Sample Question 3

41. A nurse is observing a child’s motor, sensory and speech development. The child is 7 months old. Which of the following tasks would generally not be observed?

A: Child recognizes tone of voice.

B: Child exhibits fear of strangers.

C: Child pulls to stand and occasionally bounces.

D: Child plays patty-cake and imitates.

42. A nurse is observing a child’s motor, sensory and speech development. The child is 5 months old. Which of the following tasks would generally not be observed?

A: Child sits with support.

B: Child laughs out loud.

C: Child shifts weight side to side in prone.

D: Child transfers objects between hands.

43. A nurse is caring for an adult that has recently been diagnosed with renal failure. Which of the following clinical signs would most likely not be present?

A: Hypotension

B: Heart failure

C: Dizziness

D: Memory loss

44. A nurse is caring for an adult that has recently been diagnosed with hypokalemia. Which of the following clinical signs would most likely not be present?

A: Leg cramps

B: Respiratory distress

C: Confusion

D: Flaccid paralysis

45. A nurse is caring for an adult that has recently been diagnosed with metabolic acidosis. Which of the following clinical signs would most likely not be present?

A: Weakness

B: Dysrhythmias

C: Dry skin

D: Malaise

46. A nurse is caring for an adult that has recently been diagnosed with metabolic alkalosis. Which of the following clinical signs would most likely not be present?

A: Vomiting

B: Diarrhea

C: Agitation

D: Hyperventilation

47. A nurse is caring for an adult that has recently been diagnosed with respiratory acidosis. Which of the following clinical signs would most likely not be present?

A: CO₂ Retention

B: Dyspnea

C: Headaches

D: Tachypnea

48. A nurse is caring for an adult that has recently been diagnosed with respiratory alkalosis. Which of the following clinical signs would most likely not be present?

A: Anxiety attacks

B: Dizziness

C: Hyperventilation cyanosis

D: Blurred vision

49. A nurse is reviewing a patient’s medication list. The drug Pentoxifylline is present on the list. Which of the following conditions is commonly treated with this medication?

A: COPD B: CAD

C: PVD

D: MS

50. A patient has been on long-term management for CHF. Which of the following drugs is considered a loop dieuretic that could be used to treat CHF symptoms?

A: Ciprofloxacin

B: Lepirudin

C: Naproxen

D: Bumex

51. A patient has recently been diagnosed with polio and has questions about the diagnosis. Which of the following systems is most affected by polio?

A: PNS

B: CNS

C: Urinary system

D: Cardiac system

52. A nurse is educating a patient about right-sided heart deficits. Which of the following clinical signs is not associated with right-sided heart deficits?

A: Orthopnea

B: Dependent edema

C: Ascites

D: Nocturia

53. A nurse is reviewing a patient’s medication. Which of the following is considered a potassium sparing dieuretic?

A: Esidrix

B: Lasix

C: Aldactone

D: Edecrin

54. A nurse is reviewing a patient’s medication. The patient is taking Digoxin. Which of the following is not an effect of Digoxin?

A: Depressed HR

B: Increased CO

C: Increased venous pressure

D: Increased contractility of cardiac muscle

55. A patient has been instructed by the doctor to reduce their intake of Potassium. Which types of foods should not worry about avoiding?

A: Bananas

B: Tomatoes

C: Orange juice

D: Apples

56. A patient’s chart indicates the patient is suffering from Digoxin toxicity. Which of the following clinical signs is not associated with digoxin toxicity?

A: Ventricular bigeminy

B: Anorexia

C: Normal ventricular rhythm

D: Nausea

57. A fourteen year old male has just been admitted to your floor. He has a history of central abdominal pain that has moved to the right iliac fossa region. He also has tenderness over the region and a fever. Which of the following would you most likely suspect?

A: Appendicitis

B: Acute pancreatitis

C: Ulcerative colitis

D: Cholecystitis

58. A thirteen-year old male has a tender lump area in his left groin. His abdomen is distended and he has been vomiting for the past 24 hours. Which of the following would you most like suspect?

A: Ulcerative colitis

B: Biliary colic

C: Acute gastroenteritis

D: Strangulated hernia

59. Which of the following is the key risk factor for development of Parkinson’s disease dementia?

A: History of strokes

B: Acute headaches history

C: Edward’s syndrome

D: Use of phenothiazines

60. A father notifies your clinic that his son’s homeroom teacher has just been diagnosed with meningitis and his son spent the day with the teacher in detention yesterday. Which of the following would be the most likely innervention?

