GENERAL NURSING TEST

Name : _______________________

Date : _______________________

Carefully read each question and circle the correct answer.

1. An elderly patient is admitted to the hospital with swollen ankles. The best way
to limit edema of the feet is for the nurse to:

a. Restrict fluids
b. Apply bandages
c. Elevate the legs
d. Do passive range of motion exercises (ROM)

2. Which of the following actions is the most effective measure to reduce

hospital acquired infections?

a. Double bagging of all contaminated laundry

b. Restricting visitors of infectious patients
c. Using disposable supplies
d. Correct hand washing

3. A patient is diagnosed with diabetic ketoacidosis. The nurse would expect the
physician to prescribe:

a. Regular insulin IV
b. NPH insulin SC
c. Glucagon IM
d. Mixed insulin SC

4. The rationale for having the patient void before an abdominal paracentesis
procedure is to:

a. Minimize discomfort
b. Avoid abdominal distention
c. Prevent bladder puncture
d. Reduce infection rate
5. An 85-year-old man is admitted with dementia. He continuously attempts to
remove his nasogastric tube. The nurse applies cloth wrist restraints as
ordered. Which of the following actions by the nurse is most appropriate?

a. Evaluate the need to restrain by observing patient's behavior once

every 24hrs
b. Perform circulation checks to the extremities every two hours
c. Remove the restraints when the patient is sleeping
d. Instruct family to limit physical contact with the patient

6. During balloon inflation of an indwelling urinary catheter, the patient

complains of pain and discomfort. The nurse should:

a. Continue the procedure and assure the patient

b. Aspirate the fluid and remove the catheter
c. Withdraw the fluid and reinsert the catheter
d. Decrease the amount of injected fluid and secure

7. A patient is to receive 25mg/hr of an aminophylline infusion. The solution

prepared by the pharmacy contains 500mg of aminophylline in 1000ml of
D5W. How many milligrams are available per ml?

a. 0.25 mg/ml
b. 0.5 mg/ml
c. 1 mg/ml
d. 2 mg/ml

8. A patient has had a total hip joint replacement. Which of the following
actions should the nurse consider for the patient's daily recommended
exercise program?

a. Administering an analgesic before exercising

b. Discontinuing the program if the patient dislikes it
c. Continuing exercises inspire of severe pain
d. Evaluating effectiveness of exercise based on pain scale

9. Whilst recovering from surgery a patient develops deep vein thrombosis. The
sign that would indicate this complication to the nurse would be:

a. Intermittent claudication
b. Pitting edema of the area
c. Severe pain when raising the legs
d. Localized warmth and tenderness of the site
10. Which of the following techniques should the nurse implement to prevent the
patient's mucous membranes from drying when the oxygen flow rate is higher
than 4 liters per minute?

a. Use a non-rebreather mask

b. Add humidity to the delivery system
c. Use a high flow oxygen delivery system
d. Ensure that the prongs are in the nares correctly

11. Extrapyramidal adverse effects and symptoms are most often associated with
which of the following drug classes?

a. Antidepressants
b. Antipsychotics
c. Antihypertensive
d. Antidysrhythmic

12. The nurse should observe for which of the following symptoms in a patient
who has just undergone a total thyroidectomy:

a. Weight gain
b. Depressed reflexes
c. Muscle spasm and twitching
d. Irritable behavior

13. Which of the following indicates the nurse is engaging in a therapeutic nurse-
patient relationship?

a. The nurse establishes a relationship that is mutually beneficial

b. The nurse demonstrates sympathetic feelings toward the patient
c. The nurse commits to helping the patient find ways to help self
d. The nurse utilizes therapeutic touch to convey acceptance of the
patient

14. One factor affecting the pharm kinetics of older patients' drug absorption is:

a. Decreased gastrointestinal motility

b. A difficulty in swallowing
c. A prevalence of obesity
d. Numerous medications
15. Last year Bob’s father recently died of a massive heart attack. He was only 55
years old. Bob has been experiencing chest pain off and on for the last six
months and has been to the doctor’s office several times. The doctor can find
no medical pathology to account for Bob’s chest pain. All tests are normal. How
would you assess Bob’s condition?

a. conversion disorder
b. somatization disorder
c. hypochondriasis
d. panic attacks

