Prometric Questionnaire

Q1)The nurse administered a dose of morphine sulfate as prescribed to a patient who is in the
post anesthesia care unit (PACU). The patient appears to be resting comfortably, the respiratory
rate is 8 and the O2saturation is 21 oxygen via cannula is 86%. The nurse should
IMMEDIATELY administer:
A) Flumazenil (Romazicon)
B)Medazolum (versed)
C) Naloxone (Narcan)
D) Ondansetron (Zofran)
Answer : C

Q2)A patient schedule for a major surgery in one hour is very nervous and upset. Which of the
following order medications would the nurse administer torelax this patient?
A) Meperidine Hydrochloride(Demerol)
B) Scopolamine (Transderm-Scop)
C) Pentobarbital sodium(Nembutal sodium)
D) Trazodone hydrochloride(Trazadone)
Answer : A

Q3) A patient with poor wound healing and poor appetite has an order to begin total
parentalnutrition (TPN). Waiting for the TPN solution to arrivefrom the pharmacy, the nurse
shouldobtain:
A) pair of sterile gloves
B) An infusion pump
C)IV tubing with a micro-dripchamber
D)Povidine-iodine (Beta dine)swabs
Answer : B

Q4) A nurse is caring for a patientreceivingtotal parenteral nutrition(TPN). The patient

reportsthesudden onset of feeling short ofbreath and anxious. The nursehears crackles inbilateral
lowerlobes of the lungs and the patient’s O2 saturation is 90%on room air.The nurse must
IMMEDIATELY:
A) Turn off the TPN
B) Notify the physician
C) Asses the patient’s capillary blood glucose level
D) Attempt to suction the patient’s airway
Answer : A

Q5)A nurse has just started totalparenteral nutrition (TPN) asprescribed for a patient with severe
dysphagia low pre albumin levels.In one totwo hours, the nurse should anticipate assessing the
patient’s:
A) Blood glucose level
B)Weight
C)Liver
D)Spo 2
Answer : D

Q6)The nurse is planning care for several children who were admitted during the shift. Daily
weights should be the plan of care for the child who is receiving:
Total parenteral nutrition(TPN)
A) Supplement oxygen
B) Intravenous anti-ineffective
C) Chest physiotherapy
Answer : A

Q7)The nurse is caring for a 4-year-old patient with adiagnosis of cystic fibrosis andpneumonia.
The child is feeling better on the 3rd day of the hospitalization and “wants to play.” What would
be the best choice of entertainment?
A) Blowing bubbles
B) Looking at picture books Watching videos
C) Riding in a wagon
Answer : A

Q8) A nurse is caring for an 8-year-old male with cystic fibrosis. Based on the nurse’s
understanding of the disease.What nursing intervention should the nurse expect to perform?
A) Restrict sodium and fluidintake
B) Give antidiarrhealmedications
C) Discourage coughing afterpostural drainage
D) Administer pancreatic enzymes with each meal
Answer: D

Q9) A nurse is caring for a child with a diagnosis of cystic fibrosis and pneumonia. The plan of
care includes nebulizer treatment and chest physiotherapy. The nurse should perform chest
physiotherapy:
A) Continuously during thenebulizer treatment
B)Prior to the nebulizer treatment
C) After the nebulizer treatment
D)Intermittently during the nebulizer treatment
Answer: C

Q10) When conducting discharge teaching for the parent of a child newly diagnosed with cystic
fibrosis. Which of the following statement by the parent indicates the need for further teaching?
A) Weekly weights help evaluate effectiveness of nutritional interventions
B) Weekly weights help the doctor know if may child is absorbing nutrients
C) Weekly weights reassure my child that recovery is progressing
D) Weekly weights help the doctor know if my child needs additional enzymes
Answer : D
Q11) While caring for a patientwith an ileostomy, the nursewould expect the ostomy tobe
located In Which Quadrant of the abdomen?
A) Right lower
 B) Left lower
C) Left upper
D) Right upper
Answer : A
Q12) A patient has been assessedand found to have severe dysphagia and will need longterm
nutritional support,which one of the following types of feeding would MOST likely to be
beneficial for this patient?
A) Gastrostomy
B)Patenteral
C)Nasogastric
D)Nasoduodenal
Answer : C

Q13)A surgeon instructs a nurse to serve as a witness to anelderly patient’s informed consent for
surgery. During the explanations to the patient,it becomes clear that the patient is confused and
does not understand the procedure,but reluctantly sign theconsent form. The nurseshould:
A)Sign the form as a witness,making a nation that the patient did not appear to understand
B)Not sign the form as a witness and notify the nurse supervisor
C)Not sign the form and answer the patient’s questions after the surgeon leaves he room
D)Sign the form and tell surgeon that the patient doesn’t understand the procedure
Answer : B

