9.A nurse is called to a client’s room by another nurse. When the nurse arrives at the room, the nurse discovers that a fire has occurred in the client’s waste basket. The first nurse has removed the client from the room. What is the second nurse’s next action?
- A.
Evacuate the unit
- B.
Extinguish the fire
- C.
Confine the fire
- D.
Activate the fire alarm
- 10.A nurse enters a client’s room and finds the client lying on the floor. Following assessment of the client, the nurse calls the nursing supervisor and the physician to inform them of the occurrence. The nursing supervisor instructs the nurse to complete an incident report. The nurse understands that incident reports allow the analysis of adverse client events by:
- A.
Evaluating quality care and the potential risks for injury to the client
- B.
Determining the effectiveness of nursing interventions in relation to outcomes
- C.
Providing a method of reporting injuries to local, state, and federal agencies
- D.
Providing clients with necessary stabilizing treatments
- 11.A nurse observes that the client received pain medication 1 hour ago from another nurse, but that the client still has severe pain. The nurse has previously observed this same occurrence. The nurse practice act requires the observing nurse to do which of the following?
- A.
Talk with the nurse who gave the medication
- B.
Report the information to a nursing supervisor
- C.
Call the impaired nurse organization
- D.
Report the information to the police
- 12.A nurse lawyer provides an education session to the nursing staff regarding client rights. A staff nurse asks the lawyer to describe an example that might relate to invasion of client privacy. Which of the following indicates a violation of this right?
- A.
Taking photographs of the client without consent
- B.
Telling the client that he or she cannot leave the hospital
- C.
Threatening to place a client in restraints
- D.
Performing a surgical procedure without consent
- 13.A nurse witnesses an automobile accident and provides care to the open wound of a young child at the scene of the accident. The family is extremely grateful and insists that the nurse accept monetary compensation for the care provided to the child. Because of the family insistence, the nurse accepts the compensation to avoid offending the family. The child develops an infection and sepsis and is hospitalized. The family files suit against the nurse who provided care to the child at the scene of the accident. Which of the following is accurate regarding the nurse’s immunity from the suit?
- A.
The Good Samaritan Law will protect the nurse.
- B.
The Good Samaritan Law will protect the nurse if the care given at the scene was not negligent
- C.
The Good Samaritan Law will not provide immunity from suit if the nurse accepted compensation for the care provided.
- D.
The Good Samaritan Law protects lay persons and not professional health care providers
- 14.A client brought to the emergency room after a serious accident is unconscious and bleeding profusely. Surgery is required immediately in order to save the client’s life. In regard to informed consent for the surgical procedure, which of the following is the best nursing action?
- A.
Try to obtain the spouse’s telephone number and call the spouse to obtain telephone consent before the surgical procedure
- B.
Transport the client to the operating room immediately as required by the physician without obtaining an informed consent
- C.
Ask the friend that accompanied the client to the emergency room to sign the consent form
- D.
Call the nursing supervisor to initiate a court order for the surgical procedure
- 15.A home health care nurse arrives at a client’s home for the scheduled home visit. The client’s lawyer is present and the client is preparing a living will. The living will requires that the client’s signature be witnessed, and the client asks the nurse to witness the signature. Which of the following is the most appropriate nursing action?
- A.
Sign the will as a witness to signature only
- B.
Sign the will, clearly identifying credentials and employment agency
- C.
Decline to sign the will
- D.
Call the home health care office and notify the supervisor that the will is being witnessed
- 16.An elderly woman is brought to the emergency room. On physical assessment, the nurse noted old and new ecchymotic areas on both arms and buttocks. The nurse asks the client on how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her daughter frequently hits her if she gets in the way. Which of the following is the most appropriate nursing response?
- A.
"I promise I will not tell anyone but let’s see what we can do about this."
- B.
"I have a legal obligation to report this type of abuse."
- C.
"Lets talk about ways that will prevent your daughter from hitting you."
