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

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

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

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

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

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

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

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

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

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

Which of the following is considered significant enough to require immediate communication to another member of the health care team? a. 9 months d. b. By definition. d. Patient stated. It is useful on outpatient settings. Which of the following statements regarding the nursing process is true? a. 6 months c. It provides the solution to all patient health problems. Professional 15. which type of nursing intervention is the nurse performing? a. the nurse understands that the patient has had pain for more than: a. 1 year 16.14. Diminished breath sounds in patient with previously normal breath sounds c. Collaborative d. It progresses in separate. 17. c. b. 11 . Change of heart rate from 70 to 83 beats per minute. Claire is admitted with a diagnosis of chronic shoulder pain. Independent b. It focuses on the patient. 3 months b. “I feel less nauseated. When assessing a patient’s level of consciousness. unrelated steps. not the nurse. Dependent c. Weight loss of 3 lbs in a 120 lb female patient.” d.

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

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

Lack of family support d. Which of the following planes divides the body longitudinally into anterior and posterior regions? Frontal plane Sagittal plane Midsagittal plane Transverse plane 6. 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. A male patient has a soft wrist-safety device. A female patient with a terminal illness is in denial. Decreased plasma drug levels b. Indicators of denial include: Shock dismay Numbness Stoicism 14 . Sensory deficits c. Which assessment finding should the nurse consider abnormal? A palpable radial pulse A palpable ulnar pulse Cool. pale fingers Pink nail beds 5. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications? a. History of Tourette syndrome 2.1. 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. Nurse Brenda is teaching a patient about a newly prescribed drug. The nurse is assessing a postoperative adult patient.

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

and then leave the medication at the bedside 15. Don’t worry. what is the equivalent Centigrade temperature? 39 degrees C 47 degrees C 38.9 degrees C 40.” 13. 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 be administered subcutaneously every 6 hours. 7.” “Why don’t you listen to the radio?” “Let’s talk about what’s bothering you.“Everything will be fine. The nurse in charge measures a patient’s temperature at 102 degrees F. The nurse should anticipate giving how much heparin for each dose? ¼ ml ½ ml ¾ ml 1 ¼ ml 16.000 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. The physician orders heparin.500 units. 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 vial reads 10.1 degrees C 17.” “Read this manual and then ask me any questions you may have. the physician is most likely to order which laboratory test? Red blood cell count Sputum culture Total hemoglobin 16 . To evaluate a patient for hypoxia. A patient is in the bathroom when the nurse enters to give a prescribed medication.

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

The difference between an 18G needle and a 25G needle is the needle’s: Length Bevel angle Thickness Sharpness 25. A patient receiving an anticoagulant should be assessed for signs of: Hypotension Hypertension An elevated hemoglobin count An increased number of erythrocytes 18 .Instruct the patient to look ahead. 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.

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