Q14)The nurse is evaluating the patient with end stage chronic obstructive pulmonary disease
(COPD).The patient has not achieved any of the goals in the plan of care.The spouse reports
concerns about the patient’s mood and increased dependency .What action should the nurse take
FIRST?
A)Continue the care plan for 1more month
B)Refer the patient to psychiatric services
C)Collaborate with the patient and spouse to revise the care plan
D)Revise the care plan based on the spouse’s input
Answer : C

Q15A home care patient withchronic obstructivepulmonary disease (COPD)reports anupset

stomach. Thepatient is taking theophylline(Theo-Dur) and triamcinoloneacetonide (Azmacort)
Thenurse should instruct thepatient to take:
A)Theo-dur an empty stomach
B)Theo-dur and azmacortat the same time
C)Theo-dur and azmacort12 hours apart
D)Theo-dur milk or crackers
Answer : B

Q16When giving post operative discharge instructs a patient who had abdominal surgery,all of
the following regarding wound healing are true EXCEPT:
A)Bathing to soak abdomen ispreferred
B)Avoid tight belts and cloths with seams that may rub the wound
C)Pain medication may effectability to drive.
D)Irregular bowel habits can be expected
Answer: A

Q17)A nurse giving post operative discharge instructs a patient who had abdominal surgery,
when teaching the patient about wound healing all of the following are the true EXCEPT:
A)Wound may feel tightly oritchy as healing occurs
B)Scabs promote infection ofthe new skin underneath them
C)Numbness or a slight pulling sensation is normal
D)Wound should not have any drainage
Answer : C

Q18)A 12-year-old child who has been diagnosed with insulin dependant mellitus (IDDM)since
age3.Comes to the clinic for a routine visit. The patient has begun to self manage care with
parental supervision. Thepatient injects 28 units of NPHinsulin every morning and 8units at
bedtime. The patientchecks blood sugar 4 timesevery day.The patient’s weightis stable and diet
isunchanged. However, thepatient reports several hypoglycemic reactions every week. The nurse
knows the MOST likely cause is that:
A)The patient is not eating the adequate number of calories reported
B)The dosages of insulin may need to be decreased as the patient continues to grow
C)There may be changes in exercise or stress levels or the beginning of a growth Spurt
D)The patient may not becom petent in techniques of drawing up and injecting insulin
Answer : C

Q19)A nurse visits a patient at home who does not understand how to take anewlyprescribed
medication.The prescription reads: 5 ml PO TID p.c. meals. The nurseexplains to the patient that
thecorrect way to take themedication is:
A)1 teaspoon by mouth, 3times a day, before meals
B)1 teaspoon by mouth, 3times a day, after meals
C)1 tablespoon by mouth, 3times a day, before meals
D)1 tablespoon by mouth, 3times a day, after meals
Answer : B

Q20)The nurse is caring for a patient who had major abdominal surgery under general anesthetic
4 hours ago. An appropriate goal for the patient includes:
A)Having minimal fine cracklesin the base of the lungs
B)Using the incentivespirometry every 4 hours
C)Expectorating minimalamount of secretions
D)Performing Coughing Exercises every hour whileawake
Answer : D

Q21)While caring for a child with aventriculoperitoneal shuntrevision, the nurse find the patient
lying with the head and feet flexed back. The nurse should call for help and prepare for a(n):
A)Spinal tap
B)Shunt culture
C)Electrocardiogram
D)Ventricular tap
Answer : D

Q22)A patient under goingtreatment for cancer with bone metastasis is experiencing Severe
pain.Which of the following treatment would the nurse MOST likely expect to improve the
patient’s pain control?
A)Adjuvant radiation therapy
B)Curative radiation therapy
C)Radiosurgery (stereotactic)
Answer : B

Q23)During surgery requiring general anesthesia, the patient heart’s stops and acarotid pulse is
not palpated.How many compressionsper minute should beadministered?
A)50
B)60
C)80
D)100
Answer :D

Q24)When teaching a community class on cerebro vascular accidents (stroke), which of the
following should participants of the class know at the completion of the class?
A)Muscle and ligament damageis not reversible
B)Expressive aphasia isresolved by voice rest
C)There is a risk for mood disorders such as depression
D)Liquids should be consumed at the same times as solids food
Answer : D