- D.
"This should not be happening, and if it happens again you must call the emergency department."
- 17.A client is brought to the emergency room by the ambulance team following collapse at home. Cardiopulmonary resuscitation is attempted but unsuccessful. The wife of the client tells the nurse that the client is an organ donor and that the eyes are to be donated. Which of the following is the most appropriate nursing action?
- A.
Elevate the head of the bed of the deceased and place dry sterile dressing over the eyes
- B.
Call the National Donor Association to confirm that the client is a donor
- C.
Close the deceased client’s eyes and place wet saline gauze pads and an ice pack on the eyes
- D.
Ask the wife to obtain the legal documents regarding organ donation from the lawyer.
- 18.A client tells the home health care nurse of the decision to refuse external cardiac massage. Which of the following is the most appropriate initial nursing action?
- A.
Notify the physician of the client’s request
- B.
Document the client’s request in the home health nursing care plan
- C.
Conduct a client conference with the home health care staff to share the client’s request
- D.
Discuss the client’s request with the family
- 19.A nurse is caring for a client with severe cardiac disease. While caring for the client, the client states to the nurse, “If anything should happen to me, please make sure that the doctors do not try to push on my chest and revive me.” The most appropriate nursing action is to:
- A.
Tell the client that this procedure cannot legally be refused by a client if the doctor feels that it is necessary to save the client’s life
- B.
Tell the client that it is necessary to notify the physician of the client’s request
- C.
Tell the client that the family must agree with the request
- D.
Plan a client conference with the nursing staff to share the client’s request
- 20.A nursing instructor is discussing professional liability insurance to the senior class of nursing students. The instructor most appropriately advises the students who will be graduating in two months:
- A.
To obtain their own malpractice insurance
- B.
That malpractice insurance is not required and is expensive
- C.
To discuss liability insurance with the employment agency
- D.
That most lawsuits are filed against physicians
- 21.A nurse educator at the local community hospital is conducting an orientation session for nurses who are newly employed at the hospital. The nurse educator informs the new nurses that the policy of the hospital requires that nurses float to other nursing departments when client census is high on other units. The nurse educator advises the new nurses that if this situation arises, and if the nurse is unfamiliar with the unit in which the nurse must float to:
- A.
Refuse to float
- B.
Call the nurse educator
- C.
Report to the unit and identify tasks that can be safely performed
- D.
Call the nursing supervisor
- 22.A nurse is planning care for an infant with a diagnosis of encephalocele located in the occipital area. Which of the following items would the nurse use to assist in positioning the child to avoid pressure on the encephalocele?
- A.
Sheepskin
- B.
Foam hal-donut
- C.
Feather pillow
- D.
Sandbag
- 23.A nurse is planning care for an infant who has pyloric stenosis. In order to most effectively meet the infant’s preoperative needs, the nurse includes which of the following in the plan of care?
- A.
Monitor the IV infusion, intake and output, and weight
- B.
Provide small, frequent feedings of glucose, water, and electrolytes
- C.
Administer enemas until returns are clear
- D.
Provide the mother privacy to breastfeed every 2 hours
- 24.A nurse is planning care for a child with an infections and communicable disease. The nurse determines that the primary goals is that the:
- A.
Child will experience only minor complications
- B.
Child will not spread the infection to others
- C.
Public health department will be notified
- D.
Child will experience mild discomfort
- 25.A nurse is performing an assessment of a child who is to receive a measles, mumps, and rubella (MMR) vaccine. The nurse notes that the child is allergic to eggs. Which of the following would be the nurse anticipate to be prescribed for this child?
- A.
Administration of diphenhydramine (Benadryl) and acetaminophen (Tylenol) prior to the administration of the MMR vaccine
- B.
Administration of a killed measles vaccine
- C.
Eliminating this vaccine from the immunization schedule
- D.
Administration of epinephrine (Adrenalin) prior to the administration of the MMR
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