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Nursing Board Review

Nursing Board Review

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Nursing Board Review: Fundamentals of Nursing Practice Test Part 1

Posted: 06 Jun 2010 11:31 PM PDT July 2010 Nursing Board Exam Review Questions on Fundamentals of Nursing. Mark the letter of your choice then click on the next button. Your score will be posted as soon as the you are done with the quiz. We will be posting more if this soon. If you want a simulated Nursing Board Exam, get a copy of our Nursing Board Exam Reviewer v1.0 and v2 now. 1. Jake is complaining of shortness of breath. The nurse assesses his respiratory rate to be 30 breaths per minute and documents that Jake is tachypneic. The nurse understands that tachypnea means:

a. Pulse rate greater than 100 beats per minute b. Blood pressure of 140/90 c. Respiratory rate greater than 20 breaths per minute d. Frequent bowel sounds

2.

The nurse listens to Mrs. Sullen’s lungs and notes a hissing sound or musical sound. The nurse

documents this as:

a. Wheezes b. Rhonchi c. Gurgles d. Vesicular

3.

The nurse in charge measures a patient’s temperature at 101 degrees F. What is the equivalent

centigrade temperature?

a. 36.3 degrees C b. 37.95 degrees C c. 40.03 degrees C d. 38.01 degrees C

4.

Which approach to problem solving tests any number of solutions until one is found that works for

that particular problem?

1

implementing. What is the order of the nursing process? a.” 2 . assessing. diagnosing. Assessing. implementing 6. Noisy breathing 8. Heart rate of 68 beats per minute b. planning b. which of the following is the outcome? a. diagnosing. “I feel pain when urinating. Which expected outcome is correctly written? a. planning. Planning. evaluating c. During the planning phase of the nursing process. Yellowish sputum c. Intuition b. Diagnosing. evaluating. Routine c. planning. implementing.” d. What is an example of a subjective data? a. Client verbalized. “The patient will feel less nauseated in 24 hours.a. Trial and error 5. evaluating d. Assessing. implementing. Nursing history b. diagnosing. Scientific method d. Nursing notes c. assessing. evaluating. Nursing care plan d. Nursing diagnosis 7.

b. Which of the following behaviors by Nurse Jane Robles demonstrates that she understands well th elements of effecting charting? a. Accuracy b. Patient and relatives b. Virginia Henderson 12. She noted: appetite is good this afternoon. Rapid communication 11. The theorist who believes that adaptation and manipulation of stressors are related to foster change is: a. Concern for privacy d. Formulating a nursing diagnosis is a joint function of: a. 2 pencil. Dorothea Orem b. She signs on the medication sheet after administering the medication.” c. “The patient will have enough sleep.R 10. “The patient will eat the right amount of food daily. c. Nurse and patient 3 . Legibility c. Sister Callista Roy c. She writes in the chart using a no.b. “The patient will identify all the high-salt food from a prepared list by discharge.” 9.” d. What is the disadvantage of computerized documentation of the nursing process? a. Imogene King d. She signs her charting as follow: J. d.

d. Decreased serum sodium levels d. The nurse notices that the venipuncture site is red and swollen. dry skin c. Cultural belief b. Nurse and doctor 13. Low blood pressure b. b. Mrs. Doctor and family d. to control her blood pressure. Personal belief c. 16. What nursing action is appropriate when obtaining a sterile urine specimen from an indwelling catheter to prevent infection? a. c. Since then. Adreno-cortical response is activated. Health belief d. Superstitious belief 14. she had maintained low sodium. Decreased urine output 15. This practice is viewed as: a. Open the drainage bag and pour out the urine. Call the attending physician 4 . A client is receiving 115 ml/hr of continuous IVF. Disconnect the catheter from the tubing and get urine.c. Warm. Use sterile gloves when obtaining urine. low fat diet. Becky is on NPO since midnight as preparation for blood test. Caperlac has been diagnosed to have hypertension since 10 years ago. Stop the infusion b. Which of the following is an expected response? a. Aspirate urine from the tubing port using a sterile syringe. Which of the following interventions would the nurse perform first? a.

