Nursing Questions

The nurse inspects the thorax of a pt with advance emphysema. The nurse expects
chest configuration change consist with deformity known as:

a) Barrel chest
b) Funnel chest
c) Kyphoscliosis
d) Pigeon

Chest pain described as knifelike on inspiration would most likely be diagnostic of :

a) Bacterial pneumonia
b) Bronchogenic carcinoma
c) Lung infarction
d) Pleurisy

Nursing directions to a pt from whom a sputum specimen is to be obtained should

include all of the following except directing him to :

a) Clean his nose and throat initially

b) Spit surface mucus and saliva into a sterile container
c) Use diaphragmatic contractions to aid in expulsion of sputum
d) Take a few deep breaths before coughing

After tonsillectomy the nurse assesses the pt post operative vital signs and cheeks for
the most significant post complication of:

a) Epiglottis
b) Eustachian tube perforation
c) Hemorrhage
d) Oropharyngeal edema

For a pt with chronic bronchitis the nurse expects to see the major clinical symptom of :

a) Chest pain during inspiration

b) Dyspnea &productive chough
c) Fever chills & diaphoresis
d) Tachypnea & tachycardia

The primary presenting sign of emphysema is

 a) Chronic cough
b) Dyspnea
c) Tachypnea
d) Wheezing

Nursing measures to assist in the prevention of pulmonary embolism in clued all of the
following except :

a) Liberal fluid intake

b) Assisting the pt to do leg elevations above the level of the heart
c) Encouraging the pt to dangle his leg over the side of the bed for 30 minutes , four
times daily
d) The use of elastic stockings , especially when decreased mobility would promote
venous stasis

Para doxical chest movement is associated with the following chest disorders:

a) Pneumothorax
b) Fail chest
c) Adult respiratory distress syndrome
d) Tension Pneumothorax

All of the following are manifestations of bacterial pneumonia except :

a) A rapidly rising fever

b) Stabbing chest pain
c) Tachypnea
d) Brady cardiac

The term used to describe thoracic surgery in which an entire lung is removing is:

a) Lobotomy
b) Segmentectomy
c) Pneumoectomy
d) Wedge resection

In which position would the nurse place a pt who is experiencing epistaxis:

a) Upright with neck hyperextentded

b) Trendelenburg position
c) Fowler's with head tilted for ward
 d) Supine with head to the side

A pt is to have surgery to repair a hip fracture by reduced the fracture and inserting
metal plates , the nurse would plan to do pre-operative teaching related to what type of
surgery ?

a) Bone graft
b) Arthroplasty
c) Joint replacement
d) Internal fixation

A pt fell and injured the ligament in her ankle with resulting edema and pain :
a) Sprain
b) Strain
c) Contusion
d) Dislocation

When the X ray indicates that the fracture is located on one side of the bone with the
other side bent. This fracture would be best described as which type?
a) Comminuted
b) Greenstick
c) Avulsion
d) Spiral

A common complication occurring in fractures of the femoral neck is :

a) A vascular necrosis
b) Septic arthritis
c) Osteomyelitis
d) Compartment syndrome

When a pt is in continues skeletal leg traction. it's important for the nurse to remember
to do all of the following except :

a) Encourage the pt to use the trapeze bar

b) Maintain adequate counteraction
c) Remove the weights when pulling the pt up in bed to [prevent unnecessary
pulling on the fracture site
d) Use a fracture bedpan to prevent soiling and to maintain pt comfort
The recommended leg position to prevent prosthesis dislocation after a total hip
replacement in :

a) Abduction
b) Adduction
c) Flexion
d) Internal rotation

The most common cause of cerebrovascular accident is cerebral :

a) Arteriosclerosis
b) Hemorrhage
c) Ischemia
d) Thrombosis

Aphasia resulting from injury or disease of the brain centers is primarily a disturbance
in :
a) Memory
b) Swallowing
c) Language
d) Vision