Q25)A community health carenurse visits a patient who hada cerebrovascular accident.The
patient is at risk fordeficient volume due tovoluntary reductionintakefluid intake to avoid the
useof the bathroom. The nurseeducates thepatient on theimportance of drinking fluidsand
maintaining hydration.Whichof the followingindicates the efficacy of thenursing intervention?
A)Amber color urine
B)Respiration of 35
C)Tachycardia
D)Moist mucous membrane
Answer : A

Q26)A home health nurse isvisiting a patient following acerebrovascular accident(CVA). The
patient is having trouble sleeping and is feeling sad. The patient’s spouse tells the nurse that the
patient is not eating much and often cries when nooneis watching. Which of thefollowing would
be thenurse’s MOST likelyintervention?
A)Assess for changes in cognitive abilities
B)Complete a depression index
C)Strengthen family coping methods
D)Screen for pain
Answer : B
Q27)A home health nurse is visiting a patient who recently suffered a Cerebro vascular
accident(CVA). The nurse would MOST likely implement which of the following interventions
to prevent muscle and ligament deformities?
A)Daily moist heat and isometric exercises
B)Daily balance training and routine medications for pain
C)Instruct patient to use non-affected side to perform activities of daily living
D)Daily range of motion exercises.
Answer : C

Q28) A nurse is assigned to do a home visit for an 81-year-old patient. The patient lives at home
with an adult caretaker and is completely bed-bound following a Cerebrovascular accident
(CVA) 2 weeks ago. In planning caregiver education, The nurse should be prepared to instruct
the caretaker in:
A)How to select a nursing home for the patient
B)Performing passive range of motion exercises
C)The importance of avoiding viscous drinks
D)Forming a local chapter of a care giver support group
Answer : D

Q29)A home care nurse makes a follow-up visit to a patient who recently suffered
acerebrovascular accident. The patient is mobile and able to perform activities ofdaily living.
However, the patient has not sleeping and has lost weight due tolack of appetite. The patient also
feels overwhelmed with sadness. Which of thefollowing is the most appropriate evaluation?
A)Patient’s progress is as expected and no furtherintervention is necessary
B)Patient needs referral to anutritionist
C)Patient needs intervention fordepression
D)Patient needs sleeping medication
Answer : C

Q30)A patient admitted with a cerebrovascular accident (CVA), is unable to chew orswallowed.
The patient is a risk for aspiration. The nurse would anticipate receivingwhich of the following
orders for this patient?
A)Give no food by mouth andstart intravenous hydration
B)Start a pureed diet withthickened liquids
C)Refer the patient to apsychiatrist for depressionrelated to the CVA
D)Refer the patient to physicaltherapy for musclestrengthening
Answer : A

Q31)While the nurse is administering a large volume enema, the patient complains ofcramping.
The nurse should:
A)Increase the flow rate
B)Lower the fluid container
C)Elevate the head of the bed
D)Gently massage the abdomen
Answer : B
Q32)A home health nurse has entered a home to complete an admission assessment on apatient
who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The
patient will receive intravenous anti-infective via a
Peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions should
the nurse take FIRST?
A)Shake the patient’s hand
B)Place the nursing supply bagon a clean, dry surface
C)Obtain the patient’s writtenconsent for home health care
D)Perform hand hygiene perthe agency protocol
Answer : D

Q33)A home health nurse is teaching a family member about the care of patient’speripherally
inserted central catheter (PICC). Which of the following statementswould be appropriate for the
nurse to make?
A)Place the used intravenoustubing in a leak proofcontainer and then place thissealed container
inside asecond leak proof container.”
B)“You will need to put on adisposable face mask beforeyou connect theintravenoustubing to the
port of thePICC.”“The port of the PICcatheter will need to becleansed with povidone-
iodine(BETADINE) afterthe infusion is completed.”
C)“The empty medicationcontainer can be placed inthe same container asyourHousehold
refuses.”
Answer : A
Q34) A patient had a craniotomy with resection of a nonmalignant neoplasm for the temporal
lobe. The patient’s vital signs are within the base line normal range. The nurse observes that the
patient has developed bilateral periorbital edema. Which of the following actions would be
appropriate for the nurse to take?
A)Apply cold compresses to the patient’s eyes
B)Apply warm compresses to the patient’s eyes
C)Elevate the head of the patient’s bed to 60 degrees
D)Elevate the head of the patient’s bed to 45 degrees
Answer :D

Q35)To decrease the incidence of aspiration of gastric contents in a child hospitalization with
severe burns, the nurse should position the head:
A)Flat except during meals
B)Elevates 30-45 degrees during meals
C)Elevated 15-30 degrees for12-hours after meals
D)Elevated 45 degrees at all times
Answer : B

