Basic Nursing Skills MCQ PDF

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42 Chapters
1050 Verified Questions
 Basic Nursing Skills
MCQ PDF
Cou
Basic Nursing Skills provides students with foundational knowledge and practical abilities

essential for entry-level nursing practice. The course covers core competencies such as

vital signs measurement, hygiene and personal care, safe patient handling, infection

control procedures, basic assessment techniques, and accurate documentation.

Emphasis is placed on therapeutic communication, patient safety, and ethical

considerations, equipping students to deliver compassionate, effective care in a variety

of healthcare settings. Through a blend of classroom instruction, skills labs, and clinical

experiences, students build the confidence and proficiency needed to support patients

and collaborate with members of the healthcare team.

Recommended Textbook
Fundamentals of Nursing Active Learning for Collaborative Practice 1st Edition by Yoost

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42 Chapters
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Page 2
 Chapter 1: Nursing, Theory, and Professional Practice
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Sample Questions
Q1) The nursing instructor is researching the five proficiencies regarded as essential for
students and professionals. Which organization, if explored by the instructor, would be
found to have added safety as a sixth competency?
A) Quality and Safety Education for Nurses (QSEN)
B) Institute of Medicine (IOM)
C) American Association of Colleges of Nursing (AACN)
D) National League for Nursing (NLN)
Answer: A

Q2) A nursing student is preparing study notes from a recent lecture in nursing history.
The student would credit Florence Nightingale for which definition of nursing?
A) The imbalance between the patient and the environment decreases the capacity for
health.
B) The nurse needs to focus on interpersonal processes between nurse and patient.
C) The nurse assists the patient with essential functions toward independence.
D) Human beings are interacting in continuous motion as energy fields.
Answer: A

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Page 3
 Chapter 2: Values, Beliefs, and Caring
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Sample Questions
Q1) A values system is a set of somewhat consistent values and measures that are
organized hierarchically into a belief system on a continuum of relative importance. A
value system is also:
A) culturally based.
B) unique to each individual.
C) a poor basis for making decisions.
D) rigid and uniform within a culture.
Answer: A

Q2) The nurse is observed sitting at the bedside of a patient discussing the nursing care
plan for the shift. Which theory or model most accurately reflects this nurse-patient
relationship?
A) Swanson's Theory of Caring
B) Travelbee's Human-to-Human Relationship Model
C) Watson's Theory of Caring
D) Leininger Cultural Care Theory
Answer: A

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Page 4
 Chapter 3: Communication
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Sample Questions
Q1) A nurse has been working with a patient for the entire shift. Which action by the nurse
is unacceptable?
A) Sharing a personal mobile phone number
B) Touching the patient's hand during a painful procedure
C) Standing 6 feet away from the patient when conversing
D) Using the SBAR method of hand-off communication
Answer: A

Q2) Several nurses on a medical-surgical unit have been asked by the nurse manager
to form a group and gather data regarding patient complaints of late meals. The nurses
meet and establish ground rules. This phase of group development is called:
A) forming.
B) storming.
C) norming.
D) performing.
Answer: A

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Page 5
 Chapter 4: Critical Thinking in Nursing
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Sample Questions
Q1) The nurse is preparing to teach Foley insertion techniques to a group of graduate
nurses. Which of the following teaching-learning strategies would the nurse find most
useful in teaching this skill?
A) Concept mapping
B) Simulation
C) Role playing
D) Literature review

Q2) The patient is complaining of severe incisional pain 2 days after surgery. The patient
has Morphine ordered intravenously or by mouth. The nurse chooses to give the
medication orally. This is an example of:
A) decision making.
B) reasoning.
C) problem solving.
D) judgment.

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Page 6
 Chapter 5: Introduction to the Nursing Process
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Sample Questions
Q1) During a patient's bath, the nurse observes the patient having a tonic clonic seizure.
The nurse immediately turns the patient to a side-lying position. The nurse is
demonstrating which phase of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation

Q2) The nursing student is caring for a patient admitted with severe anemia. The patient
receives two units of packed red blood cells and tells the student, "I am feeling so much
better. I'm not so tired anymore and can bathe myself." The student reviews the patient
goal "report an increase in activity tolerance" and concludes that the patient's goal has
been met and adjusts the patient's plan of care. This is an example of nursing process:
A) organization.
B) dynamics.
C) adaptability.
D) collaboration.