Nursing
Care for a pt who is experiencing a convulsion seizures includes all of the following
except :
a) Loosening of constrictive clothes
b) Opening the pt`s jaw and inserting a mouth gag
c) Positioning the pt on his side with head flexed forward
d) Providing for privacy

A cerebral hemorrhage located under the dura mater is classified as:

a) Epidural hematoma
b) Extradural hematoma
c) Intracerebral hematoma
d) Subdural hematoma

Bell's palsy is a cranial nerve disorder characterized by weakness or paralysis of

the facial muscles:
a) Third
b) Fifth
c) Seventh
d) Eight
Risk factor that would most likely lead to hemorrhagic stroke include:
a) Uncontrolled hypertension
b) A trial fibrillation
c) High cholesterol intake
d) Oral contraceptive use

The nurse enters a pt`s room and observe him having generalized seizures , his teeth
are clenched and he vomits . the nurse should first :
a) Call the physician
b) Go obtain suction supplies
c) Insert an oral airway
d) Turn him on his side

A pt newly diagnosed with epilepsy is being discharged from the hospital with a
proscription for phention ( epanutin ). During teaching the nurse should advice the pt to
:
a) Check the color of his stool for bleeding
b) Brush his teeth and gums , and floss regularly
c) Have his blood pressure checked monthly
d) Take the medication with a glass of milk

Pt preparation for E.E.G. includes omitting for 24 hours before the test all of the
following except:
a) Coffee and tea
b) Stimulants
c) Solid foods
d) Tranquilizers
You would correctly define an aura as:

a) A post seizure state of amnesia

b) Hallucination occurring during seizures
c) A symptom that occur just before a seizure
d) A feeling of relaxation as seizure begin to subside

Because hyperextension of the back causes discomforts, which of the following

positions would be contraindicated for a pt with a lumbar discherniation?
a) Prone
b) Supine
c) Low fowler's
d) Right or left sim`s position
Which of the following activities would not be suitable for a pt in the first postoperative
days? After disc surgery for a herniated lumbar disc?

a) Assisting with his daily activities

b) Lying flat on his back on bed
c) Walking in the hall
d) Sitting in his room to read or watch TV.

A term for hair loss is :

a) Alopecia
b) Hisutism
c) Piloerction
d) Pruritus

Athlete's foot is which type of tinea infection:

a) Capitis
b) Eruris
c) Pedis
d) Ingham

Special shampoo, using a fine toothed comb, washing all bedding in hot water and
disinfecting combs is recommended for people with:
a) Impetigo
b) Folliculitis
c) Pediculosis
d) Psoriasis

A clinical example of primary skin lesion known as a macule is

a) Hives
b) Impetigo
c) Vitiligo
d) Psoriasis

Tina Capitis ( ringworm of the scalp), can be identified by the presence of :

a) Papules at the edges of inflamed patches

b) Circular areas of redness
c) Sealing and spots of baldness
d) All of above

Pt education for the management of Pediculosis Capitis should advising the pt to:
 a) Comb his hair with a fine –toothed comb dipped in vinegar to remove nits
b) Disinfect all combs and brushes
c) Wash his hair with a shampoo containing lindane (kwell)
d) Do all of the above

A pt is complaining of severe itching that intensifies at night. The nurse decides to

assess the skin using a magnifying glass and penlights to look for the "itch mite ". The
nurse suspects the skin condition known as:

a) Contact dermatitis
b) Pediculosis
c) Scabies
d) Tinea Capitis

When caring for a client with scabies. The nurse should be aware that scabies is:

a) Highly contagious
b) Caused by a fungus
c) Associated with other allergies
d) Chronic problem

Erysipelas is commonly associated with infection by:

a) Staphylococcus aureus
b) h.influenzae
c) Escherichia coli
d) Streptococcus hemolyticus

Tinea of the scalp:

a) Is correctly called ringworm of the scalp

b) Is a disease of children
c) May by treated with griseofluvin
d) All of the above

A skin disease not caused by bacteria is:

a) Erysipelas
b) Furuncle
c) Carbuncle
d) Ring worm of the scalp
Thrush is best treated by:
a) Penicillin
b) Nystatin
 c) Erythromycin
d) Potassium iodide

