Nursing: Comprehensive Test For Beginners! Trivia Quiz
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When you begin learning about something, it is important to ensure that you read what you learn over and over again so that you don’t forget it. The comprehensive test below is for beginners in nursing school, and it is perfect for ensuring that they do not go to the next step without understanding the basics. Give it a try and do just that!
- 1.A client with newly diagnosed polycystic kidney disease has just finished speaking with the physician about the disorder. The client asks the nurse to explain again what the most serious complication of the disorder might be. In formulating a response, the nurse incorporates the understanding that the most serious complication is:
- A.
Diabetes insipidus
- B.
Syndrome of inappropriate antidi-uretic hormone (ADH) secretion
- C.
End stage renal disease (ESRD)
- D.
Chronic urinary tract infection (UTI)
- 2.A nurse is assigned to care for a client who has returned to the nursing unit following left nephrectomy. The nurse places the highest priority on obtaining which of the following assessments?
- A.
Tolerance for sips of clear liquids
- B.
Temperature
- C.
Hourly urine output
- D.
Ability to turn side to side
- 3.A client with a history or respiratory disease is ambulating with the nurse to the doorway of the hospital room. The client becomes pale and dyspneic. The nurse made the client sit down and takes the client’s vital signs. The respiratory rate is 32 breaths/min, oxygen saturation is 90%, and the heart rate has increased from 76 to 98 beats/min. The nurse interprets that this client is experiencing:
- A.
Impaired Physical Mobility
- B.
Activity Intolerance
- C.
Ineffective Breathing Pattern
- D.
Ineffective Airway Clearance
- 4.A client with gastric tumor is scheduled for subtotal gastrectomy (Billroth II procedure). The nurse explains the procedure to the client and tells the client that the:
- A.
Proximal end of the distal stomach is anastomosed to the duodenum
- B.
Antrum of the stomach is removed with the remaining portion anastomosed to the duodenum
- C.
Entire stomach is removed and the esophagus is anastomosed to the duodenum
- D.
Lower portion of the stomach is removed and the remainder is anastomosed to the jejunum
- 5.A nurse prepares a postoperative plan of care for a client scheduled for hypophysectomy. The nurse avoids including which of the following in the plan?
- A.
Mouth care
- B.
Coughing and deep breathing
- C.
Monitoring intake and output
- D.
Daily weights
- 6.A client undergoes a thyroidectomy. The nurse monitors the client for signs of damage to the parathyroid glands postoperatively. Which of the following findings would indicate damage to the parathyroid glands?
- A.
Hoarseness
- B.
Tingling around the mouth
- C.
Respiratory distress
- D.
Neck pain
- 7.A nurse is caring for a client who is comatose. The nurse notes in the chart that the client is exhibiting decerebrate posturing. Based on this documented finding, the nurse expects to note which of the following?
- A.
Extension of the extremities after a stimulus
- B.
Flexion of the extremities after a stimulus
- C.
Upper extremity flexion with lower extremity extension
- D.
Upper extremity extension with lower extremity flexion
- 8.A nurse is caring for a client who had a total knee replacement. Postoperatively, which of the following nursing assessments is the highest priority?
- A.
Bladder distention
- B.
Homans’ sign
- C.
Extremity shortening
- D.
Heel breakdown
- 9.A nurse is assessing a client’s smoking habit. The client admits smoking ¾ pack per day for the last 10 years. The nurse calculates that the client has a smoking history of how many pack-years?
- A.
0.75 pack-years
- B.
7.5 pack-years
- C.
15 pack-years
- D.
30 pack-years
- 10.A nurse is conducting a health history of a client with hyperparathyroidsm. Which of the following questions made to the client would elicit information about this condition?
- A.
"Have you had problems with diarrhea lately?"
- B.
"Do you have tremors in your hands?"
- C.
"Are you experiencing pain in your joints?"
- D.
"Do you notice swelling in your legs at night?"
- 11.An 18 year-old client seeks medical attention for intermittent episodes in which the fingers of both hands become cold, pale, and numb, followed by redness and swelling and throbbing, achy pain. Raynaud’s disease is suspected. The nurse further assesses the client to see if these episodes occur with:
- A.
Exposure to heat
- B.
Being in a relaxed environment
- C.
Prolonged episodes of inactivity
- D.
Ingestion of coffee or chocolate
- 12.A client is admitted to the hospital with a diagnosis of pericarditis. A nurse assesses the client for which manifestation that differentiates pericarditis from other cardiopulmonary problems?
- A.
Chest pain that worsens on inspiration
- B.
Pericardial friction rub
- C.
Anterior chest pain
- D.