19. The nurse enters the room to give a prescribed medication but the patient is inside the bathroom. Which of the following is inappropriate nursing action when administering NGT feeding? a. d. Instruct the patient to take the medication and leave it at the bedside. d. Which data would be of greatest concern to the nurse when completing the nursing assessment of a 68-year-old woman hospitalized due to Pneumonia? a. Manager b. 18. Introduce the feeding slowly. Instill 60ml of water into the NGT after feeding. Oriented to date. After few minutes. return to that patient’s room and do not leave until the patient takes the medication. Assist the patient in fowler’s position. Leave the medication at the bedside and leave the room. b. Slow that infusion to 20 ml/hr d. After providing the medication teaching. b. time and place b. Clear breath sounds 5 . Place a clod towel on the site 17. The nurse asks the patient to repeat the instructions. c. Wait for the patient to return to bed and just leave the medication at the bedside. c. Patient advocate d. A female patient is being discharged after thyroidectomy.c. Place the feeding 20 inches above the pint if insertion of NGT. Educator 20. The nurse is performing which professional role? a. What should the nurse do? a. Caregiver c.

During a change-of-shift report. Development of a standardized NCP. Ineffective breathing pattern related to pain. Risk of injury related to autoimmune dysfunction 6 . Patient’s NGT was removed 2 hours ago d. “My headache is gone. b. Which of the following is the most important purpose of planning care with this patient? a. Expansion of the current taxonomy of nursing diagnosis c. as evidenced by insomnia.” b.” b. Which of the following facts to the nurse assuming responsibility for care of the patient? a. as evidenced by shortness of breath. b.” d. “The patient will give a stool specimen for laboratory examinations. 22. which of the following nursing diagnoses has the highest priority? a. Which statement is the most appropriate goal for a nursing diagnosis of diarrhea? a. Patient’s family came for a visit this morning. Incorporation of both nursing and medical diagnoses in patient care 24.” c. Hemoglobin of 13 g/dl 21. “The patient will save urine for inspection by the nurse.c. “The patient will experience decreased frequency of bowel elimination. Using Maslow’s hierarchy of basic human needs. That the patient verbalized. Anxiety related to impending surgery. it would be important for the nurse relinquishing responsibility for care of the patient to communicate. “The patient will take anti-diarrheal medication. c. 23. Making of individualized patient care d. Capillary refill greater than 3 seconds and buccal cyanosis d. That the patient’s barium enema performed 3 days ago was negative c.

0 degree NURSING BOARD REVIEW: FUNDAMENTALS OF NURSING PRACTICE TEST PART 2 July 2010 Nursing Board Exam Review Questions on Fundamentals of Nursing. Your score will be posted as soon as the you are done with the quiz. 1.0 and v2 now. A patient is wearing a soft wrist-safety device. 90 degrees c. the patient should be in a supine position with the head of the bed at what position? a. Palpable radial pulse b. We will be posting more of this soon. Mark the letter of your choice then click on the next button. When performing an abdominal examination. 45 degrees d. If you want a simulated Nursing Board Exam. 30 degrees b. Palpable ulnar pulse c. Which of the following nursing assessment is considered abnormal? a. get a copy of our Nursing Board Exam Reviewer v1. Impaired verbal communication related to tracheostomy.d. as evidenced by inability to speak. 25. Capillary refill within 3 seconds 7 .

” This statement is an example of: a. asystematic 8 . inflexible c. cabbage d. What is the characteristic of the nursing process? a. His mom stated. broccoli b. stagnant b. objective data from a primary source c. Pia’s serum sodium level is 150 mEq/L. Hypethermia b. Angina d. cool and pale fingers 2. tomatoes 3. Diabetes Mellitus c. Chronic Renal Failure 5. subjective data from a secondary source 4. “He vomited 6 ounces of his formula this morning. Which of the following food items does the nurse instruct Pia to avoid? a. sardines c. Bluish fingernails. Which of the following is a nursing diagnosis? a. objective data from a secondary source b. 3 years old vomited.d. Jason. subjective data from a primary source d.

which of the following is inappropriate nursing action? a. d. b. Press the tragus of the ear a few times to assist flow of medication into the ear canal. vesicle c. Encourage her to accept or to replace the lost person. none of the above 9 . goal-oriented 6. macule 7. It is the gradual decrease of the body’s temperature after death. Which of the following is appropriate nursing intervention for a client who is grieving over the death of her child? a. d. Provide opportunity to the client to tell their story. During application of medication into the ear. 9. b. pull the pinna upward. c. livor mortis b. Tell her not to cry and it will be better. a.d. Discourage the client in expressing her emotions. less than 1 cm in size is called: a. c. In an adult. papule b. Warm the medication at room or body temperature. Instill the medication directly into the tympanic membrane. rigor mortis c. bulla d. algor mortis d. 8. A skin lesion which is fluid-filled.