The best nursing intervention for a pt`s family who suffer scabies is to:
a) Treat all family members simultaneously
b) Change inner clothes daily
c) Trimming of all family nails
d) All of the above

Pt diagnosed with superficial thrombophlebitis. The nurse knows that thrombus

development could be associated with the antecedent factors of:
a) Altered blood coagulation
b) Blood stasis
c) Vessel wall injury
d) All of the above

Nursing measures for heparine administrate include making sure that the antagonis to
heparin is available which is:
a) Phytonadione
b) Pilocarpine nitratc
c) Promethazine hydrochloride
d) Protamine sulfate

Following myocardial infarction the hospitalized client is taught to move his legs about
while resting in bed. This type of exercise is recommended primarily to help :

a) Prepare the client for ambulation

b) Promote urinary and intestinal elimination
c) Prevent thrombophlebitis and blood clot formation
d) Decrease the likelihood of decubitus ulcer formation
A client whose condition remains stable after a myocardial infarction is gradulaliy
allowed increase activity. Of the following criteria the best one on which to judge
whether the activity is appropriate is to note the degree of :
a) Edema
b) Cyanosis
c) Dyspnea
d) Weight loss

A client with angina asks the nurse. : what information does an EKG provide the nurse
would respond that an EKG primarily gives information about the :

a) Electrical conduction of the myocardium

b) Oxygenation and perfusion of the heart
 c) Contractile status of the ventricles
d) Physical integrity of the heart muscle

Which of the following points should the nurse include when instructing the client with
angina about sublingual nitroglycerin?

a) The drug will cause increase urine output

b) Store the tables in a tight . light – resistant container
c) Use the tablets only when the pain is severe
d) The sheif life of nitroglycerin is long; it keeps for up to2 years

Myocardial cell damage can be reflected by high levels of cardiac enzymes. The most
sensitive indicator of all cardiac enzymes is:
a) Alkaline phosphates
b) Creatine kinase
c) Lactic dehydrogenase
d) Serum aspartate transminase (glutamic oxaloacetic transminase)

An intravenous analgesic frequently administered to relive chest pain associated with

myocardial infarction:

a) Meperidine hydrochloride
b) Hydromorphone hydrochloride
c) Morphine sulfate
d) Codeine sulfate

Pulmonary edema is characterized by:

a) Elevated left ventricular & diastolic pressure

b) A rise in pulmonary venous pressure
c) All of the above alterations

A recommended position for a pt in acute pulmonary edema is :

a) Prone, to encourage maximum rest, thus decreasing respiratory and cardiac
rates
b) Semi-fowler's to facilitate breathing and promote pooling of blood in the sacral
area
c) Trendelenburg, to drain the upper airways of congestion
d) Upright with the legs down, to decrease venous return

The most common symptoms of acute myocardial infarction is:

a) Shortness of breath. As if suffocating

 b) Left arm and shoulder pain
c) Substernal chest pain unrelieved by rest
d) Substernal chest pain that is relieved by nitroglycerin

Clinical manifestations of congestive heart failure that the nurse should assess for
include:

a) Cardiac murmur
b) Sinus bradycardia
c) Orthopnea
d) Dehydration
Prior to administering a pt`s morning does of digoxin, the nurse assesses the apical
pulse and finds a rate of 52 beats per minute. The nurse should :

a) Give the dose and continue to monitor the pulse rate

b) Chart the pulse rate and administer the medicine
c) Withhold the medicine and call the physician
d) Withhold the medicine until the pulse is over 80

Prevention of rheumatic heart disease includes:

a) Avoidance of cigarette smoking

b) Adequate control of hypertension
c) Prompt treatment of streptococcal infections
d) Prompt treatment of myocardial infarctions

