foundation of nursing – comprehensive test part 1

8/9/2019 Foundation of Nursing Comprehensive Test Part 1

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Foundation of Nursing Comprehensive Test

Part 1

1.

Using the principles of standard precautions, the nurse would wear gloves in whatnursing interventions?a. Providing a back massageb. Feeding a clientc. Providing hair cared. Providing oral hygiene

2. The nurse is preparing to take vital sign in an alert client admitted to the hospital withdehydration secondary to vomiting and diarrhea. What is the best method used to assessthe clients temperature?

a. Oralb. Axillaryc.

Radiald. Heat sensitive tape

3. A nurse obtained a clients pulse and found the rate to be above normal.The nursedocument this findings as:

a. Tachypneab. Hyper pyrexiac. Arrythmiad. Tachycardia

4. Which of the following actions should the nurse take to use a wide base support whenassisting a client to get up in a chair?

a. Bend at the waist and place arms under the clients arms and liftb. Face the client, bend knees and place hands on clients forearm and liftc. Spread his or her feet apartd. Tighten his or her pelvic muscles

5. A client had oral surgery following a motor vehicle accident.The nurse assessing theclient finds the skin flushed and warm. Which of the following would be the best method

to take the clients body temperature?a. Oralb. Axillaryc. Arterial lined. Rectal

6. A client who is unconscious needs frequent mouth care. When performing a mouth care,the best position of a client is:

a. Fowlers positionb. Side lyingc. Supined. Trendelenburg

7. A client is hospitalized for the first time, which of the following actions ensure the safetyof the client?

a. Keep unnecessary furniture out of the way


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b. Keep the lights on at all timec. Keep side rails up at all timed. Keep all equipment out of view

8. A walk-in client enters into the clinic with a chief complaint of abdominal pain anddiarrhea.The nurse takes the clients vital sign hereafter. What phrase of nursing process

is being implemented here by the nurse?a. Assessmentb. Diagnosisc. Planningd. Implementation

9. It is best describe as a systematic, rational method of planning and providing nursing carefor individual, families, group and community

a. Assessmentb. Nursing Processc. Diagnosisd. Implementation

10.Exchange of gases takes place in which of the following organ?a. Kidney

b. Lungsc. Liverd. Heart

11.The Chamber of the heart that receives oxygenated blood from the lungs is the?a. Left atriumb. Right atriumc. Left ventricled. Right ventricle

12.A muscular enlarge pouch or sac that lies slightly to the left which is used for temporarystorage of food

a. Gallbladderb. Urinary bladderc. Stomachd. Lungs

13.The ability of the body to defend itself against scientific invading agent such as baceria,toxin, viruses and foreign body

a. Hormonesb. Secretionc. Immunityd. Glands

14.Hormones secreted by Islets ofLangerhansa. Progesteroneb. Testosteronec. Insulind. Hemoglobin

15.It is a transparent membrane that focuses the light that enters the eyes to the retina.a. Lensb. Sclera


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c. Cornead. Pupils

16.Which of the following is included in Orems theory?a. Maintenance of a sufficient intake of airb. Self perceptionc.

Love and belongingd. Physiologic needs

17.Which of the following cluster of data belong to Maslows hierarchy of needsa. Love and belongingb. Physiologic needsc. Self actualizationd. All of the above

18.This is characterized by severe symptoms relatively of short duration.a. Chronic Illnessb. Acute Illnessc. Paind.

Syndrome19.Which of the following is the nurses role in the health promotion

a. Health risk appraisalb. Teach client to be effective health consumerc. Worksite wellnessd. None of the above

20.It is describe as a collection of people who share some attributes of their lives.a. Familyb. Illnessc. Communityd. Nursing

21.Five teaspoon is equivalent to how many milliliters (ml)?a. 30 mlb. 25 mlc. 12 mld. 22 ml

22.1800 ml is equal to how many liters?a. 1.8b. 18000c. 180d. 2800

23.Which of the following is the abbreviation of drops?a. Gtt.b. Gtts.c. Dp.d. Dr.

