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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

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

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

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

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

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

Capillary refill within 3 seconds 7 . get a copy of our Nursing Board Exam Reviewer v1. Palpable ulnar pulse c.0 and v2 now. 45 degrees d. We will be posting more of this soon. Your score will be posted as soon as the you are done with the quiz. If you want a simulated Nursing Board Exam. 90 degrees c. Impaired verbal communication related to tracheostomy. the patient should be in a supine position with the head of the bed at what position? a. Mark the letter of your choice then click on the next button. as evidenced by inability to speak.d. Palpable radial pulse b. 25. 1. A patient is wearing a soft wrist-safety device. When performing an abdominal examination. Which of the following nursing assessment is considered abnormal? a. 30 degrees b. 0 degree NURSING BOARD REVIEW: FUNDAMENTALS OF NURSING PRACTICE TEST PART 2 July 2010 Nursing Board Exam Review Questions on Fundamentals of Nursing.

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

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

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

Weight loss of 3 lbs in a 120 lb female patient. b. By definition. 11 . c. It provides the solution to all patient health problems. Which of the following statements regarding the nursing process is true? a. Claire is admitted with a diagnosis of chronic shoulder pain. Diminished breath sounds in patient with previously normal breath sounds c. not the nurse. Change of heart rate from 70 to 83 beats per minute. 17. Professional 15.14. 3 months b. Patient stated. b. It focuses on the patient. Which of the following is considered significant enough to require immediate communication to another member of the health care team? a. 9 months d. “I feel less nauseated. d. which type of nursing intervention is the nurse performing? a.” d. Dependent c. the nurse understands that the patient has had pain for more than: a. unrelated steps. When assessing a patient’s level of consciousness. Independent b. 6 months c. Collaborative d. 1 year 16. It is useful on outpatient settings. It progresses in separate.

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

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

1. A female patient with a terminal illness is in denial. 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. A male patient has a soft wrist-safety device. Decreased plasma drug levels b. Nurse Brenda is teaching a patient about a newly prescribed drug. Indicators of denial include: Shock dismay Numbness Stoicism 14 . Sensory deficits c. Lack of family support d. Which assessment finding should the nurse consider abnormal? A palpable radial pulse A palpable ulnar pulse Cool. 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. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications? a. Which of the following planes divides the body longitudinally into anterior and posterior regions? Frontal plane Sagittal plane Midsagittal plane Transverse plane 6. History of Tourette syndrome 2. The nurse is assessing a postoperative adult patient. pale fingers Pink nail beds 5.

during discharge preparation.Preparatory grief 7. the nurse asks the patient to repeat the instructions. 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. 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. filled syringe in the patient’s medication drawer. the nurse must stay especially alert for adverse effects. The nurse is performing which professional role? Manager Educator Caregiver Patient advocate 12. The nurse in charge is transferring a patient from the bed to a chair. A female patient who speaks a little English has emergency gallbladder surgery. 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. 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 on the evening shift finds an unlabeled. Which response by the nurse is most likely to reduce the patient’s anxiety? 15 . A female patient is being discharged after cataract surgery. Before administering the evening dose of a prescribed medication. A female patient exhibits signs of heightened anxiety. 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. When administering drug therapy to a male geriatric patient.

000 units per millilitre. 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. 7. to be administered subcutaneously every 6 hours.500 units.1 degrees C 17. Don’t worry. 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. To evaluate a patient for hypoxia. The vial reads 10.“Everything will be fine. 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. The nurse in charge measures a patient’s temperature at 102 degrees F. 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 14.9 degrees C 40.” “Why don’t you listen to the radio?” “Let’s talk about what’s bothering you. and then leave the medication at the bedside 15.” “Read this manual and then ask me any questions you may have. The nurse should anticipate giving how much heparin for each dose? ¼ ml ½ ml ¾ ml 1 ¼ ml 16. what is the equivalent Centigrade temperature? 39 degrees C 47 degrees C 38. The physician orders heparin.” 13.

The best way to instill eye drops is to: Instruct the patient to lock upward. A male patient is to be discharged with a prescription for an analgesic that is a controlled substance.V. now?” Give simple directions shortly before the I. The nurse uses a stethoscope to auscultate a male patient’s chest. therapy is to start Tell the child. When explaining the initiation of I.V. All of the following parts of the syringe are sterile except the: Barrel Inside of the plunger Needle tip Barrel tip 23.Arterial blood gas (ABG) analysis 18. 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.V. During discharge teaching. “This treatment is for your own good” Inform the child that the needle will be in place for 10 days 22. and drop the medication into the center of the lower lid 17 . therapy to a 2-year-old child. 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. 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. “Do you want me to start the I. the nurse should: Ask the child.

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. 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. A patient receiving an anticoagulant should be assessed for signs of: Hypotension Hypertension An elevated hemoglobin count An increased number of erythrocytes 18 .

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