Q36)A home health nurse visits a patient with diabetes and primary open-angle glaucoma.The
patient takes metformin (Glucophage) 500 mg once a day for diabetes and timolol ophthalmic
solution twice a day in each eye for glaucoma. Which of the following evaluations indicates that
the patient is noncompliant with glauco mamanagement?
A)Patient has not been taking glucophage
B)Patient has tearing of the eye
C)Patient has not refilled prescription for timolol in 3 months
D)Patient has yellow discharge from the eyes
Answer : C

Q37)A patient is having difficulty with cognitive abilities after a stroke. What part of the brain
was MOST likely affected?
A)Midbrain
B)Cerebrum
C)Medulla oblongata
D)Cerebellum
Answer : B

Q38)A 16-years old patient present to the clinic requesting birth control. With the diagnosis of
health seeking behaviors, the BEST goals have the patient:
A)Verbalizing understanding of safe sex practices and following safe sexual practices in all
encounters
B)Not engaging in sexual encounters until she is over18 years old and maintaining a healthy life
style
C)Recognizing the sign of pregnancy and the symptoms of sexually transmitted diseases
D)Understanding safe sexual practices and use a condomto prevent pregnancy andsexually
transmitted diseases
Answer : D
Q39)A nurse plans to teach a group of 20to25-year-old women about oral contraceptives.The
nurse should instruct that oral contraceptives may:
A)Increase the risk of pelvic inflammatory disease
B)Cause acne to worsen
C)Decrease the risk of breastand cervical cancer
D)Decrease the risk of endometriosis
Answer : A

Q40)Following lumbar surgery a patient has a 4 millimeter (mm) surgical incision. The incision
is clean and the edges are well appropriate. This type of tissue healing is classified as which of
the following?
A)Primary intention
B)Secondary intention
C)Tertiary intention
D)Superficial epidermal
Answer : A

Q41)Shrinkage device is applied after surgery for amputation of the leg. The goal of the
shrinkage device is to from the residual limb into what shape?
A)Cone
B)Oval
C)Mushroom
D)Cylinder with blunt end
Answer : D
Q42)A patient with a pulmonary embolus and a nursing diagnosis of impaired gas exchange has
an order to obtain arterial blood gases. The FIRST intervention by the nurse is to:
A)Perform an Allens test
B)Explain the procedure
C)Gather the equipment
D)Document the procedure
Answer : A

Q43)A patient is diagnosed with pulmonary hypertension. Which of the following nursing
diagnoses should be the PRIORITY?
A)Impaired gas exchanged related to altered blood flow secondary to pulmonarycapillary
constriction
B)Fatigue related to hypoxia
C)Anxiety related to illness and loss of control
D)Activity intolerance related to imbalance between oxygen supply and demand due to right and
left ventricular failure
Answer : D

Q44)A patient who had abdominal surgery is in the post anesthesia care unit (PACU).Which of
the following nursing diagnosis takes PRIORITY?
A)Disturbed sleep pattern
B)Acute pain
C)Risk for infection
D)Ineffective airway clearance
Answer : D

Q45)While caring for a patient in the post-anesthesia care unit (PACU), a nurse observes the
onset of rapid breathing cyanosis, and narrowing blood pressure. The nurse should plan to:
A)Administer bolus glucose
B)Suction the airway
C)Turn the patient to the right side
D)Administer intra venous fluids
Answer : B

Q46)While caring for a patient in the post-anesthesia care unit (PACU) Who has developed
Hypovolemic shock, a nurse should position the patient:
A)Flat with legs elevated
B)In Trendelenburg position
C)With the head of the bed elevated 45 degrees
D)Completely flat
Answer : B

Q47)A patient had a vitrectomy and is about to be transported to the post anesthesia care unit
(PACU). The patient should be placed in which of the following positions before transport to the
PACU?
A)Semi-fowler’s
B)Prone
C)Dorsal recumbent
D)Sim’s
Answer : B

Q48)While caring for a patient in the post-anesthesia care unit (PACU), a nurse plans toKeep the
patient warm. What is the MUST important reason for this action?
A)To preserve nutritional stores
B)To prevent cutaneous vessel dilation
C)To decrease patient anxiety
D)To lower risk of infection resulting from chill
Answer : C