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Page 7
 Chapter 6: Assessment
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Sample Questions
Q1) The charge nurse is planning vital sign assignments for the unlicensed assistive
personnel (UAP) on a busy medical-surgical unit. Which patients are appropriate for the
UAP to obtain vital signs? (Select all that apply.)
A) A 28-year old patient scheduled to be discharged home today
B) A 49-year-old patient with stable chronic lung disease
C) A 78-year-old patient with recent onset of rectal bleeding
D) A 35-year-old patient waiting for transfer to a rehabilitation center
E) A 40-year-old patient being admitted from the emergency department

Q2) The morning nurse is assigned to care for a patient admitted during the night with
rectal bleeding. When making rounds, the nurse observes that the patient's face is ashen
in color and the skin is cool and clammy. The nurse auscultates the patient's heart and
lungs. Which category of physical assessment is the basis for the nurse's response?
A) Emergency
B) Focused
C) Complete
D) Initial comprehensive

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Page 8
 Chapter 7: Nursing Diagnosis
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Sample Questions
Q1) The nurse is admitting a patient with severe dehydration. Assessment data reveal a
decreased blood pressure, an increased pulse rate, and a low circulating blood volume.
The student observes that the patient is confused and restless. Which patient
information would the nurse consider as a contributing factor when choosing the
nursing diagnostic label?
A) Blood pressure, pulse rate
B) Blood pressure, pulse rate, blood volume
C) Blood pressure, pulse rate, blood volume, mental status
D) Blood pressure, pulse rate, blood volume, mental status, dehydration

Q2) A group of patients in a community center attend a nursing-led information session

on the risks of contracting tuberculosis. After the presentation several patients ask the
nurse for additional web-based resources regarding the lung disease. Which type of
nursing diagnosis would the nurse choose for the community care plan?
A) Risk
B) Actual
C) Health-promotion
D) Potential

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Page 9
 Chapter 8: Planning
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Sample Questions
Q1) The nurse has a thorough understanding of the planning phase of the nursing
process when stating:
A) "Patients should be included in the planning process."
B) "Patient families should not interfere in the planning process."
C) "The planning process should focus on short-term goals only."
D) "Planning is the first phase of the nursing process."

Q2) Which should the nurse address first?

A) Pain
B) Hunger
C) Decreased self-esteem
D) Absence of pulse

Q3) Nursing interventions that originate from the physician or primary care provider
orders are:
A) dependent
B) independent
C) collaborative
D) Nursing Interventions Classifications

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Page 10
 Chapter 9: Implementation and Evaluation
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Sample Questions
Q1) After the nurse completes a patient's initial assessment and develops a plan of care:
A) continual reassessment of the patient is required.
B) no changes to the care interventions should be allowed.
C) reassessment should be done randomly.
D) the nursing process becomes static to maintain the course of the cure.

Q2) During the evaluation phase of the nursing process, the nurse realizes that the
patient's short-term goals have not been met. The nurse should:
A) revise or adapt the plan of care.
B) assume that the patient did not want to achieve his goals.
C) understand that a plan of care is almost never changed.
D) reassess plans of care only after major patient-nurse interactions.

Q3) Documentation is a vital nursing role since the patient's health record:
A) should be completed accurately and in a timely manner.
B) should not be computerized (EHR) because of disclosure risks.
C) is not a legal document although they can be helpful in lawsuits.
D) cannot be used in determining billing and reimbursement issues.

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Page 11
Chapter 10: Documentation, Electronic Health Records, and

Reporting
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Sample Questions
Q1) Standardized nursing terminologies such as the North American Nursing Diagnosis
Association-International (NANDA-I) nursing diagnoses, Nursing Interventions
Classification (NIC), and Nursing Outcomes Classification (NOC) may be used in the
documentation process. Use of standardized language: (Select all that apply.)
A) provides consistency.
B) improves communication among nurses while excluding non-nurses.
C) increases the visibility of nursing interventions.
D) enhances data collection.
E) supports adherence to care standards.

Q2) Nursing documentation is an important part of effective communication among

nurses and with other health care providers. As such, the nurse:
A) documents facts.
B) documents how he/she feels about the care being provided.
C) documents in a "block" fashion once per shift.
D) double documents as often as possible in order to not miss anything.

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Page 12
 Chapter 11: Ethical and Legal Considerations
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Sample Questions
Q1) The nurse realizes that a medication error has been made. The nurse then reports
the error and takes responsibility to ensure patient safety despite personal
consequences. This nurse has exhibited:
A) autonomy.
B) accountability.
C) justice.
D) advocacy.