A: Isolation of the son

B: Treatment of the son with Aciclovir

C: Treatment of the son with Rifampicin

D: Reassure the father

61. A patient has recently been diagnosed with hyponatremia. Which of the following is not associated with hyponatremia?

A: Muscle twitching

B: Anxiety

C: Cyanosis

D: Sticky mucous membranes

62. A patient has recently been diagnosed with hypernatremia. Which of the following is not associated with hypernatremia?

A: Hypotension

B: Tachycardia

C: Pitting edema

D: Weight gain

63. Which of the following normal blood therapeutic concentrations is abnormal?

A: Phenobarbital 10-40 mcg/ml

B: Lithium .6 – 1.2 mEq/L

C: Digoxin .5 – 1.6 ng/ml

D: Valproic acid 40 – 100 mcg/ml

64. Which of the following normal blood therapeutic concentrations is abnormal?

A: Digitoxin 09 – 25 mcg/ml

B: Vancomycin 05 – 15 mcg/ml

C: Primidone 02 – 14 mcg/ml

D: Theophylline 10 – 20 mcg/ml

65. Which of the following normal blood therapeutic concentrations is abnormal?

A: Phenytoin 10 – 20 mcg/ml

B: Quinidine 02 – 06 mcg/ml

C: Haloperidol 05 – 20 ng/ml

D: Carbamazepine 5 – 25 mcg/ml

Answer Key 2

21. (B) Discharge education begins upon admit.
22. (B) Initiative vs. guilt- 3-6 years old
23. (A) Trust vs. Mistrust- 12-18 months old
24. (D) Intimacy vs. isolation- 18-35 years old
25. (B) HR and Respirations are slightly increased. BP is down.
26. (A) Elavil is a tricyclic antidepressant.
27. (D) Erythromycin is used to treat conditions A-C.
28. (D) Answer choices A-C were symptoms of acute hyperkalemia.
29. (C) Weight loss would be expected.
30. (A) Loss of appetite would be expected.
31. (D) Choice A is linked to Plague, Choice B is linked to peptic ulcers, Choice C is linked to Cholera.
32. (A) Choice B is linked to Rheumatic fever, Choice C is linked to Anthrax, Choice D is linked to Endocarditis.
33. (D) A CT scan would be performed for further investigation of the hemiparesis.
34. (C) Weight gain and poor temperature tolerance indicate something may be wrong with the thyroid function.
35. (C) Blood cultures would be performed to investigate the fever and rash symptoms.
36. (A) With a history of diabetes, the first response should be to check blood sugar levels.
37. (C) Age is not the greatest factor in potty training. The overall mental and physical abilities of the child is the most important factor.
38. (C) The poison control center will have an exact plan of action for this child.
39. (C) Vastus lateralis is the most appropriate location.
40. (D) In this case you are able to determine the name of the child by the father’s statement, moreover you should not withhold the medication from the child following identification.

mnemonics

To remember the clinical findings associated w/UTI think urinary tract is FULL of infection:

F-frequent urge to void
U-urine that is foul smelling and cloudy
L-low grade fever
L-lethargy


No P No K.

If the patient isn't peeing, they are probably retaining potassium, therefore they shouldn't be getting it.

Nursing Considerations for renal failure --KIDNEY:

K - Keeping fluid balance
I - Inspecting the skin for Pruritus
D - Dietary Instructions
N - No to Acidosis
E - Electrolyte imbalance maintainance
Y - Your blood counts

ASSESSMENT on dehydration

D=dry skin & mucous membrane
E=eyeball/fontannel sunken
H=hypotension
Y= you feel coolness/mottling of the extremeties
D=delayed capillary filling time
R= response to stimuli/LOC changes
A= absence of tears
T=tachycardia
I=increase urine specific gravity
O=oliguria
N=no/loss skin turgor and elasticity

Sample Question 2

21. A 65 year old man has been admitted to the hospital for spinal stenosis surgery. When does the discharge training and planning begin for this patient?

A: Following surgery

B: Upon admit

C: Within 48 hours of discharge

D: Preoperative discussion

22. A child is 5 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the child in?

A: Trust vs. mistrust

B: Initiative vs. guilt

C: Autonomy vs. shame

D: Intimacy vs. isolation

23. A toddler is 16 months old and has been recently admitted into the hospital. According to Erickson which of the following stages is the toddler in?