16. Sugar and acetone testing of urine involves obtaining urine when?
check all answers that apply

a. 30 to 40 minutes after a meal

b. at a designated time
c. 30 to 60 minutes before a meal
d. at any time

17. A client with anxiety paces the floor. The nurse understands that pacing is what
type of behavior associated with anxiety.

a. kinetic behavior
b. psychomotor behavior
c. distorted behavior
d. aggressive behavior

18. A client with borderline personality disorder dramatically expresses feelings

about each nurse on the staff, stating that only one nurse is understanding and
trustworthy-namely, the nurse the client is talking to at the time. This client is
demonstrating which behavior?

a. confidentiality
b. splitting
c. empathy
d. gnawing

19. There are various patterns of angina the professional nurse will encounter. Which
of the following occurs at rest, results from coronary artery spasm, and is also
called Prinz metal’s or vasospastic angina?

a. unstable angina
b. stable angina
c. variant angina
d. intractable angina
20. The usual length of treatment for tuberculosis is which of the following?
a. 6-12 months
b. 1-3 months
c. 4-5 months
d. 2-8 weeks

21. Which of the following should the nurse perform when using personal protective
equipment, such as a face mask?

a. only wears face masks when caring for infection prone clients
b. discards the face mask after each use
c. washes the face mask and reuse as often as needed
d. avoids wearing synthetic face masks as they will impair vision when
wearing them

22. The hospice nurse is planning methods to educate a dying client's family on the
stages of grieving. Which of the following theorists' stages of grief included
denial, anger, bargaining, depression and acceptance?

a. Lindemann
b. Kubler Ross
c. Engle
d. Roast

23. A client is admitted to the hospital because of a fall at home related to

suspected Parkinson's disease. Which of the following is not a presenting
symptom of Parkinson's disease?

a. Tremors which present all over the body

b. Excessive salivary production as evidenced by drooling
c. Over-blinking of the eyes
d. An increase in perspiration

24. When working with the older client in a long-term care facility, the professional
nurse performs which of the following activities to foster reminiscence among
the clients?
a. sets up pet therapy sessions
b. encourages client participation in pottery class
c. has story telling hour
d. displays calendars and clocks
25. When performing an abdominal inspection on any patient, which of the
following would not be part of your inspection?

a. The patient’s facial expressions

b. The patient’s body movements
c. Bowel sounds
d. The patient's use of their abdominal muscles

26. Which of the following is an advantage of nondirective interviewing

techniques when conducting a health assessment?

a. They allow you to generate a large amount of data very quickly

b. They allow you to generate factual data.
c. They help you discover what is important to the patient.
d. They allow the nurse to control the interview

27. A nurse is going over her patient's drug therapy. Which of the following
implementations is most likely to be involved?

a. re-evaluating patient care goals

b. setting new patient care standards
c. documenting drugs that have been given before
d. developing a treatment outline

28. The Adult Nurse Practitioner has examined a patient who has suffered a bite
wound on the chest region from her boyfriend during an assault. There were
numerous lacerations to the patient's forearms, as well. The clinician sutured
the lacerations even though this was contraindicated due to the highly
infectious nature of human bite wounds. The patient did not suffer ill effects or
complications from this. How can this be described?

a. This is malpractice.
b. This is a deviation from standard of care that is appropriate
c. This is negligence as well as poor judgment
d. This is only poor judgment

29. Which of the following describes what you might expect to hear in assessing a
patient with normal heart sounds?

a. ta-lub-dub
b. lub-dub-ta
c. dub-lub
d. lub-dub
 30. Of the following lists, which would be the meaning of a preeclampsia
condition called HELLP?

a. The patient needs help and they can’t spell.

b. Hemolysis, Elevated Liver enzymes, and Low Platelets
c. Help, eat, laxatives, liposuction and protect
d. Herbs, estrogen, lipase labs, and protein

31. If you have a patient that is admitted with supraventricular tachycardia (SVT)
that is not symptomatic, what would be one of the first treatments that the ER
physician might try to stop the SVT?

a. Atropine
b. Vasovagal maneuvers
c. Lidocaine
d. Synchronized cardioversion

32. The Mantoux test is used to test for which of the following?

a. hepatitis
b. tuberculosis
c. HIV
d. cervical cancer

33. Which of the following patients should not receive the influenza vaccine?
a. a 55-year-old woman
b. a 30-year-old woman
c. a 40-year-old woman who has Type II diabetes
d. a 35-year-old woman with a severe egg allergy

34. When treating a child with severe dehydration, adding which of the following to
the IV may speed rehydration?
a. Potassium
b. Sodium
c. Calcium
d. Sucrose
35. What is the swelling of the optic disc?

a. Ocular palsies.
b. Abducens palsies.
c. Evoked Potentials.
d. Papilledema.

