Your Duties As A Nurse- MCQ Test

28 Questions | Total Attempts: 54

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Your Duties As A Nurse- MCQ Test

Are you preparing or aspiring to be a nurse? Or have your nursing exam coming up soon? In that case, you need to have clarity about your duties as a nurse. Do you know enough about it? Well, this MCQ test will clear that out in minutes. All the best!


Questions and Answers
  • 1. 
    A client who is s/p clipping for an aneurysm in the past 48 hours reports severe intermittent headache. He is notably less alert while he is experiencing the headache. As a nurse, what is your immediate concern?  
    • A. 

      These are expected post clipping symptoms, continue to monitor and record progress.

    • B. 

      The client may be experiencing transient vasospams and may need his Nimodipine dose increased - call provider who may wish to order a transcranial Doppler study.

    • C. 

      The client may be re-bleeding and should be sent for a CT scan to determine this- call neuro PA or NP.

    • D. 

      The client is probably experiencing a post bleed- ischemic injury d/t reperfusion, and altered free oxygen radical release- call PA who may wish to increase antioxidant thearpy.

  • 2. 
    A client who experienced a minor hemorrhagic stroke from an aneurysm 1 week ago[aneurysm was not repaired] reports a severe headache accompanied by nausea and vomiting. What is your immediate concert.
    • A. 

      The client may be re-bleeding

    • B. 

      The clients warfarin dose is inadequate 

    • C. 

      The client is experiencing stroke related pyschological stress

    • D. 

      The client is experiencing increased ICP

  • 3. 
    Your head injury patient develops decreased urinary output 20-30ml/hour, his serum NA+ is < 130mg/dl and they have +3 generalized edema. What is the treatment of this pathology in the head injured patient?
    • A. 

      DI may be treated with hypotonic fluids [ the only time hypotonic fluid is given in a neuro patient) and vasopressin

    • B. 

      SIADH is treated with administration of vasopressin and rapid replacement of sodium

    • C. 

      Although DI is generally treated with hypotonic fluids, this is inappropriate in head injury and therefore the fluid of choice is NS

    • D. 

      SIADH is best treated with fluid restriction and strict I&O

  • 4. 
    A patient arrives in the ICU with an altered LOC. After an initial assessment of ABCs[including VS and spo2] and GCS, the next test should be...
    • A. 

      Non contrast head CT

    • B. 

      ETOH level

    • C. 

      CXR

    • D. 

      Finger stick glucose

  • 5. 
    When developing a teaching plan for a patient who had an embolic stroke, the nurse considers which history as a significant risk factor?
    • A. 

      Hx of atherosclerosis of cerebral arteries

    • B. 

      A.fib

    • C. 

      Hypertension

    • D. 

      Use of anticoagulantsĀ 

  • 6. 
    Which assessment finding increases the concern that a patient with cerebral vascular accident would aspirate?
    • A. 

      Absence of interest in eating or drinking

    • B. 

      Continuous clearing of the throat

    • C. 

      Eating only foods on one side of the tray

    • D. 

      Refusal to allow the nurse to assist with feeding

  • 7. 
    A patient with a moderate diffuse head injury is demonstrating a variety of neruo symptoms. What is the priority when caring for this patient?
    • A. 

      Supporting nutritional needs

    • B. 

      Maintaining stable CPP

    • C. 

      Electrolyte replacements

    • D. 

      Maintaining adequate fluid volume

  • 8. 
    A patient with a TBI continues to have increased ICP despite conventional therapeutic interventions. The nurse would anticipate which tier three intervention?
    • A. 

      Hyperosmolar thearpy

    • B. 

      Hyperbaric oxygen thearpy

    • C. 

      High-dose barbiturate thearpy

    • D. 

      High volume intravenous fluids

  • 9. 
    An ICU nurse is documenting a high- acuity patient's clinical response following administration of morphine sulfate for anginal pain using PQRST. What data should the nurse expect to document as "s"
    • A. 

      Patient reports burning in the chest area

    • B. 

      Patient states that the pain subsided after 10 mins

    • C. 

      Patient reports pain has decreased from a 9 to a 6 on pain scale

    • D. 

      Patient reports that the majority of pain is located in left jaw

  • 10. 
    The nurse is preparing to administer tPA thearpy to a HA patient with an acute ischemic stroke. which findings should cause the nurse to abort procedure
    • A. 

      Stroke symptoms suddenly appearing an hour ago

    • B. 

      Lumbar puncture 2 months ago

    • C. 

      Current use of warfarin

    • D. 

      Evidence of embolic stroke on a ct scan

  • 11. 
    You are caring for a patient who arrived from the cath lab post PCI. They have an angioseal device to the L femoral artery. Which is your priority nursing action?
    • A. 

      Maintain head of the bed at 30 degrees

    • B. 

      Maintain manual pressure to affected area for at least 2 hours

    • C. 

