Nursing Comprehensive Exam! Trivia Questions Quiz

50 Questions | Total Attempts: 639

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Nursing Quizzes & Trivia

Are you on your way to become a nurse? The process of getting there is all about having enough time to study. The nursing comprehensive exam questions below are designed to help out just how attentive you have been when it comes to your classes and your chances of acing the upcoming exams. Be sure to take up more quizzes just like it!


Questions and Answers
  • 1. 
    A client’s vital signs have noticeably deteriorated over the past four hours following surgery.  A nurse does not recognize the significance of these changes in vital signs and keep no action.  The client later requires emergency surgery.  The nurse could be prosecuted for inaction according to the definition of which of these?
    • A. 

      Tort

    • B. 

      Misdemeanor

    • C. 

      Common law

    • D. 

      Statutory law

  • 2. 
    A nurse calls the physician of a client scheduled for a cardiac catherization because the client has numerous questions regarding the procedures and has requested to speak to the physician.  The physician is very much upset and arrives at the unit to visit the client after prompting by the nurse.  The nurse is outside of the client’s room and hears the physician tell the client in derogatory manner that the nurse “doesn’t know everything”.  Which legal tort has the physician violated?     
    • A. 

      Libel

    • B. 

      Slander

    • C. 

      Assault

    • D. 

      Negligence

  • 3. 
    A nurse enters a client’s room and finds the client sitting on the floor.  The nurse performs a thorough assessment and assists the client back to bed.  The nurse completes an incident report and notifies the physician of the incident.  Which of the following is the next appropriate nursing action regarding the incident?           
    • A. 

      Make a copy of the incident report for the physician

    • B. 

      Place the incident report on the client’s chart

    • C. 

      Document a complete entry in the client’s record concerning the incident

    • D. 

      Document in the client’s record that an incident report has been completed

  • 4. 
    A client had a colon resection. A Levin tube is placed when a regular diet was brought to the client’s room. The client didn’t want to eat the solid food and ask the physician to be called.  The nurse insisted that the solid food was the correct diet.  The client ate and subsequently had additional surgery because of complications.  The determination of negligence is based on:
    • A. 

      A duty existed and it was breached

    • B. 

      Not calling the physician

    • C. 

      The dietary department sending the wrong food

    • D. 

      The nurse’s persistence

  • 5. 
    A new nursing graduate is attending an agency orientation regarding the nursing model of practice implemented in the facility.  The nurse is told that the nursing model is the primary nursing approach.  The nurse understands which of the following is a characteristic of this type of nursing model of practice?             
    • A. 

      The nurse manager assigns tasks to the staff members

    • B. 

      Critical paths are used in providing client care

    • C. 

      A single registered nurse (RN) is responsible for planning and providing individualized nursing care

    • D. 

      Nursing staff are led by an RN leader in providing care to a group clients.

  • 6. 
    A client asks the nurse how to become an organ donor.  Which of the following would not be a component of the nurse’s response?      
    • A. 

      The donor must be 18 years of age or older

    • B. 

      The donation is done by written consent

    • C. 

      The family is responsible for making that decision at the time of death.

    • D. 

      Clients have the right to donate their own organs for transplantation

  • 7. 
    A registered nurse (RN) is providing instructions to a licensed practical nurse (LPN) who is preparing to care for a deceased client.  The RN notes on the client’s record that his/her eye will be donated.  The nurse avoids telling the LPN to do which of the following?   
    • A. 

      Elevate the head of the bed

    • B. 

      Close the client’s eye

    • C. 

      Place wet saline gauze pads and an ice pack on the eyes

    • D. 

      Close the client’s eyes and place a dry sterile dressing over the eyes

  • 8. 
    A clinical nurse manager is planning an in-service educational session for the staff nurses.  The topic of the discussion is case management.  Which of the following is not a characteristic of case management and would not be included in the discussion?  
    • A. 

      Represents a primary health prevention managed by a single case manager

    • B. 

      Manages the client care by managing the client care environment

    • C. 

      Designed to promote appropriate use of hospital personnel and material resources

    • D. 