36. Which bilirubin level is MOST likely in a patient with jaundice?

a. 1
b. 1.5
c. 2
d. 3

37. Several control measures exist with prevention of disease. The following are
all accurate statements regarding control measures except for:

a. Measures directed against the reservoir include isolation,

quarantine, and insect spraying.
b. Measures that interrupt the transmission of organisms include
water purification and milk pasteurization.
c. Measures that reduce host susceptibility include immunization,
appropriate use of antibiotics, and improved nutrition.
d. Measures that cure disease include adequate diagnosis,
appropriate treatment regimen, and necessary follow-up and
homecare.

38. What is MOST likely the diagnoses for a person with poor self-identity?

a. Bipolar I Disorder
b. Acute stress disorder
c. Dependent personality disorder
d. Anxiety disorder

39. What will decrease the effectiveness of the medication Theophylline

prescribed for COPD?

a. Smoking
b. Anxiety
c. Sugar
d. Antibiotics
40. What plays a major role in the nurse's selection of interventions when
implementing the client's care plan?

a. Years of experience
b. Practice of specialty
c. Level of practice, education, and certification
d. Personal opinion

41. Under what condition may treatment NOT be performed without the
patient's consent?

a. When a patient is mentally incompetent and treatment is

needed to preserve life or prevent serious harm
b. When refusing treatment endangers the life or safety of another
person
c. During an emergency in which a patient is under
duress and unable to decide
d. When a patient chooses a less effective course of treatment

42. A client with COPD is admitted to the medical surgical unit. To help this client
maintain a patent airway and achieve maximal gas exchange the nurse
should

a. instruct the client to drink 2L of fluid daily

b. Maintain the client on bed rest
c. Administer anxiolytics as prescribed, to control anxiety
d. Administer pain medication as prescribed

43. Initial step while detecting pulmonary embolism?

a. Start IV line
b. Check vitals
c. Administer morphine
d. Administer oxygen
44. The nurse is caring for a client in the coronary care unit. The display on the
cardiac monitor indicates ventricular fibrillation. What should the nurse do
first?

a. Perform defibrillation
b. Administer epinephrine as ordered
c. Assess for presence of pulse
d. Institute CPR

45. Zika is a viral disease transmitted by mosquito

a. Culex
b. Ades
c. Anopheles
d. Asian tiger

46. A client has a sucking stab wound to the chest. Which action should the
nurse take first?

a. Draw a blood for a hematocrit and hb level

b. applies a dressing over the wound and tape it on three sides
c. prepares a chest tube insertion tray
d. prepares to start an IV line

47. A client is prescribed Rifampin (Rifadin) 600 mg p.o. daily. Which statement
about rifampin is true?

a. It’s usually given alone

b. its exact mechanism of action is unknown
c. Its tuberculocidal, destroying the offending bacteria
d. it acts primarily against resting bacteria

48. A young adult was told that he had a significant reaction to the Mantoux test.
The nurse explains that this means he: -

a. has active tuberculosis

b. had active tuberculosis
c. has been exposed to tuberculosis
d. is immunocompromised
49. A client who underwent surgery 12 hours ago has difficulty breathing. He has
petechiae over his chest and complains of acute chest pain. What action
should the nurse take first?

a. initiate oxygen therapy

b. administers a heparin bolus and begin an infusion at 500 U /
hour
c. administers analgesics as ordered
d. performs nasopharyngeal suctioning

50. The nurse has developed a plan of care for a client diagnosed with anorexia
nervosa. Which client problem should the nurse select as the priority in the
plan of care?

a. Malnutrition
b. Inability to cope
c. Concern about body appearance
d. Lack of knowledge about nutrition