Q49)A patient had a total abdominal hysterectomy 2days-ago and has not been out of the bed
yet. The patient is complaining left leg pain and swelling. What should the nurse do FIRST?
A)Gently massage the patient’sleg
B)Assess the patient’s pain level
C)Assess the patient for Homan’s sign
D)Instruct the patient to reflex the left knee and hip
Answer : C

Q50)To minimize a toddler from scratching and picking at a healing skin graft site, the nurse
should utilize?
A)Hand mittens
B)Mild sedatives
C)Punishment for picking
D)Distraction
Answer : D

Q51)The nurse is teaching the mother of a 3-months-old infant about bottle feeding.Which
statement indicates the mother understands of appropriate procedure?
A)“I should hold my baby in aslightly reclined position,close to my body”
B)“It is OK to prop the bottle on a pillo w”.
C)“It can feed my baby whole milk”
D)“I should warm the bottlesin the microwave if they come out of the Refrigerator”.
Answer : C

Q52)A 9-month-old child who has had four ear infections in the past 6 months is being
discharged. Which statement by the parent indicates the need for further discharge teaching?
A)I should never put my baby to bed with bottle
B)My child should not use a pacifier after age 6 months
C)My child should drink his bottle while laying flat in my lap
D)My child should not be around people who smoke
Answer : B
Q53A Patient complains of severe menstrual cramping. Bleeding is not un usually heavy and the
patient has no uterine disorders. Which of the following interventions should the nurse anticipate
the doctor will order promote comfort?
A)Acetaminophen (Tylenol)
B)Strict bed rest
C)Heating pad to the back of neck
D)Ibuprofen (Motrin)
Answer : D

Q54)During Pre operative preparation of a patient for amputation of the left leg. The nurse has
primary responsibility for:
A) Witnessing the patient signature on the consent form
B) Explaining the procedure to the patient
C)Explaining the risks of the surgery to the patient
D)Making appropriate incision lines on the leg.
Answer : A
Q55)A 52-years-old is admitted to the nursing unit from the physician’s office with a diagnosis
of acute cholecystitis. Physician orders on admission include: monitor vital sign every 4 hours;
IV of ringer’s lactate 125ml per hour; 1500 calorie, low-fat liquid diet, morphine sulfate 2mg IV
every 2 hours as needed for pain, notify physician for sudden increase in frequency or intensity
of pain, promethazine12.5 mg IV every 4 hours as needed for nausea or vomiting. Which of the
following should the nurse plan to do FIRST?
A)Remove any high-foods from the patient’s room
B)Notify the dietitian of the diet order
C)Obtain venous access and start Ringer’s lactate infusion
D)Obtain an emesis basin and clean linens for the be side
Answer : C

Q56)A parent brings a 10-month-old infant into the department saying, “my baby put a button in
her mouth and now she is not breathing!” After the nurse determines the infant is not breathing.
What should the nurse do NEXT?
A)Perform the Heimlichmaneuver
B)Initiate cardio pulmonary resuscitation (CPR)
C)Administer 4 back blows
D)Administer 4 thrusts midline on the patient back
Answer : D
Q57)An infant arrives in the emergency department not breathing and does have a pulse. When
starting cardio pulmonary resuscitation (CPR), where is the correctplace to assess for a pulse in
this patient?
A)Carotid
B)Radial
C)Brachial
D)Temporal
Answer : C
Q58)A 5 years old patient who under went abdominal surgery suffers from deficient fluid
volume related to nothing by mouth (NPO) status; intravenous fluid therapy is given for
hydration. Which of the following indicates that thetreatment is effective?
A)Urinary output of 15ml/hr
B)Respiration rate, 35
C)Heart rate 100
D)Good skin turgor
Answer : D

Q59)A 7-years-old child is brought to the physician office due to sudden onset of bright redness
on the cheeks. The nurse observes that the child has a temperature of 380 C (100.40 F) With chills
the nurse suspects that the MOST like diagnosis would be:
A)Fifth disease
B)Rotavirus
C)Roseolainfantum
Answer : A

Q60)A nurse instructs a community education class on breast health. Which statement BEST
described understanding of the appropriate age to start screening mammograms is a woman of
average risk?
A)At menopause
B)At 65-years-old
C)At the cessation of breastfeeding
D)At 40-years-old
Answer : A

Q61)A patient is taught how to perform a breast self-exam by a nurse. Whichstatement is BEST
described as understanding of the proper procedure fordoing a breast self-exam?
A)Use of the palm of the hand to feel for lumps
B)Apply three differentlevels of pressure to feelbreast tissue
C)Stand when performingbreast self-exam
D)Perform self-examannually
Answer : A