      Maximizes hospital revenues while providing for optimal outcome of client care

  • 9. 
    A registered nurse is delegating activities to the nursing staff. Which activity is least appropriate for the nursing assistant?        
    • A. 

      Assist a 12-year old boy who is profoundly developmentally disabled to eat lunch

    • B. 

      Obtain frequent oral temperatures on a client

    • C. 

      Accompany a 51-year-old man, being discharged to home following a bowel resection 8 days ago, to his transportation

    • D. 

      Collect a urine specimen from a 70-year old woman admitted 3 days go

  • 10. 
    A clinical nurse manager is reviewing the critical paths of the clients on the nursing unit. The nurse manager collaborates with each nurse assigned to the clients and performs variance analysis.  Which of the following would indicate the need for further action and analysis
    • A. 

      A client is performing own colostomy care

    • B. 

      A 1-day postoperative client has a temperature of 98 degrees F

    • C. 

      Purulent drainage is noted from a postoperative wound incision

    • D. 

      A new diabetic client is preparing own insulin for injection

  • 11. 
    A nurse manager is conducting a conference with the nursing staff regarding concerns and proposals for actions related to the nursing unit.  The nurse manager presents his or her own analysis of the problem and proposals for actions to members of the team, and invites the team members to comment and provide input. Which style of leadership is the nurse manager specifically employing?       
    • A. 

      Laissez-faire

    • B. 

      Authoritarian

    • C. 

      Situational

    • D. 

      Participative

  • 12. 
    A client with a right pleural effusion noted on a chest x-ray film is being prepared for thoracentesis.  The client experiences severe dizziness when sitting upright.  The nurse assists the client to which of the following positions for the procedure?
    • A. 

      Prone, with the head turned to the side supported by a pillow

    • B. 

      Sims’ position, with the head of the bed flat

    • C. 

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

    • D. 

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

  • 13. 
    A physician’s order reads: theophylline timed-release capsule (Slo-bid), 100mg PO every 6 hours.  The medication label reads: 50 mg /capsules.  The nurse prepares how many capsule(s) to administer one dose?
    • A. 

      1

    • B. 

      2

    • C. 

      3

    • D. 

      4

  • 14. 
    A physician has written an order for a vest restraint to be applied on a client from 10:00 PM to 7:00 AM because the client becomes disoriented during the night and is at risk for fall. At 6:30 AM, the nurse manager takes rounds on all the clients in the  unit. When assessing the client with vest restraint, which observation would indicate that the nurse who cared for this client performed unsafe care in the use of the restrain?          
    • A. 

      A hitch knot was used to secure the restrain

    • B. 

      The client’s record indicates that the restraint was released every 2 hours

    • C. 

      The restraint was applied tightly to prevent a fall

    • D. 

      The call light was placed within reach of the client

  • 15. 
    The nurse is providing an educational session to a group of students who are enrolled in a certified nursing assistant program.  The nurse prepares an instructional list for the students regarding the correct procedure for hand washing.  Which instructions does the nurse include on the list?
    • A. 

      Turn on the water. Allow warm water to wet the hands. Apply soap to the hands and rub them vigorously. Keeps hands pointed downward. Rinse the hands. Dry the hands using a paper towel.

    • B. 

      Turn the water faucet off with the paper towel. Turn on the water. Allow the warm water to wet the hands. Apply soap to the hands and rub them vigorously. Keep hands pointed upward. Rinse the hands. Dry the hands using a paper towel. Turn the water faucet off with the paper towel.

    • C. 

      Turn on the water. Allow the warm water to wet the hands. Apply soap to the hands and rub them vigorously. Keep the hands pointed down ward. Rinse the hands using a paper towel. Turn the water off with the clean hands.

    • D. 

      Turn on the water; allow the cold water to wet the hands. Apply soap to the hands and rub it vigorously. Keep hands pointed upward. Rinse the hands using a paper towel and warm water. Turn the water off with clean hands.

  • 16. 
    A nurse is preparing to suction a client through a tracheostomy tube.  Which of the following protective items would the nurse wear to perform this procedure?  
    • A. 

      Gown, mask and sterile gloves

    • B. 

      Goggles, mask and sterile gloves

    • C. 

      Mask, gown and a cap

    • D. 