Q2) Which one of the following actions by the nursing student would be considered
uncivil?
A) Prompt arrival to class
B) Texting during class
C) Attentive listening
D) Active participation in class

Q3) The Code of Ethics for Nurses is:

A) like the Constitution and not revisable.
B) a succinct statement of ethical obligations.
C) required by entry level nurses only.
D) a negotiable document dependent on individual conscience.

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Page 13
 Chapter 12: Leadership and Management
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Sample Questions
Q1) When delegating to other health care providers, the nurse understands that the task:
(Select all that apply.)
A) must be within the scope of the person to whom it is being delegated.
B) is one that can be delegated to other health care providers.
C) can be delegated whenever assessments are required.
D) may be re-delegated by the person to whom it was first delegated.
E) may require the nurse to procure resources to complete the task.

Q2) The nurse correctly defines leadership when stating:

A) "Leadership is coordinating others toward a common goal."
B) "Leadership is the ability to influence others."
C) "Leadership focuses on the task at hand."
D) "Leadership is based in formal authority."

Q3) The nurse is acting in the planning function as a manager. Which of the following
stages should be completed first?
A) Set the plan
B) Assess the situation and future trends
C) Convert plan into action statement
D) Set the goals

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Page 14
Chapter 13: Evidence-Based Practice and Nursing Research
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Sample Questions
Q1) The acronym PICO assists in remembering the steps to constructing a good research
question. The "O" in the acronym stands for:
A) objectivity.
B) ordinal approach.
C) outcome.
D) observer.

Q2) While conducting a controlled research study, the nurse wants greater assurance
that the result is due to treatment itself and not another factor. For this purpose, the
researcher should include:
A) a treatment group.
B) an independent variable.
C) a dependent variable.
D) a control group.

Q3) The nurse correctly devises a dissemination plan at what point during the research
process?
A) Conclusion of the study
B) After the literature review
C) The beginning of the research process
D) While conducting research

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Page 15
 Chapter 14: Health Literacy and Patient Education
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Sample Questions
Q1) The nurse is to teach an 84-year-old Spanish-speaking patient newly diagnosed
with diabetes how to self-administer insulin. The patient has hearing and visual
impairments. In order to be effective as a teacher, the nurse should: (Select all that
apply.)
A) assess reading level and learning style.
B) determine readiness to learn.
C) use family members as interpreters.
D) provide written instruction in English.
E) place the patient in group classes.

Q2) The nurse is preparing to teach a 90-year-old patient. In teaching an elderly patient,
the nurse realizes that:
A) most elderly patients are highly literate.
B) cognitive abilities always decline with age.
C) sensory alterations often occur with aging.
D) teaching methods are the same as for the middle aged.

Q3) To teach effectively, nurses must recognize that:

A) age and socioeconomic status play a large role in understanding.
B) 90% of Americans possess rudimentary literary skills.
C) the ability to comprehend is a very new concept in health care.
D) most health care teaching is effective and understood.

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Page 16
 Chapter 15: Nursing Informatics
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Sample Questions
Q1) The home health nurse provides care for a patient with congestive heart failure. Daily
the patient weighs himself and takes his own temperature, pulse, respirations and blood
pressure. That information is sent as electronic data to the patient's physician and nurse
daily to make adjustments to the plan of care as indicated. This is an example of:
A) telehealth nursing.
B) computerized decision support system (DSS).
C) computerized provider order entry (CPOE).
D) point of care technology.

Q2) While adopting new technology to enhance patient care and safety, nurses can
continue to provide:
A) compassionate care.
B) consumer empowerment.
C) self-management of wellness.
D) education about health care.

Q3) Computerized provider order entry (CPOE):

A) allows orders to be communicated to the appropriate department.
B) creates an intermediary for order transcription.
C) slows documentation and provider communication.
D) may lead to increased ordering and transcription errors.

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Page 17
 Chapter 16: Health and Wellness
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Sample Questions
Q1) The nurse caring for a patient with chronic pain uses guided imagery, therapeutic
touch, and relaxation techniques as interventions for pain. The nurse is using what type
of approach?
A) Holistic
B) Eastern holistic
C) Risk factor reduction
D) Health protection

Q2) When considering factors influencing health and the impact of illness, specifically
age, the nurse would correctly identify which patient as having the greatest risk?
A) A 47-year-old man
B) A 23-year-old woman
C) a 10-year-old girl
D) an 85-year-old woman

Q3) When caring for patients with chronic illness, the nurse needs to:
A) help the patient face the reality that he will not get better.
B) emphasize to the patient that the illness is not his fault.
C) emphasize improving quality of life through preventive behaviors.
D) acknowledge the limitations placed on the patient by his suffering.