Q62)While caring for a child with in effective airway clearance related to increased mucus
production, the nurse should encourage fluids to:
A)Maintain nutrition
B)Prevent boredom
C)Stimulate coughing
D)Thin secretions
Answer : D

Q63A 59-years old patient with lung cancer and metastases to the bone is in the hospital for pain
management. The patient rates the pain 10 on a scale of 0(no pain) to 10 (severe pain). The
BEST goal for the nurse diagnosis of alteration is comfort is that the patient will:
A)Show no objective signs of pain
B)Not complain of pain
C)State pain is at a tolerable level
D)State that all pain is relieved
Answer : D

Q64)A patient with advanced lung cancer is exhibiting cyanosis and edema of the head and
upper extremities. Which of the following intervention would MOST likely provide an
immediate benefit for this patient?
A)Place in Trendelenburg position
B)Position on the right side
C)Elevate the head of the bed
D)Elevate extremities
Answer : C

Q65)If a patient develops a complication during a blood transfusion, the nurse first should be to:
A)Stop the transfusion
B)Notify the practitioner
C)Administer anantihistamine
D)Administer an anti- inflammatory medication
Answer : A

Q66)Which of the following types of health care services is an example of the primary level of
care?
A)Diagnosis
B)Acute care
C)Restoration
D)Immunization
Answer : D

Q67)In planning for the care of a patient with Crohn’s disease, the nurse and patient discuss the
interventions. Which of the following treatment modalities would MOST likely be considered a
primary intervention for this disease?
A)Surgery
B)Medications
C)High-residue diet
D)Blood replacement
Answer : B

Q68)A patient with acute crohn’s disease has been prescribed an elemental diet. The MOST
likely rationale for this is to:
A)Reset the bowel
B)Improve nutrition
C)Improve medication absorption
D)Prepare for surgery
Answer : C
Q69)A patient has a6-year history of inflammatory bowel disease that is resistant to medical
therapy. The patient can BEST decreased the like hood of the disease progressing to
A)Consuming only elemental foods
B)Stopping smoking
C)Using effective birth control
D)Avoiding over heating
Answer : A

Q70)A home health nurse is setting up a medication administration schedule for an elderly
patient. The patient is talking Oscal (calcium corbonate), Feosol (ferroussulfate), and Orazinc
(Zinc sulfate). The patient eat meals at 8:00 AM, 12 noon, and6:00 PM. Which of the following
medication administration times would the nurseMOST likely implement for this patient?
A)Oscal, Orazinc, and foesal at 8:00AM
B)Oscal at 6:00AM, Orzinc at 12:00 noon, Foesal At 4:00PM
C)Oscal and Foesal at 12:00 noon and Orazinc at 6:00PM
D)Orazinc at 6:00 AM, Oscal at 12:00 noon, and Foesal at 6:00PM
Answer : C

Q71)A Community Health nurse is administering tuberculin skin tests purified protein derivative
(PPD), which of the following time frames should the nurse tell the patient to return to the clinic
for the test to be read?
A)In 12-24 hours
B)In 24-36 hours
C) In 36-48 hours
D)In 48-72 hours
Answer : D

Q72)A patient who is scheduled for a tonsillectomy is in pre operative unit. The nurse notes an
order for pre anesthetic medication to be given “on call to operation room”.The nurse should
give this medication:
A)Immediately upon being notified to prepare the patient for transport
B)When the operation room staff arrive to transport the patient
C)Only if clearly needed after assessment
D)Upon the patient’s arrival in the operation room
Answer : A
Q73)A patient recently under went coronary artery bypass graft surgery (CABG). The Nursing
diagnosis includes sleep deprivation related to intensive care environment. The goal for this
diagnosis would be that the patient:
A)Gets 4 hours of uninterrupted sleep during the right
B)Takes naps during the day
C)Is free of pain in the first hour post surgery
D)Ambulates 3 hours post surgery
Answer : B

Q74)The nurse is assisting a patient to ambulate in the hall. The patient a history of coronary
artery disease(CAD), and had coronary artery bypass graft surgery(CABG) 3 days ago, the
patient reports chest pain rated 3 on a scale of 0 (no pain)to 10 (severe pain) the nurse should
FIRST:
A)Determine how long it has since the patient’s last dose of aspirin
B)Obtain a chair for the patient so sit down
C)Assess the patient’s radial pulse
D)Ask the patient to take several slow, deep breaths
Answer : A