The nurse knows that resonance heard on percussion is most commonly heard over which organ? a. liver c. 7th CN (Facial) 12. pernicious anemia 13. Decreased plasma drug levels 10 . 3rd CN (Occulomotor) c. Patient has no interest on learning d. Prolonged deficiency of Vitamin B9 leads to: a. The nurse is aware that Bell’s palsy affects which cranial nerve? a.10. intestine d. What could cause a geriatric patient to have difficulty retaining knowledge about the newly prescribed medication? a. scurvy b. thigh b. lung 11. When performing an admission assessment on a newly admitted patient. Absence of family support b. Decreased sensory functions c. the nurse percusses resonance. 4th CN (Trochlear) d. pellagra c. megaloblastic anemia d. 2nd CN (Optic) b. Nurse Cherry is teaching a 72 year old patient about a newly prescribed medication.

Which of the following statements regarding the nursing process is true? a. Collaborative d. 11 . 17. which type of nursing intervention is the nurse performing? a. the nurse understands that the patient has had pain for more than: a. 9 months d. c. Diminished breath sounds in patient with previously normal breath sounds c. Which of the following is considered significant enough to require immediate communication to another member of the health care team? a. 3 months b. b. By definition. 6 months c.14. “I feel less nauseated. It is useful on outpatient settings. It provides the solution to all patient health problems. Claire is admitted with a diagnosis of chronic shoulder pain. When assessing a patient’s level of consciousness. not the nurse. Patient stated. Independent b. It progresses in separate. Weight loss of 3 lbs in a 120 lb female patient. Professional 15. d. Dependent c. Change of heart rate from 70 to 83 beats per minute. unrelated steps. 1 year 16. It focuses on the patient. b.” d.

regularity of meal times c. Van Fajardo is a 55 year old who was admitted to the hospital with newly diagnosed hepatitis. Increased rate and depth of respiration. teacher c. b. The nurse is doing a patient teaching with Mr. which of the following assessment parameters is best used? a.18. Attach the feeding bag to the current tubing. usually inefficient expiration. c. Shallow breaths interrupted by apnea. Cold the formula before administering it. When providing a continuous enteral feeding. d. 3-day diet recall d. d. food preferences b. To assess the adequacy of food intake. c. thinker d. Elevate the head of the bed. a. Marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnea. Fajardo. talker b. which of the following action is essential for the nurse to do? a. 12 . Place the client on the left side of the bed. b. 21. What kind of role does the nurse assume? a. eating style and habits 19. Kussmaul’s breathing is. doer 20. Prolonged gasping inspiration followed by a very short.

” 25. Heart b. Sinus c. bargaining c. Curative 24. Immunization for healthy babies and preschool children is an example of what level of preventive health care? a. depression b. Productive cough d.22. Vomiting for 3 days c. The nurse is assessing the endocrine system. Primary b. acceptance 23. Temperature of 38 0C b. Secondary c. What stage of grieving is she in? a. Which is an example of a subjective data? a. Thymus NURSING BOARD REVIEW: FUNDAMENTALS OF NURSING PRACTICE TEST PART 3 13 . “My arms still hurt. Patient stated. Presty has terminal cancer and she refuses to believe that loss is happening ans she assumes artificial cheerfulness. Thyroid d. Which organ is part of the endocrine system? a. denial d. Tertiary d.

A female patient with a terminal illness is in denial. Indicators of denial include: Shock dismay Numbness Stoicism 14 . Which of the following planes divides the body longitudinally into anterior and posterior regions? Frontal plane Sagittal plane Midsagittal plane Transverse plane 6. Which assessment finding should the nurse consider abnormal? A palpable radial pulse A palpable ulnar pulse Cool. Sensory deficits c. pale fingers Pink nail beds 5. A male patient has a soft wrist-safety device.1. The nurse is assessing a postoperative adult patient. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications? a. Nurse Brenda is teaching a patient about a newly prescribed drug. Which of the following should the nurse document as subjective data? Vital signs Laboratory test result Patient’s description of pain Electrocardiographic (ECG) waveforms 4. History of Tourette syndrome 2. Lack of family support d. When examining a patient with abdominal pain the nurse in charge should assess: Any quadrant first The symptomatic quadrant first The symptomatic quadrant last The symptomatic quadrant either second or third 3. Decreased plasma drug levels b.