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Page 18
 Chapter 17: Human Development: Conception through

Adolescence
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Sample Questions
Q1) The perinatal clinic nurse is going to teach a woman from a culture unfamiliar to the
nurse about child-rearing practices. What action by the nurse is best before planning
the education?
A) Ensure the availability of written material to give the woman
B) Assess what practices are important to her cultural group
C) Determine if the woman is the primary family decision maker
D) Refer the woman to a prenatal educational class

Q2) The nurse is collecting a history from the parents of a 4-year-old female at a
well-child visit. The parents express concern that they often find their daughter
performing what appears to be masturbation. The nurse offers reassurance by
explaining which stage of development according to Freud?
A) Oral
B) Phallic
C) Anal
D) Latency

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Page 19
 Chapter 18: Human Development Young Adult to Older

Adult
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Sample Questions
Q1) An adult caregiver for an older adult reports the adult is doing well other than
sleeping more frequently and for longer periods. What response by the nurse is best?
A) Assess the older adult for exercise habits.
B) Perform a screening for depression.
C) Reassure the caregiver that this is normal.
D) Ask the older adult to provide a sleep diary.

Q2) A nurse is planning a community event in which participants will be assessed for
their risk of having a stroke. Which site does the nurse choose to access the highest-risk
population?
A) Community elder center
B) African-American church
C) Synagogue in a rural area
D) Asian-American grocery store

Q3) The nurse working with older adults encourages them to stay healthy. What
instruction by the nurse takes priority?
A) Eat at least seven servings of produce a day.
B) Get at least 8 hours of sleep a night.
C) Get some exercise at least most days of the week.
D) Stay away from people who are ill.

Page 20
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 Chapter 19: Vital Signs
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Sample Questions
Q1) A nurse is teaching a patient and the patient's family about self-care measures for
hypertension. Which topics does the nurse include? (Select all that apply.)
A) Increase exercise on most days
B) Maintain a normal body weight
C) Abstain from any alcohol
D) Reduce dietary sodium to 2.4 g/day
E) Follow the DASH diet

Q2) A patient's blood pressure is 142/76 mm Hg. What does the nurse chart as the pulse
pressure?
A) 28
B) 42
C) 58
D) 66

Q3) A nurse observes a student taking an adult patient's tympanic temperature. What
action by the student requires the nurse to intervene?
A) Student washes hands prior to patient contact
B) Student pulls the pinna of the patient's ear down and back
C) Student explains the procedure to the patient
D) Student pulls the pinna of the patient's ear up and back

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Page 21
 Chapter 20: Health History and Physical Assessment
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Sample Questions
Q1) A nurse has finished examining a patient. What actions does the nurse take next?
(Select all that apply.)
A) Document all findings.
B) Provide privacy for dressing.
C) Provide any hygiene material needed.
D) Tells the patient he/she can leave.
E) Cleans the room after the patient leaves.

Q2) The nurse is assessing a patient's cranial nerve III. What technique is best?
A) Have patient identify a common scent with closed eyes.
B) Shine a light into the patient's eyes to assess pupil response.
C) Have the patient read a newspaper or use the Snellen chart.
D) Assess if patient can hear both spoken and whispered words.

Q3) A nurse is assessing a patient's abdomen and hears bowel sounds every 20 to 25
seconds. What action by the nurse is best?
A) Avoid palpating this patient's abdomen.
B) Document the findings in the patient's chart.
C) Have another nurse verify the findings.
D) Ask the patient when the last food intake was.

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Page 22
 Chapter 21: Ethnicity and Cultural Assessment
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Sample Questions
Q1) What does the nursing student learn about race?
A) It is biologically based.
B) It is a social construct.
C) It is chosen by the person.
D) It helps establish superiority.

Q2) A student nurse is caring for a patient who is a refugee. The patient will take his own
blood glucose readings and will self-administer a set dose of insulin but will not follow a
sliding scale regimen in which the patient has to choose what dose of insulin to give.
What action by the student nurse is best?
A) Ask the provider to prescribe only a set insulin regimen.
B) Instruct the patient on the benefits of sliding scale insulin.
C) Teach the patient that strict carbohydrate limits are needed.
D) Ask the patient to explain the meaning of making this decision.

Q3) A charge nurse works on an inpatient unit in a diverse city. Knowing some
generalizations about different ethnic groups, which action is best?
A) Assign a female nurse to a female Muslim patient.
B) Allow the family to stay when the Russian patient is told he has cancer.
C) Start a meeting with a Hispanic family promptly on time.
D) Have the Amish patient watch patient education podcasts.

