practice-test-for-professional-and-major-nursing-subjects.pdf - Nursing Hero (2024)

Practice Test for professional and major nursing subjects Nursing (Bukidnon State University) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Practice Test for professional and major nursing subjects Nursing (Bukidnon State University) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by arniel zigu ([emailprotected])lOMoARcPSD|43287072

NP 1 Situation: Verbal communication is extremely important especially when the Nurse is exploring problems and disorders with the clients in any age group. Nurse Dante is assigned to diferent clients in the ward. 1. A client is hospitalized with a diagnosis of possible Cancer of The Pancreas. On admission the client asks the nurse, "Do you think I have anything serious like cancer? "What is the nurse's best reply? A."What makes you think you have cancer? B."I don't know if you do, but let's talk about it." C."Why don't you discuss this with your doctor?" D."Don't worry, we won't know until all the test result are back." 2. Nurse Dante approaches a male client and asks how he is feeling. The client states "I'm feeling a bit nervous today." Which of the following is the Nurse's best reply? A.Please explain what you mean by the word nervous B.What is making you feel nervous? C.Would a backrub ease your nervousness? D.You do look like you're nervous 3.When assessing a client what statement would indicate negative self- talk? A.Everyone has to learn something new sometime B. I am looking forward to making home visits, but I am also nervous C.This is going to be difcult, but I know I can do it D.Who can ever have enough experience to prepare for that job? 4. While receiving a preoperative enema a client starts to cry and says. "I'm sorry you have to do this messy thing me," what is the best response by the nurse? A."I don't mind it."B."You seem to be upset."C."This is part of my job." D."Nurses get used to this." 5. "But you don't understand" is a common statement associated with adolescent. The best response by the nurse when communicating with an adolescent is to say: A."I don't understand." B."I would like to understand, let's talk." C."I don't understand. I was a teenager once too." D."I'm not sure have to I believe it's you who has to understand." 6. Several factors contribute to serum calcium imbalances, one of which is a client's hormones. Which of these hormones contribute to loss of calcium from the blood as it is absorbed into the bones? A.TSH B.LH C.Calcitonin ----BLOOD TO BONE TRANSPORT OF CALCIUM D.PTH BONE TO BLOOD PARA TO HEMA 7.A 16-year old patient with Cystic Fibrosisis admitted with increased shortness of breath and possible pneumonia. Which nursing activity is most important to include in the patient's care? A.Perform postural drainage and CPT every 4 hours B.Allow patient to decide if he needs aerosol medications C.Place the patient in a private room to decrease the risk of further infection D.Plan activities to provide 8 hours of uninterrupted sleep 8.A patient with COPD is admitted to the ward. Which intervention would you delegate to the UNLICENSED NURSING ASSISTANT? UNLICENSED NURSING ASSISTANT MAY DO POSITIONING, MORNING CARE A.Assisting the patient to sit up in bed B.Instructing the patient to cough efectively RN C.Teaching the patient to use incentive spirometry RN D.Auscultation of breath sounds every 4 hours RN 9. A patient with sleep apneahas a nursing diagnosis of Sleep Deprivation related to disrupted sleep cycle. Which action should you delegate to the Nursing Assistant (PCT)? A.Discuss weight loss strategies -- RN B.Teach the patient how to use BPAP before sleeping -- RN C.Remind the patient to sleep on his side rather on his back D.Administer modafnil as ordered -RN 10. After a change of shift, you are assigned to care for the following patients. Which patient should you ASSESS FIRST? A.60 year old patient with TB whose sputum sample should be sent to the laboratory NOT PRIORITY Downloaded by arniel zigu ([emailprotected])lOMoARcPSD|43287072

B.55 year old patient with COPD, pulse oximetry reading at 90% NORMAL O2 READING FOR COPD, NOT PRIORITY C.70 yr old patient with pneumonia who needs to be started on IV antibiotics NOT PRIORITY D.50 year old client with asthma who complains DOB after administration of bronchodilators AIRWAY, BREATHING PRIORITY 11. After the respiratory therapist performs suctioning on a patient who is intubated, the nursing assistant measures vital signs for the patient. Which vital sign value should the nursing assistant report to the RN immediately? REPORT SIGN OF INFECTION POST SUCTIONING A.HR 98 bpm NORMAL B.RR 24 cpm NORMAL C.BP 168/90 NOT PRIORITY D.Tympanic temperature of 101.4 degrees F (38.5C) SIGN OF INFECTION 12. The charge nurse is making assignments for the next shift. Which patient should be assigned to the fairly new nurse (6 months experience) pulled from the surgical unit to the medical unit? A.58 yr old on airborne precautions due to possible TB diagnosis NO B.68 yr old who just came from bronchoscopy and biopsy NO C.72 year old patient with COPD who needs teaching on incentive spirometry use --- COMMON IN POSTOP PATIENTS D.69 year old patient who is ventilator dependent. NO GIVE PATIENT WHO IS ON INCENTIVE SPIROMETRY TO THE NURSE THAT IS PULLED OUT FROM SURGICAL UNIT TO MEDICAL UNIT SINCE THE USE OF INCENTIVE SPIROMETRY IS COMMON TO PATIENTS IN THE SURGICAL WARD HENCE, THE NURSE IS AWARE OF THIS PROCEDURE 13. The nursing assistant tells you that a patient who is receiving oxygen at a fow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should you suggest to improve the patient's comfort for this problem? A.Suggest the patient's oxygen to be humidifed ---- WARMING INSPIRED AIR IMPROVES GAS EXCHANGE B.Suggest that face mask should be used than nasal cannulaNO FACEMASK 8-12LPM C.Suggest that the patient will be provided with additional pillows NO D.Suggest the patient to sit up in a chair at a bedside NO IF A PATIENT WITH O2 VIA NASAL CANNULA COMPLAINED DISCOMFORT, THE NURSE MAY SUGGESTHUMIDIFIED OXYGENTHROUGH WARMING INSPIRED AIR IMPROVES GAS EXCHANGE 14. The patient with COPD has a nursing diagnosis of Inefective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision? A.Perform CPT on the patient RNB.Assist COPD patient with ADLs --- DELEGATE TO EXPERIENCED LPN UNDER RN SUPERVISION C.Plan a nursing care plan RN D.Perform suctioning as needed RN IN A COPD PATIENT, ASSIST IN ADLS CAN BE DELEGATED TO EXPERIENCED LPN UNDER THE RN SUPERVISION 15. To improve respiratory status, which medication should you be prepared to administer to the newborn infant with RDS? A.Surfactant ---Poractant ALFA (Curosurf)GIVE TO INFANTS WITH RDS B.Dexamethasone given via IM to mother during preterm labor C.Theophylline Long acting beta 2 agonist D.Albuterol Short acting beta 2 agonist SURFACTANT IS NEEDED BY A NEWBORN BABY WITH RESPIRATORY DISTRESS SYNDROME IN ORDER TO PREVENT LUNG COLLAPSE. SURFACTANT ALSO MAKES SURE THAT THE NEWBORN LUNGS IS EXPANDING AND RETURNING TO ITS ORIGINAL FORM AFTER EXHALATION SURFACTANT PORACTANT ALFA (CUROSURF) 16. When a patient with TB is being prepared for discharge, which statement by the patient indicates the need for further teaching? (-) A.Everyone in the family needs to go to the doctor for TB testing CORRECT Downloaded by arniel zigu ([emailprotected])lOMoARcPSD|43287072

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