Mr. ail visit the clinic because he feels headache and dizziness. The nurse checked his
BP, and it was 160/100. to confirm the diagnosis of hypertension, the nurse have to:

a) Check Mr. Ali`s BP again after 15 minutes

b) Check Mr. Ali`s Bp three times daily for three days
c) Checking Mr. Ali`s BP for three days in the morning, at noon and in the evening
d) Having high reading on three consequtive mornings

When during the day, Mr. Ali`s BP is most likely to be at it's lowest?

a) At mid-day
b) Upon arising in the morning
c) In the early evening
d) At bedtime

Mr. Ali was diagnosed as having essential (primary) hypertension. The following
information appear in his health history, which one is most probably significant
predisposing factor:
 a) Having been underweight all of his life
b) Working as a teacher
c) Having two grandparents who died of the disorder
d) Having acute glomerulonephritis when he was a child

A sign of Mr. Ali`s hypertension that makes it different form other kinds of hypertension
is prolonged elevation of:

a) Pulse pressure
b) Intraventricular pressure
c) Systolic pressure
d) Diastolic pressure

A common complication of uncontrolled hypertension is:

a) Aortic aneurysm
b) Thrombophlebitis
c) Valves insufficiency
d) Cerebral hemorrhage

Mr. Hude has surgery for the legation and stripping of varicose veins in her leg. Which
of the following faults in her veins most likely causes Mr. Huda to develop varicosities?

a) Blood clots in the venous system

b) An inflammation of walls of the veins
c) An incompetency of the valves of the veins
d) A thickening of the walls of the veins

When assessing the pt with peripheral vascular disease the nurse anticipate signs and
symptoms of ischemia, which includes:

a) Increase hair production on affected extremities

b) Intermittent claudication
c) Increased pulse pressure
d) Warm, pink extremities

When assessing a pt for presence of deep vein thrombosis, the nurse anticipates which
of the following clinical manifestations:

a) Absence of the peripheral pulses in the affected extremity

b) Swelling of the affected extremity
c) Localized swelling around the site of the clot
 d) Red tender induration

When teaching a pt receiving warfarin sodium, the nurse instruct the pt to:

a) Monitor the BP weekly

b) Observe for signs & symptoms of infection
c) Stop the medication if BP increases
d) Avoid using products with aspirin

Which of the following is considered as a secondary preventive measure?

a) Infant vaccination
b) Giving instructions and heath education to preparatory school students who are
not smoking
c) A mammogram screening test for breast cancer
d) Rehabilitation of a pt with limb amputation

Which of the following is defined as a risk factor?

a) A person who has an infectious disease

b) A dangerous job
c) A factor which may cause a person to get a disease
d) None of the above is the correct definition

Which of the following may lead to an increase in accidents at work place?

1. Lack of knowledge about safety principles
2. Lake of knowledge about how equipment works
3. Fatigue and stress
4. Mechanical failure of equipment
a) 1 only
b) All except 3
c) 2 &3
d) All are correct

Mr. amal is 40 years old business woman, she was admitted two days ago to the
psychiatric ward due to a severe state of depression

When planning care for a client with a depressive disorder, priority should be given to:

a) Planning appropriate activities

b) Structuring a pleasant milieu
 c) Preventing suicidal behavior
d) Assisting the client to express repressed anger

When monoamine oxidase inhibitors (MAQI) are prescribed, the client should caution
against:

a) The use of medications with an elixir base

b) Prolonged exposure to the sun
c) Ingesting wines and aged cheeses
d) Engaging in active physical exercise

The stages of grieving are identified as:

a) Numbness, anger, resolution, and reorganization
b) Denial, anger, identification, depression and acceptance
c) Anger, loneliness, depression, and resolution
d) Denial, anger, bargaining, depression and acceptance
e) Depression, guilt, identification and resolution

Schizophrenic hallucinations are most commonly:

a) Tactile
b) Visual
c) Olfactory
d) Auditory

Mr.Ali is 55 years old has been admitted to the hospital. 5 years ago he was
admitted with similar problem, during the past, mouth he has become
increasingly agitated and hyper excitable with an increase in verbal and physical
activity. He is also suffering from insomnia and rapid speech patterns