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Page 23
 Chapter 22: Spiritual Health
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Sample Questions
Q1) A patient has the nursing diagnosis Spiritual Distress. What assessment by the
patient best indicates that an important goal has been met?
A) Observed praying quietly
B) Indecisive about treatment
C) Asks nurse if God exists
D) Executes living will

Q2) The nurse is caring for four patients. Which one should the nurse assess for
spirituality needs as a priority?
A) New mother, older child at home
B) Faces terminal diagnosis
C) Needs to change medications
D) Pleasant but quiet

Q3) The nurse assessing a patient using the SPIRIT framework would ask which
questions? (Select all that apply.)
A) "Do you follow a particular religion?"
B) "How involved in your church are you?"
C) "Are there any practices I can help you with?"
D) "How will your religion affect your care?"
E) "What gives you hope in bad situations?"

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Page 24
 Chapter 23: Public Health, Community Base, and Home

Health Care
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Sample Questions
Q1) A nurse wants to create a community action plan for health problems related to air
pollution from a nearby factory. Which stakeholders does the nurse consult as the
priority? (Select all that apply.)
A) Factory owners
B) Stock shareholders
C) Community residents
D) Local health care providers
E) Factory employees

Q2) A home health care nurse is working with the family of a patient who has Alzheimer
disease and requires 24-hour care. What assessment by the nurse indicates the family is
meeting an important goal for caregiver role strain?
A) Family eats dinner together every night.
B) Family uses respite care one night a week.
C) Family investigates research trials for patient.
D) Family verbalizes exhaustion from caregiving.

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Page 25
 Chapter 24: Human Sexuality
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Sample Questions
Q1) A nurse is teaching patients about their medications and implications for sexuality.
Which combinations are correct? (Select all that apply.)
A) Antipsychotics: Erectile dysfunction
B) Phenytoin: Decreased desire
C) Antihistamines: Increased vaginal lubrication
D) SSRIs: Prolonged orgasm
E) Marijuana: Chronic use-reduced inhibitions

Q2) A nurse understands that which characteristics of family dynamics impact a

patient's sexuality? (Select all that apply.)
A) Religion
B) Age
C) Ethnicity
D) Culture
E) Geographic location

Q3) The nurse learns that spermatozoa are produced in which sexual organ?
A) Scrotum
B) Testes
C) Glans
D) Prostate

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Page 26
 Chapter 25: Safety
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Sample Questions
Q1) Individual factors affecting safety include those that are related to the functioning of
body systems and those that are directly associated with a person's particular lifestyle.
Changes in which body system affect overall mobility increasing the propensity of
falling?
A) Neurologic
B) Hepatic
C) Cardiopulmonary
D) Musculoskeletal

Q2) Conversations about safe sexual practices, including the consequences of

unprotected sex such as pregnancy and sexually transmitted infections, are important
to begin in what patient population?
A) Adults
B) School-aged children
C) Adolescents
D) Older adults

Q3) The nurse knows that which of the following is not used to assess fall risk?
A) Glasgow Falls Scale
B) Johns Hopkins Hospital Fall Assessment Tool
C) Morse Fall Scale
D) Hendrich II Fall Risk Model

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Page 27
 Chapter 26: Asepsis and Infection Control
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Sample Questions
Q1) The nurse correctly identifies which patient as having the greatest risk for infection?
A) An 80-year-old male with an enlarged prostate
B) A 24-year-old female long-distance runner
C) A 50-year-old obese male
D) A 40-year-old sexually active female

Q2) The nurse anticipates correctly that what type of medication would be ordered to
treat athlete's foot?
A) Antiviral
B) Antibiotic
C) Antihelminth
D) Antifungal

Q3) The patient is on protective precautions. Which is true regarding these precautions?
(Select all that apply.)
A) A positive-pressure room with a HEPA filtration system is required.
B) Special respirator masks should be available and one size fits all.
C) No live plants are allowed in the room.
D) The patient may eat any foods desired.

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Page 28
 Chapter 27: Hygiene and Personal Care
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse correctly identifies which patient as having the highest risk for injury
related to temperature of water when bathing?
A) Patient with asthma
B) Patient with attention deficit hyperactivity disorder
C) Patient with a stroke
D) Patient with diabetes

Q2) The nurse knows that which of the following statements is true regarding the
importance of hygiene?
A) The nurse has the opportunity to assess the respiratory, gastrointestinal, and
genitourinary systems during the bath.
B) UAPs perform hygiene because there is no benefit of nurses doing it.
C) The mucous membranes of the lips, nostrils, anus, vagina, and urethra are not a part
of the integumentary system when providing hygiene.
D) The main purpose of bathing is to decrease odor.