Q74)A 35-years-old female has an inherited gene mutation for achondroplasia, anautosomal
dominate genetic disorder. Her husband does not have genemutation. In planning genetic
counseling for this patient, the nurse would beMOST correct in including which of the following
statements regarding the risk of their children inherited the genetic mutation?
A)Each child has a 50% chance of inheriting the gene mutation
B)Female children have 50% chance of inheriting the gene mutation
C)Male children will not inherited the gene mutation
D)All female children will inherit the gene mutation.
Answer : A

Q75)A patient is one day post operative repair of a large umbilical hernia. The patient complains
of abdominal pain and described feeling the sutures give way. Upon assessment of the abdomen
the nurse observes an evisceration. The nurse’s IMMEDIATE response should be to:
A)Medicate the patient for pain
B)Instruct the patient to cough hard
C)Have the patient perform the valsalvas maneuver
D)Cover the abdomen with asterile soaked dressing
Answer : D

Q76)A 3-years old child is seen at the pediatrician’s office. The parents the child has had
vomiting and diarrhea for the past 15 hours. The child’s is lethargic with the following vital
signs: temperature 37.20 C (99.0 F), heart rate 145,respiration rate 25, and blood pressure level
95/55 mmHg. Which of the vital sign is abnormal?
A)37.20 C (99.00 F)
B)Heart rate 145
C)Respiration rate 25
D)Blood pressure level 95/55
Answer : B

Q77)A home health nurse is teaching a family member about the care of a
patient’s peripherally inserted central catheter (PICC). Which of the following would be
appropriate for the nurse to make?
A)“Place the used intravenous tubing in a leak proof container and then this in sealed container
inside a second leak proof container”.
B)“You will need to put on adisposable face maskbefore you connect thethe port of the PICC.”
C)“The port of the PICCcatheter will need to becleansed with providence-iodine Betadine) after
theinsulin is completed.”
D)“The empty medicationcontainer can be placed inthe same container as your house hold
refuses.”
Answer : A

Q78)While Obtaining the pre operative history of a patient schedules for cosmetic surgery, the
most valuable skill at the nurse disposal is:
A)knowledge of the procedure
B)Time management skills
C)Listening skills
D)Empathy
Answer : D

Q79)A community health nurse screens a group of high risk adults for tuberculosis. Which
gauage needle should the nurse use for an intradermal injection on theventral surface of the
forearm?
A)16 gauge needle
B)20 gauge needle
C) 22 gauge needle
D)26 gauge needle
Answer : D

Q80)A patient hospitalized with tuberculosis (TB) has a productive cough and hemoptysis.
Which of the following types of isolation room would be the best choice for the patient?
A)Reverse isolation
B)Standard isolation
C) Positive-pressure
D)Negative-pressure
Answer : D

Q81)A patient diagnosed with tuberculosis is prescribed isoniazid (Isoniazid), Rifampin

(Rifadin), pyrazinamide (Rifamate), ethambutol HCL (Myambuton), one month later the patient
comes to the physician office with hepatitis. Which drug is the MOST likely cause?
Ethambutol(Myambuton),
A)Acetaminophen,
B)Izoniazid (Izoniazid),
C)Pyrazinamide (Rifamate).
Answer : C

Q82)A Patient with tuberculosis can transmit the disease to another individual Through:
A)Air droplets
B)Physical contact
C)Hand to mouth exchange
D)Blood and body fluids
Answer : A
Q83)A patient recently under went joint replacement surgery, which of the following nursing
diagnosis takes PRIORITY?
A)Risk for peripheral neurovascular dysfunction
B)Deficient knowledge on appropriate activity precaution Impaired physical mobility
C)Sexual dysfunction related to pain
Answer : C

Q84)The parents are anxious after the doctor tells that their child needs surgery.The assess
parents’ ability to cope with this anxiety, which of the following questions should the nurse ask
A)“Did you know that feeling anxious about your child’s surgery is normal?”
B)“Can you wait until after surgery to begin to cope with being anxious?”
C)“How do you think feeling of anxiety will affect your child?”
D)“What has helped you when you felt anxious in the past?”
Answer : A

Q85)A 4-year-old child brought to the community health clinic for scheduled immunizations.
The child should receive:
A)Varicella, rotavirus,pneumococcal and hepatitis B
B)Measles, mumps, rubella and varicella
C)Rotavirus and inactivatedpolio virus
D)Varicella andhaemophilus influenza
Answer : B

Q86)The nurse is conducted a community-based educational program about Diabetes mellitus.