      Maintain patient flat for at least 30 minutes

    • D. 

      Early ambulation

    • E. 

      Lay patient on good side

  • 12. 
    HA patient has a suspected acute stoke. Which patient condition may result in impaired airway clearance
    • A. 

      Hemiplegia

    • B. 

      Nausea

    • C. 

      Aphasia

    • D. 

      Loss of vision

  • 13. 
    The nurse is providing post procedure care for HA patient after a carotid endarterectomy. Which action should the nurse take to facilltate carotid blood flow?
    • A. 

      Elevate the head of the bed 30 degrees

    • B. 

      Position patient on the non operative side

    • C. 

      Maintain head and neck alignment

    • D. 

      Support the head during position change

  • 14. 
    You have a patient dx with CAD, and is started on simvastatin. What baseline lab test is required prior to initiation of therapy.
    • A. 

      CBC

    • B. 

      Sedimentation rate

    • C. 

      Liver function test

    • D. 

      Triglycerides

    • E. 

      PTT

  • 15. 
    The nurse has administered thrombolytic therapy to a 65 yr old female patient diagnosed with STEMI. Ten hours following administration of the thrombolytic, the patient is uncharacteristically irritable and somnolent. Which complication should the nurse suspect?
    • A. 

      Allergic reaction

    • B. 

      Cardiac tampondae

    • C. 

      Intracranial hemorrhage

    • D. 

      Reocclusion

  • 16. 
    The nurse is reviewing pharm management for HA patient diagnosed with unstable angina[UA]. Which collaborative therapy should the nurse expect to see in a plan of care?
    • A. 

      Hydrochlorothiazide

    • B. 

      Metoprolol

    • C. 

      Mannitol

    • D. 

      Furosemide

  • 17. 
    A pt is admitted to the ED for a suspected MI. Which lab test should the nurse anticipate being performed for this PT[ which is most accurate]
    • A. 

      Serum potassium

    • B. 

      Troponin

    • C. 

      C-reactive protein

    • D. 

      Lipid profile

    • E. 

      CK-MB

  • 18. 
    The nurse is performing an assessment on a HA patient with severe right sided heart failure. Which finding should indicate to the nurse an exacerbation of this condition?
    • A. 

      Movement at the fifth intercostal space at the precordium

    • B. 

      Lower extremity edema

    • C. 

      Increased urine output

    • D. 

      The presence of an s2 sound

  • 19. 
    What is the first action a nurse should take when they see VT[tachy] on monitor?
    • A. 

      Check patients urine output

    • B. 

      Check pulse

    • C. 

      Prepare for defibrillation

    • D. 

      Prepare for cardioversion

  • 20. 
    Your patient has a HR of 108. The rhythm is regular, patient has a p wave before each QRS complex, PR interval is .20 seconds and the QRS that follows each p is narrow. How would you label this rhythm?
    • A. 

      Normal sinus rhythm

    • B. 

      First degree heart block

    • C. 

      SVT

    • D. 

      Sinus tachycardia

  • 21. 
    Which of the following is true of the QT interval
    • A. 

      Measures atrial and ventricular depolarization

    • B. 

      Measures ventricular depolarization and repolarization. it should be corrected for HR

    • C. 

      It is an unimportant measure and rarely considered

    • D. 

      Measurement of resting membrane potential

  • 22. 
    An adult patient with a heart rate of 50bpm should be?
    • A. 

      Worked up for possible bradycardic cardiomyopathy

    • B. 

      Assessed for his perfusion response to this HR[ this may be perfectly normal in a healthy adult]

    • C. 

      Given 0.5mg atropine and repeated to a total of 3mg

    • D. 

      Placed on transcutaneous pacing until HR is at least 60

  • 23. 
    A patient with a.flutter with a 4:1 block is to be started on medications to convert this new rhythm. Which of the following meds would be appropriate?
    • A. 

      Calcium channel blocker [like diltiazem] or an antiarrhythmic[amiodrane]

    • B. 

      A beta blocker [lopressor or digoxin]

    • C. 

      A magnesium salt to buffer the effects of calcium in the atria

    • D. 

      An ace inhibitor to affect afterload- addressing cause of rhythm

  • 24. 
    A patients cardiac monitor frequently sounds false rate alarms. Which nursing intervention is indicated?
    • A. 

      Ask the patient to lie still

    • B. 

      Adjust the high and low rates on the alarm

    • C. 

      Shut the room door so the alarm will not disturb the other patients

    • D. 

      Set the alarms on silent

  • 25. 
    The nurse has determined that the patients has a bundle branch block. Which condition likely exists?
    • A. 

      PR interval longer than .20 seconds

    • B. 

      An elevated ST segment

    • C. 

      A QRS segment longer than 0.12 seconds

    • D. 

      A PR interval that lengthens with each beat

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