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Page 29
 Chapter 28: Activity, Immobility, and Safe Movement
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25 Flashcards
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Sample Questions
Q1) The nurse is educating the patient about the effects of immobility on the body. The
following statements by the patient indicate a need for further education: (Select all that
apply.)
A) "I can become very weak."
B) "I will gain weight."
C) "I will lose muscle tone."
D) "I can get bed sores."

Q2) The nurse appropriately delegates care to the UAP when she:
A) instructs the UAP to assess the patient's skin during a bath.
B) instructs the UAP to reposition the patient using the trapeze.
C) instructs the UAP to assess the patient's ability to perform range-of-motion exercises.
D) instructs the UAP to notify the health care provider of any changes.

Q3) An appropriate goal for the patient who is postoperative day one from abdominal
surgery and on bed rest with the nursing diagnosis Impaired skin integrity is:
A) the patient will ambulate twice a day.
B) the patient will eat 50% of meals.
C) the patient will have no further skin breakdown.
D) the patient will interact with others.

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Page 30
 Chapter 29: Skin Integrity and Wound Care
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25 Flashcards
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Sample Questions
Q1) The nurse knows to irrigate a deep wound with:
A) A 5-mL syringe.
B) A 10-mL syringe.
C) A 3-mL syringe.
D) A 30-mL syringe.

Q2) The nurse knows that the cause of pressure ulcers includes the following factors:
(Select all that apply.)
A) Intensity of the pressure
B) Duration of the pressure
C) The tissue's ability to tolerate the pressure
D) The person's age
E) None of the above

Q3) The nurse knows the layer that delivers the blood supply to the dermis, provides
insulation, and has a cushioning effect is:
A) stratum germinativum.
B) epidermis.
C) subcutaneous layer.
D) stratum corneum.

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Page 31
 Chapter 30: Nutrition
Available Study Resources on Quizplus for this Chatper
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Sample Questions
Q1) The nurse is providing education to patient about the difference between simple and
complex carbohydrates. Which statement by the patient indicates a need for further
education?
A) "Simple carbohydrates give me quick energy."
B) "Complex carbohydrates come from fruit."
C) "Complex carbohydrates take longer to break down."
D) "Simple carbohydrates come from milk products."

Q2) The nurse is measuring his patient's height. Which of the following steps of the
procedure indicates a need for further education on this skill?
A) He instructs the patient to remove his shoes.
B) He measures from the top of the patient's head to the bottom of the patient's foot
arch.
C) He positions the head against the headboard or measuring device.
D) He makes sure the patient is standing erect.

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Page 32
 Chapter 31: Cognitive and Sensory Alterations
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Sample Questions
Q1) An appropriate goal for a patient with the diagnosis of acute confusion is:
A) the patient will use the call light before getting out of bed within 48 hours.
B) the patient will use a calendar to remember the date within 48 hours.
C) the patient will respond appropriately to questions about place within 48 hours.
D) the patient will remain within the unit while in long-term care.

Q2) The nurse is preparing discharge instructions for a patient who has equilibrium
alterations. Which instructions should be included? (Select all that apply.)
A) Use grab bars in the tub and/or shower at home.
B) Keep rooms well lit and focus ahead when walking.
C) Change positions quickly to avoid dizziness.
D) Use a cane or walker for stability.
E) Ride in the back seat of the car and look ahead.

Q3) An appropriate goal for a patient with a diagnosis of social isolation is:
A) the patient will participate in cognitive exercises.
B) the patient will interact with other residents during activities.
C) the patient will communicate basic needs through use of photos.
D) the patient will remain within the unit while in long-term care.

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Page 33
 Chapter 32: Stress and Coping
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Sample Questions
Q1) The nurse knows that certain personality factors have been shown to buffer the
impact of stress. These factors are: (Select all that apply.)
A) resilience.
B) sense of coherence.
C) gender.
D) hardiness.
E) coping style.

Q2) The nurse is seeing a patient during a follow-up visit after discharge in which the
patient had a nursing diagnosis of Ineffective coping. Which statement by the patient
would be a cause for concern?
A) "I am sleeping better most nights."
B) "I feel less anxious."
C) "I do not need to do the relaxation exercises anymore."
D) "I am continuing my exercises every day."