Which of the following statements by a participant would indicate correct understanding of the
teaching?
A)Lantus insulin can be mixed with other insulin
B)It is necessary to wipe off the top the insulin vial with alcohol to prevent infection
C)Insulin will changedcolor after opening
D)Needles can be placedin a hard plasticcontainer with atightly secure lid
Answer : B

Q87)A child is treated for superficial (first-degree) thermal burns to the thigh. The child is in
great discomfort and does not eat. Which of the following diagnosis should receive PRIORITY?
A)Altered nutrition
B)Impaired skin integrity
C)Risk for infection
D)Acute pain
Answer : D

Q88)The nurse calls together an inter disciplinary team with members from medicine, social
services, the clergy, and nutritional services to care for a patient with aterminal illness. Which of
the following types of care would the team MOST likely is providing?
A)Palliative
B)Curative
C)Respite
D)Preventive
Answer : A

Q89)A nurse makes a home visit to a patient recently diagnosed with chronic obstructive
pulmonary disease (COPD), which of the following should the nurse teach the patient about
managing COPD?
A)Recognizing signs of impending respiratory infection
B)Limiting fluids intake minimize bronchial secretions
C)Correct technique to auscultate the lung fields
D)Importance of starting antibiotic therapy
Answer : A

Q90)A patient with chronic obstructive pulmonary disease (COPD) experiencing frequent
dyspnoea which of the following exercise would teach the patient how to BETTER control
breathing?
A)Lower side rib
B)Segmental
C)Pursed-lip
D)Diaphragmatic
Answer : C

Q91)In evaluating the appropriateness of various exercises enjoyed by a

patient with osteoporosis, the nurse would recommend:
A)Walking
B)Bowling
C)Sit-ups
D)Golf
Answer : A

Q92)A patient present to the clinic with“pins and needles” sensations of the left foot and
complains that objects appear “ Shimmering”.The patient is diagnosed with
opticneuritis and referred for further testing. The patient is MOST likely to be tested for:
A)Glaucoma
B)Multiple sclerosis
C)Lesion of brain stem
D)Psychosis
Answer : B

Q93)A 3-years-old has returned to the clinic 4 days after being diagnosed with gastroenteritis
and dehydration. A parent reports that the vomiting has stopped, and the child is tolerating
liquids, rice, apple sauce, and bananas. The diarrhea persists,but seems to be decreasing
in volume. When evaluating for signs of dehydration,the nurse will assess the patient’s skin
turgor by:
A)Grasping the skin over the abdomen with two fingers raising the skin with twofingers
B)Grasping the skin over the forehead with two fingers and raising the skin withtwo fingers
C)Holding the patient’s mouth open and assessing the tongue for deep creases orFurrows
D)Drawing two tubes of blood and running blood urea nitrogen (BUN) andCreatinine (Cr).
Answer : A

Q94)When administering albuterol to a child with asthma, the nurse should observe for sign of
what major side effect to this medication?
A)Tachycardia
B)Renal failure
C)Apnea Blurred vision
Answer : A

Q95)A child with asthma is experiencing thick respiratory secretions resulting in increased work
of breathing. The best nursing intervention is to:
A)Encourage fluids
B)Eliminate dairy products
C)Decrease relative humidity of the room
D)Have the child lay on the left side.
Answer : C

Q96)What would be the long-term goal for a child with asthma?

A)Quickly reverse airflow obstruction
B)Correct hypoxemia
C)Deliver humidified oxygen via nasal cannula
D)Develop a home and school management plan
Answer : D

Q97)A nurse administers an albuterol nebulizer on a child with asthma exacerbation. Which of
following indicates effectiveness of the treatment?
A)Adventitious breath sound with cough
B)O2 saturation 94%
C)Nasal flaring
D)Respiration rate 28
Answer : B

Q98)A Child is diagnosed with asthma exacerbation. Which of the following nursing diagnoses
should be the FIRST priority?
A)In effective airway clearance related to broncho spasm and mucosal edema
B)Fatigue related to hypoxia
C)Anxiety related to illness andloss of control
D)Deficient knowledge relatedto potential side effect of themedication
Answer : A

Q99)An asthmatic patient presents with wheezing and coughing. Oxygen saturation is 88% on
room air. Which of the following nursing diagnosis would take priority?
A)Imbalanced nutrition related to decreased food intake
B)Activity intolerance related to inefficient breathing
C)Anxiety-related dyspnea and concern of illness
D)Ineffective gas exchange related to broncho spasm
Answer : D

Q100)The nurse is visiting the asthmatic patient at home to reinforce the importance of
eliminating environmental allergens and to assess the patient’s response to the environmental
changes. This type of implementation is called:
A)Supervision and coordination
B)Discharge planning
C)Monitoring and surveillance
Ans C