Weakness and irritability
- 13.An ambulatory care nurse is assessing client with chronic sinusitis. The nurse interprets that which of the following client manifestations is unrelated to this problem?
- A.
Purulent nasal discharge
- B.
Chronic cough
- C.
Headache more pronounced in the evening
- D.
Anosmia
- 14.A client has Impaired Verbal Communication as a result of a temporary tracheostomy following a laryngectomy. In planning for communication with this client, a nurse would avoid which of the following methods because it would be the least helpful for this particular client?
- A.
Use of hand or finger signals
- B.
Nodding and shaking the head for yes and no
- C.
Use of a picture board
- D.
Use of a pencil and paper
- 15.A client seeks treatment in an ambulatory clinic for a complaint of hoarseness that has lasted for 6 weeks. Based on the symptom, the nurse interprets that the client is at risk of having:
- A.
Laryngeal cancer
- B.
Acute Laryngitis
- C.
Bronchogenic cancer
- D.
Thyroid cancer
- 16.A nurse in an ambulatory clinic administers a Mantoux skin test to a client on a Monday. The nurse plans to have the client return to the clinic to have results read on:
- A.
Tuesday or Wednesday
- B.
Wednesday or Thursday
- C.
Thursday or Friday
- D.
The following Monday
- 17.A nurse is caring for a client who has just experienced a pulmonary embolism. The client is restless and very anxious. The nurse uses which approach in communicating with this client?
- A.
Explaining each treatment in great detail
- B.
Having the family reinforce the nurse’s directions
- C.
Giving simple clear directions and explanations
- D.
Speaking very little to the client until the crisis is over
- 18.A nurse is caring for an anxious client who has an open pneumothorax and a sucking chest wound. An occlusive dressing has been applied to the site. Which intervention by the nurse would be the best to relieve the client’s anxiety?
- A.
Encouraging the client to cough and deep breathe
- B.
Staying with the client
- C.
Interpreting the arterial blood gas report
- D.
Distracting the client with television
- 19.A nurse is conducting a health screening clinic. The nurse interprets that which of the following clients participating in the screening has the greatest need for instruction to lower the risk of developing respiratory disease?
- A.
A 50-year-old smoker with cracked asbestos lining on basement pipes in the home
- B.
A 40-year-old smoker who works in a hospital
- C.
A 36-year-old who works with pesticides
- D.
A 25-year-old whose hobby is woodworking
- 20.A nurse is interviewing a client with chronic obstructive pulmonary disease (COPD), who has a respiratory rate of 35 breaths/min and is experiencing extreme dyspnea. Which if the following nursing diagnoses would be most appropriate for this client?
- A.
Impaired Verbal Communication related to a physical barrier
- B.
Ineffective individual coping related to the client’s inability to handle a situational crisis
- C.
Altered Body Image related to neurological deficit
- D.
Knowledge deficit related to COPD
- 21.A nurse has received a client assignment for the day and is organizing the required tasks. Which of the following will not be a component of the plan for time management?
- A.
Prioritizing client needs and daily tasks
- B.
Providing time for unexpected tasks
- C.
Gathering supplies before beginning a task
- D.
Documenting task completion at the end of the day
- 22.A registered nurse (RN) is a preceptor for a new nursing graduate and is describing critical paths and variance analysis to the new graduate. The RN instructs the new nursing graduate that a variance analysis is performed on all clients:
- A.
Daily during hospitalization
- B.
Every other day of hospitalization
- C.
Every third day of hospitalization
- D.
Continuously
- 23.A nurse manager employs a leadership style in which decisions regarding the management of the nursing unit are made without input from the staff. The type of leadership style that is implemented by the nurse manager is:
- A.
Autocratic
- B.
Situational
- C.
Democratic
- D.
Laissez-faire
- 24.A registered nurse (RN) in charge is preparing the assignments for the day. The RN assigns a nursing assistant to make beds and bathe one of the clients on the unit and assigns another nursing assistant to fill the water pitchers and to serve juice to all the clients. Another RN is assigned to administer all medications. Based on the assignments designed by the RN in charge, which type of nursing care is implemented?
- A.
Functional nursing
- B.
Team nursing
- C.
Exemplary model of nursing
- D.
Primary nursing
- 25.A nurse is receiving a client in transfer from the postanesthesia care unit following a left above-the-knee amputation. The nurse should take which of the following most important actions when positioning the client at this time?
- A.
Put the bed in reverse Trendelenburg position
- B.
Keep the stump flat with the client lying on the operative side
- C.
Position the stump flat on the bed
- D.
Elevate the foot of the bed
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