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Page 34
 Chapter 33: Sleep
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Sample Questions
Q1) The nurse is providing discharge education for a patient with narcolepsy. The
following statement by the patient indicates a need for further education:
A) "Daytime naps are helpful."
B) "Taking the medication will cure it."
C) "High protein meals are helpful."
D) "I should avoid alcohol."

Q2) Which of the following is inappropriate to delegate to the unlicensed assistive

personnel (UAP)?
A) Providing oral care
B) Evaluating sleep patterns
C) Providing bedtime routines
D) Documenting sleep hours

Q3) The nurse is providing discharge education for a patient with restless leg syndrome.
The following statement by the patient indicates a need for further education:
A) "I should avoid all caffeine."
B) "I can using leg massage and knee bends."
C) "Taking magnesium supplements may be helpful."
D) "Taking a walk regularly may be helpful."

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Page 35
 Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse is caring for a patient who will be receiving iodine-based contrast medium
for a CT scan. Which allergy should be reported to the technician and radiologist before
the test is performed?
A) Gluten and lactose
B) Strawberries
C) Peanuts and cashews
D) Shrimp and scallops

Q2) The nurse is caring for a patient with a urinary tract infection. Which test will indicate
which antibiotics will be effective to treat the infection?
A) Complete blood count (CBC)
B) Culture and sensitivity (C&S)
C) Renal scan and angiography
D) Radioreceptor assay for HCG

Q3) The nurse is caring for a patient who recently had a liver biopsy. To whom must the
nurse give the results?
A) The patient
B) The patient's physician
C) The patient's insurance provider
D) The patient's spouse

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Page 36
 Chapter 35: Medication Administration
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Sample Questions
Q1) The nurse is caring for a patient who is receiving vancomycin (Vancocin) to treat a
severe infection. The next vancomycin dose is due to be administered at 10:00 A.M. What
time will the nurse draw the vancomycin serum trough level?
A) 7:30 A.M.
B) 9:30 A.M.
C) 11:30 A.M.
D) 1:30 P.M.

Q2) The nurse is noting an order for a medication to be given TID. Which times will the
nurse plan to administer the medication to the patient?
A) 9 A.M., 1 P.M., 5 P.M. and 10 P.M.
B) 9 A.M. and 9 P.M.
C) 9 A.M., 1 P.M. and 5 P.M.
D) Nightly before the patient goes to sleep

Q3) Which of the following medication orders is to be administered PRN?

A) Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep
B) Prednisone 10 mg PO today, then taper down 1 mg each day for the next 10 days
C) Humulin R 10 units subcutaneously before each meal and at bedtime
D) Kefzol (Ancef) 1 g IVPB 30 minutes prior to surgery

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Page 37
 Chapter 36: Pain Management
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Sample Questions
Q1) Which is the best pain medication option for a patient to manage severe long-term
cancer pain at home?
A) Duragesic 50 mcg transdermal patch q 72 hours
B) Meperidine (Demerol) 50 mg IM q 6 hours
C) Hydromorphone (Dilaudid) 0.2 mg q 10 minutes IV via PCA pump
D) Hydromorphone (Dilaudid) 0.08 mg/hour infusion through epidural catheter

Q2) The nurse is checking on the patient after administering pain medication 30 minutes
previously. Which assessment finding best indicates to the nurse that the pain
medication was effective?
A) The patient is sleeping quietly.
B) The patient states that she has no pain.
C) The patient's respirations are slow and regular.
D) The patient's blood pressure has returned to baseline.

Q3) The nurse is caring for a patient who only speaks a foreign language. What is the
best method for the nurse to assess the patient's pain level?
A) Perform a pain assessment using a translator.
B) Check the patient's vital signs and pulse oximetry.
C) Check the patient's respiratory rate, depth, and rhythm.
D) Look to see if the patient appears to be resting comfortably.

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Page 38
 Chapter 37: Perioperative Nursing Care
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Sample Questions
Q1) The nurse is caring for a male patient who will soon have open heart surgery. The
patient's chest is covered with thick hair so the surgical technician comes in to shave the
patient's skin near the operative site. Which action by the technician requires
intervention by the nurse to correct the technique?
A) A straight safety razor and antibiotic foam is used
B) Disposable electric trimmers are used to trim the hair
C) Antibacterial soap is used prior to hair removal
D) Only the hair directly around the surgical site is removed

Q2) The nurse is caring for a patient who underwent abdominal surgery the previous
day. Which assessment findings indicate to the nurse that the patient may be
experiencing serious internal bleeding? (Select all that apply.)
A) The patient's urinary output increased to 40 mL/hr.
B) The patient's pulse has risen from 76 to 112 beats/min.
C) The patient states that his abdominal pain is worse than yesterday.
D) The patient complains of generalized itching.
E) The patient's hematocrit dropped from 14.6 to 11.0 g/Dl
F) The patient has not been able to have a bowel movement since before surgery.