      Mask, sterile, gloves and a cap

  • 17. 
    A nurse is instructing a client on how to safely use crutches for ambulating at home.  Which measure would the nurse recommend to minimize the risk of falls while ambulating with crutches? 
    • A. 

      Use grab bars in the bath tub or shower

    • B. 

      Remove scatter rugs in the home

    • C. 

      Keep all pets out of the house

    • D. 

      Use soft-soled slippers when walking with the crutches.

  • 18. 
    An 85-year-old client is on postoperative day 2 following repair of a fractured hip.  The nurse has observed that the client has episodes of extreme agitation.  Which of the following nursing interventions would be most appropriate for the nurse to implement to  avoid these episodes of agitation?
    • A. 

      Walk up behind the client and gently put a hand on the client’s shoulder while speaking

    • B. 

      Speak to the client at the entrance of the room to avoid any episodes of violence

    • C. 

      Speak and move slowly to the client while assessing the client’s needs

    • D. 

      Wait until the client’s agitation has subsided before approaching the client.

  • 19. 
    A nurse has administered an injection to a client.  After the injection, the nurse accidentally drops the syringe on the floor.  Which nursing action is the most appropriate in this situation? 
    • A. 

      Carefully pick-up the syringe from the floor and gently recap the needle

    • B. 

      Carefully pick up the syringe in the floor and dispose it in sharps container

    • C. 

      Obtain a dust pan and mop to sweep up the syringe

    • D. 

      Call the housekeeping department to pick up the syringe

  • 20. 
    A nurse is observing a client using a walker.  The nurse determines that the client is using the walker correctly if the client is:     
    • A. 

      Puts all four points of the walker flat on the floor, puts weight on the hand pieces and then walks into it.

    • B. 

      Put weight on the hand pieces, moves the walker forward and then walks to it

    • C. 

      Puts weight on the hand pieces, slides the walker forward and then walks unto it

    • D. 

      Walks into the walker, puts weight into the hand pieces, and then puts all four points of the walker on the flat floor

  • 21. 
    • A. 

      The client is able to rest axillae on the axillary bars

    • B. 

      The nurse is able to place two fingers comfortably between the axillae and the axillary bars

    • C. 

      The client is able to maintain the arms in a straight position when standing with the crutches

    • D. 

      The nurse is able to place four fingers comfortable between the axillae and axillary bars

  • 22. 
    A client has a risk for infection following radical vulvectomy.  The nurse avoids which of the following when giving perineal care to this client?            
    • A. 

      Cleanses using warm tap water and a bulb syringe

    • B. 

      Intermittently exposes the wound to air.

    • C. 

      Provides perineal care after each voiding and bowel movement (BM)

    • D. 

      Provides prescribed sitz baths after the sutures are removed

  • 23. 
    A nurse prepares to assist a postoperative client to progress from a lying to a sitting position to prepare for ambulation.  Which nursing action is most appropriate to maintain safety of the client? 
    • A. 

      Assist the client to move quickly from the lying position to the sitting position

    • B. 

      Assess the client for signs of dizziness and hypotension

    • C. 

      Elevate the head of the bed quickly to assist the client to a sitting position.

    • D. 

      Allow the client to rise from the bed to standing position unassisted

  • 24. 
    A nurse is inserting an indwelling urinary catheter into a male client.  As the catheter is inserted to the urethra, urine begins to flow into the tubing.  At this point, the nurse:
    • A. 

      Immediately inflates the balloon

    • B. 

      Withdraws the catheter approximately 1 inch and inflates the balloon

    • C. 

      Inserts the catheter until resistance is met and inflates the balloon

    • D. 

      Inserts the catheter 2.5 to 5 cm and inflates the balloon

  • 25. 
    A nurse has just collected a sputum specimen by expectoration for a culture on a  client who has a productive cough.  The nurse plans to implement all of the following interventions.  Which of the following nursing action does the nurse identify as the priority?
    • A. 

      Giving the client mouthwash

    • B. 

      Checking to see that the sputum basin is clean

    • C. 

      Sending the sputum specimen to the laboratory immediately

    • D. 

      Providing tissues for the expectoration