Considering all of Mr. Ali`s symptoms, which of the following best describes his
condition:

a) Panic attacks
b) Paranoid behavior
c) Schizophrenia
d) Manic episode

Mr. Ali is very angry when you talk to him and calls you "stupid idiot" what would be
your best response to him after this:

a) "you are being inappropriate, go to your room now "

 b) "just what do you mean by that"
c) "let's talk about what has been bothering you "
d) "you hurt my feelings when you say things like that "
The nurse must be aware of potential of lithium toxicity, which of the following
symptoms are characteristic of lithium toxicity:

a) Paradoxical excitement, akasthesia, rash

b) Confusion, ataxia, GI symptoms
c) Photosensitivity, contact dermatitis
d) Tremor, thirst, weight gain

It is generally agreed that pts with anorexia nervosa are suffering from:
a) A hormonal imbalance
b) A distorted body image
c) A hereditary tendency to lose weight
d) An inability to resist peer pressures

Mrs. Zakia, who has a schizophrenic disorder, is brought to a hospital by

members of her family

A nurse is interviewing Mrs. Zakia upon admission, of the following questions or

statements the nurse could use when interviewing her, which one would be best:

a) "Why did your family decide you should come to the hospital?"
b) "Explain to me, if you can how you feel about being hospitalizatioed?"
c) "Tell me about what was happening that caused you to come to hospital?"
d) "let's discuss what stresses you have having that may have led to your illness"

After 3 days of taking chlorpromazine, Mrs. Zakia shows an inability to sit still, motor
restlessness, fidgeting, and attendance to pace around the unit: of the following
extrapyramidal side effects, the pt is showing signs of:

a) Dystonia
b) A kathisia
c) Parkinsonism
d) Tardive dyskinesia

Which one of the following medications can the nurse anticipate the physician will
order to treat Mrs. Zakia`s extrapyramidal side effects?
a) Chlordiazepoxide (Librium)
b) Beztropine mesylate (cogentin)
c) Impiramine hydrochloride (tofranil)
 d) Thioridazine HCL (melleril)

As a nurse instructing parents of school age children about managing school phobia,
you should stress on:

a) Calmly explaining why attendance at school is necessary

b) Returning the child to school immediately
c) Allowing the parent to accompany the child to the classroom
d) Allowing the child to enter the classroom before other children

When caring for a pt with schizophrenia the nurse is supposed to do all of the following
except:

a) Keep pt in a small unit or private room

b) Don’t laugh in front of the pt
c) Confront irrational delusions
d) Keep your promise
On thing a mental status examinations would not include is:

a) Insight and judgment

b) Motor behavior and attitude
c) History of drugs and alcohol use
d) Hallucinations and delusion

Which of the following has greatest risk of comminuting suicide?

a) A divorced 30 year-old woman who has arthritis

b) A single 50 year-old male who has depression
c) A married 28 year-old wife who recently lost her daughter
d) A married 20 year-old male with schizophrenia

The best definition of the assessment is :

a) The process of measuring how will a goal or objective is reached

b) An expected outcome or desired end result toward which the nurse works
c) The action of collecting and organizing pt information
d) The acquisition of skills required to meet the needs of the pt

A pt`s temperature is 38.8 C. The Fahrenheit equivalent is:

a) 99.8
b) 100.0
c) 101.8
d) 103.2
The condition in which a person is aware of his or her own heart contractions without
having to feel the pulse is called:

a) Arrhythmia
b) Pulse rhythm
c) Dysrhythmia
d) Palpitation
Swelling and coolness of the skin at the venipunture site could indicative of :
a) Infection
b) Infiltration
c) Phlebitis
d) Air embolism

How often should an inactive pt`s position be changed?

a) At least every 2 hours

b) At least every 3 hours
c) At least every4 hours
d) At least once a shift

Of the following, which is the earliest sign of excessive pressure?

a) Pale appearance of the skin

b) Reddened appearance of the skin
c) Dark or cyanotic color to the skin
d) Ulcer formation on the skin