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Page 39
 Chapter 38: Oxygenation and Tissue Perfusion
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Sample Questions
Q1) The nurse hears a loud murmur when listening to the patient's heart. Which
diagnostic test will best display the condition of the valves and structures within the
patient's heart that could be causing the murmur?
A) Chest x-ray
B) Cardiac catheterization
C) Echocardiogram
D) Electrocardiogram

Q2) The nurse is performing a respiratory assessment on a patient. Which assessment

findings indicate to the nurse that the patient has a history of long-standing chronic
respiratory disease? (Select all that apply.)
A) All of the patient's fingernails are noticeably clubbed.
B) The patient needs to sleep on at least four to five pillows at night.
C) The patient's chest has equal antero-posterior and transverse diameters.
D) The patient's lower legs have large areas of brownish spotted discoloration.
E) The patient reports puffiness of both feet when standing for long periods.
F) The patient's forced vital capacity test result is 3.8 L of air.

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Page 40
 Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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25 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who has a central venous catheter (CVC). Which
nursing intervention is the most important for the nurse to include in the patient's plan of
care?
A) Carefully document all assessments of the catheter site.
B) Use strict sterile procedure when performing dressing changes.
C) Label each new dressing with the date, time, and nurse's initials.
D) Ensure that the CVC is discontinued as soon as possible.

Q2) The nurse is caring for a patient who is to receive a transfusion of packed red blood
cells. The patient has a 22-gauge IV in his arm with 0.9% normal saline infusing. What
intervention will the nurse perform before obtaining the packed red blood cells from the
blood bank?
A) Identify the blood group, type, and expiration date with another nurse.
B) Insert an 18- or 20-gauge angiocatheter into the patient's other arm.
C) Program the IV infusion pump so that the transfusion will complete within 4 hours.
D) Obtain a new microdrip tubing and extension tubing from the clean utility room.

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Page 41
 Chapter 40: Bowel Elimination
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Sample Questions
Q1) The nurse is caring for a patient who is recovering from gastroenteritis. The nurse
teaches the patient about dietary recommendations as the digestive system recovers.
Which menu selection by the patient indicates that additional teaching is needed?
A) Applesauce
B) Orange Popsicle
C) White toast
D) Coffee with cream

Q2) The nurse is caring for a patient who will undergo colonoscopy testing. Which
intervention will the nurse include in the patient's plan of care for the day before the test?
A) Provide the patient with zinc oxide skin barrier cream for the perineal area.
B) Obtain an order for a gentle laxative to be given once the test is completed.
C) Carefully assess the patient's ability to swallow liquids through a straw.
D) Check the patient for allergies to shellfish and iodine-based contrast dyes.

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Page 42
 Chapter 41: Urinary Elimination
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Sample Questions
Q1) The preceptor is watching a nursing student care for a male patient who requires a
condom catheter. Which action by the nursing student indicates that the procedure is
performed correctly?
A) Sterile gloves are donned before touching the catheter.
B) Adhesive tape is applied securely around the base of the penis.
C) Water-soluble lubricant is applied to the end of the catheter.
D) The foreskin is returned to its natural position before the catheter is applied.

Q2) The nurse is caring for an incontinent male patient who has a deep decubitus ulcer
on his sacrum. Which intervention will best manage the patient's urinary incontinence
and facilitate healing of the ulcer?
A) Use of disposable absorbable incontinence briefs
B) Daily application of perineal barrier cream containing zinc oxide
C) Careful perineal care and application of a condom catheter
D) Insertion of a single-lumen straight urinary catheter

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Page 43
 Chapter 42: Death and Loss
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Sample Questions
Q1) The nurse is caring for a terminally ill patient whose children have come home to be
with their mother during her last few days. They spend time looking through picture
albums, watching old home movies, and remembering fun times spent together. Which
term best describes the activity of the patient's children?
A) Anticipatory grieving
B) Bereavement
C) Caregiver role strain
D) Death anxiety

Q2) The nurse is caring for a patient who suffered a miscarriage at 24 weeks of
pregnancy. The patient is devastated by the loss but her husband minimizes her grief by
stating, "Quit crying. It's not like you lost a real baby." What term best describes the
anguish felt by the patient?
A) Disenfranchised grief
B) Ineffective denial
C) Moral distress
D) Interrupted family processes

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Page 44