24.The abbreviation for micro drop isa. gttb. gttc. mdr


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d. mgts25.Which of the following is the meaning ofPRN?

a. When adviceb. Immediatelyc. When necessaryd.

Now26.Which of the following is the appropriate meaning of CBR?

a. Cardiac Board Roomb. Complete Bathroomc. Complete Bed Restd. Complete Board Room

27.1 tsp is equals to how many drops?a. 15b. 60c. 10d. 30

28.20 cc is equal to how many ml?a. 2

b. 20c. 2000d. 20000

29.1 cup is equals to how many ounces?a. 8b. 80c. 800d. 8000

30.The nurse must verify the clients identity before administration of medication. Which ofthe following is the safest way to identify the client?

a. Ask the client his nameb. Check the clients identification bandc. State the clients name aloud and have the client repeat itd. Check the room number

31.The nurse prepares to administer buccal medication.The medicine should be placeda. On the clients skinb. Between the clients cheeks and gumsc. Under the clients tongued. On the clients conjuctiva

32.The nurse administers cleansing enema.The common position for this procedure isa. Sims left lateralb. Dorsal Recumbentc. Supined. Prone

33.A client complains of difficulty of swallowing, when the nurse try to administer capsulemedication. Which of the following measures the nurse should do?

a. Dissolve the capsule in a glass of waterb. Break the capsule and give the content with an applesauce


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c. Check the availability of a liquid preparationd. Crash the capsule and place it under the tongue

34.Which of the following is the appropriate route of administration for insulin?a. Intramuscularb. Intradermalc.

Subcutaneousd. Intravenous

35.The nurse is ordered to administer ampicillin capsule TIP p.o.The nurse shoud give themedication

a. Three times a day orallyb. Three times a day after mealsc. Two time a day by mouthd. Two times a day before meals

36.Back Care is best describe as:a. Caring for the back by means of massageb. Washing of the backc.

Application of cold compress at the backd. Application of hot compress at the back

37.It refers to the preparation of the bed with a new set of linensa. Bed bathb. Bed makingc. Bed shampood. Bed lining

38.Which of the following is the most important purpose of handwashinga. To promote hand circulationb. To prevent the transfer of microorganismc. To avoid touching the client with a dirty handd. To provide comfort

39.What should be done in order to prevent contaminating of the environment in bedmaking?

a. Avoid funning soiled linensb. Strip all linens at the same timec. Finished both sides at the timed. Embrace soiled linen

40.The most important purpose of cleansing bed bath is:a. To cleanse, refresh and give comfort to the client who must remain in bedb. To expose the necessary parts of the bodyc. To develop skills in bed bathd. To check the body temperature of the client in bed

41.Which of the following technique involves the sense of sight?a. Inspectionb. Palpationc. Percussiond. Auscultation

42.The first techniques used examining the abdomen of a client is:a. Palpation


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b. Auscultationc. Percussiond. Inspection

43.A technique in physical examination that is use to assess the movement of air through thetracheobronchial tree:

a.Palpationb. Auscultation

c. Inspectiond. Percussion

44.An instrument used for auscultation is:a. Percussion-hammerb. Audiometerc. Stethoscoped. Sphygmomanometer

45.Resonance is best describe as:a. Sounds created by air filled lungsb.

Short, high pitch and thuddingc. Moderately loud with musical quality

d. Drum-like46.The best position for examining the rectum is:

a. Proneb. Simsc. Knee-chestd. Lithotomy

47.It refers to the manner of walkinga. Gaitb. Range of motionc. Flexion and extensiond. Hopping

48.The nurse asked the client to read the Snellen chart. Which of the following is tested:a. Opticb. Olfactoryc. Oculomotord. Troclear

49.Another name for knee-chest position is:a. Genu-dorsalb. Genu-pectoralc. Lithotomyd. Sims

50.The nurse prepare IM injection that is irritating to the subcutaneous tissue. Which of thefollowing is the best action in order to prevent tracking of the medication

a. Use a small gauge needleb. Apply ice on the injection sitec. Administer at a 45 angled. Use the Z-track technique

foundation of nursing – comprehensive test part 1

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