which nursing action would best help this patient understand wound care instruction? Asking frequently if the patient understands the instruction Asking an interpreter to replay the instructions to the patient. The nurse in charge is transferring a patient from the bed to a chair. The nurse is performing which professional role? Manager Educator Caregiver Patient advocate 12. during discharge preparation. Which factor makes geriatric patients to adverse drug effects? Faster drug clearance Aging-related physiological changes Increased amount of neurons Enhanced blood flow to the GI tract 11. Writing out the instructions and having a family member read them to the patient Demonstrating the procedure and having the patient return the demonstration 9. the nurse asks the patient to repeat the instructions.Preparatory grief 7. the nurse must stay especially alert for adverse effects. After providing medication teaching. Which action does the nurse take during this patient transfer? Position the head of the bed flat Helps the patient dangle the legs Stands behind the patient Places the chair facing away from the bed 8. the nurse on the evening shift finds an unlabeled. A female patient exhibits signs of heightened anxiety. filled syringe in the patient’s medication drawer. What should the nurse in charge do? Discard the syringe to avoid a medication error Obtain a label for the syringe from the pharmacy Use the syringe because it looks like it contains the same medication the nurse was prepared to give Call the day nurse to verify the contents of the syringe 10. When administering drug therapy to a male geriatric patient. A female patient is being discharged after cataract surgery. A female patient who speaks a little English has emergency gallbladder surgery. Before administering the evening dose of a prescribed medication. Which response by the nurse is most likely to reduce the patient’s anxiety? 15 .

To evaluate a patient for hypoxia. what is the equivalent Centigrade temperature? 39 degrees C 47 degrees C 38. The nurse in charge measures a patient’s temperature at 102 degrees F. What should the nurse in charge do? Leave the medication at the patient’s bedside Tell the patient to be sure to take the medication.1 degrees C 17. Don’t worry.000 units per millilitre. the physician is most likely to order which laboratory test? Red blood cell count Sputum culture Total hemoglobin 16 . A patient is in the bathroom when the nurse enters to give a prescribed medication. and then leave the medication at the bedside 15. to be administered subcutaneously every 6 hours. 7.” “Read this manual and then ask me any questions you may have. A scrub nurse in the operating room has which responsibility? Positioning the patient Assisting with gowning and gloving Handling surgical instruments to the surgeon Applying surgical drapes 14. The nurse should anticipate giving how much heparin for each dose? ¼ ml ½ ml ¾ ml 1 ¼ ml 16.“Everything will be fine.500 units. The vial reads 10.9 degrees C 40. And then leave it at the bedside Return shortly to the patient’s room and remain there until the patient takes the medication Wait for the patient to return to bed.” “Why don’t you listen to the radio?” “Let’s talk about what’s bothering you. The physician orders heparin.” 13.

the nurse should explain that the patient must fill this prescription how soon after the date on which it was written? Within 1 month Within 3 months Within 6 months Within 12 months 20. the nurse should: Ask the child. therapy is to start Tell the child. Which human element considered by the nurse in charge during assessment can affect drug administration? The patient’s ability to recover The patient’s occupational hazards The patient’s socioeconomic status The patient’s cognitive abilities 21. During discharge teaching.V.V. The nurse uses a stethoscope to auscultate a male patient’s chest. “Do you want me to start the I. and drop the medication into the center of the lower lid 17 .Arterial blood gas (ABG) analysis 18.V. “This treatment is for your own good” Inform the child that the needle will be in place for 10 days 22. All of the following parts of the syringe are sterile except the: Barrel Inside of the plunger Needle tip Barrel tip 23. therapy to a 2-year-old child. Which statement about a stethoscope with a bell and diaphragm is true? The bell detects high-pitched sounds best The diaphragm detects high-pitched sounds best The bell detects thrills best The diaphragm detects low-pitched sounds best 19. now?” Give simple directions shortly before the I. A male patient is to be discharged with a prescription for an analgesic that is a controlled substance. The best way to instill eye drops is to: Instruct the patient to lock upward. When explaining the initiation of I.

A patient receiving an anticoagulant should be assessed for signs of: Hypotension Hypertension An elevated hemoglobin count An increased number of erythrocytes 18 . and drop the medication into the center of the lower lid Drop the medication into the inner canthus regardless of eye position Drop the medication into the center of the canthus regardless of eye position 24.Instruct the patient to look ahead. The difference between an 18G needle and a 25G needle is the needle’s: Length Bevel angle Thickness Sharpness 25.

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