A: Trust vs. mistrust

B: Initiative vs. guilt

C: Autonomy vs. shame

D: Intimacy vs. isolation

24. A young adult is 20 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the adult in?

A: Trust vs. mistrust

B: Initiative vs. guilt

C: Autonomy vs. shame

D: Intimacy vs. isolation

25. A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

A: 11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg

B: 13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg

C: 5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg

D: 6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg

26. When you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?

A: Elavil

B: Calcitonin

C: Pergolide

D: Verapamil

27. Which of the following conditions would a nurse not administer erythromycin?

A: Campylobacterial infection

B: Legionnaire’s disease

C: Pneumonia

D: Multiple Sclerosis

28. A patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute?

A: Decreased HR

B: Paresthesias

C: Muscle weakness of the extremities

D: Migranes

29. A patient’s chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute?

A: Vomiting

B: Extreme Thirst

C: Weight gain

D: Acetone breath smell

30. A patient’s chart indicates a history of meningitis. Which of the following would you not expect to see with this patient if this condition were acute?

A: Increased appetite

B: Vomiting

C: Fever

D: Poor tolerance of light

31. A nurse if reviewing a patient’s chart and notices that the patient suffers from conjunctivitis. Which of the following microorganisms is related to this condition?

A: Yersinia pestis

B: Helicobacter pyroli

C: Vibrio cholera

D: Hemophilus aegyptius

32. A nurse if reviewing a patient’s chart and notices that the patient suffers from Lyme disease. Which of the following microorganisms is related to this condition?

A: Borrelia burgdorferi

B: Streptococcus pyrogens

C: Bacilus anthracis

D: Enterococcus faecalis

33. A fragile 87 year-old female has recently been admitted to the hospital with increased confusion and falls over last 2 weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed?

A: FBC (full blood count)

B: ECG (electrocardiogram)

C: Thyroid function tests

D: CT scan

34. A 84 year-old male has been loosing mobility and gaining weight over the last 2 months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed?

A: FBC (full blood count)

B: ECG (electrocardiogram)

C: Thyroid function tests

D: CT scan

35. A 20 year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed first?

A: Blood sugar check

B: CT scan

C: Blood cultures

D: Arterial blood gases

36. A 28 year old male has been found wandering around in a confused pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first?

A: Blood sugar check

B: CT scan

C: Blood cultures

D: Arterial blood gases

37. A mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training?

A: The age of the child

B: The child ability to understand instruction.

C: The overall mental and physical abilities of the child.

D: Frequent attempts with positive reinforcement.

38. A parent calls the pediatric clinic and is frantic about the bottle of cleaning fluid her child drank 20 minutes. Which of the following is the most important instruction the nurse can give the parent?

A: This too shall pass.

B: Take the child immediately to the ER

C: Contact the Poison Control Center quickly

D: Give the child syrup of ipecac

39. A nurse is administering a shot of Vitamin K to a 30 day-old infant. Which of the following target areas is the most appropriate?

A: Gluteus maximus

B: Gluteus minimus

C: Vastus lateralis

D: Vastus medialis

40. A nurse has just started her rounds delivering medication. A new patient on her rounds is a 4 year-old boy who is non-verbal. This child does not have on any identification. What should the nurse do?

A: Contact the provider

B: Ask the child to write their name on paper.

C: Ask a co-worker about the identification of the child.

D: Ask the father who is in the room the child’s name.

Answer key 1

1. (A) and (B) are both contraindicated with pregnancy.
2. (F) All of the others have can cause photosensitivity reactions.
3. (D) All of the others can cause urine discoloration.
4. (A) Corgard could be removed from the refigerator.
5. (D) IgG is the only immunoglobulin that can cross the placental barrier.
6. (B) AZT treatment is the most critical innervention.
7. (C) Autonomic neuropathy can cause inability to urinate.
8. (B) All of the clinical signs and systems point to a condition of anorexia nervosa.
9. (B) Hypercalcaemia can cause polyuria, severe abdominal pain, and confusion.
10. (C) Rho gam prevents the production of anti-RH antibodies in the mother that has a Rh positive fetus.
11. (D) The effects of PKU stay with the infant throughout their life.
12. (D) Aspirin overdose can lead to metabolic acidosis and cause pulmonary edema development.
13. (D) This patient’s safety is your primary concern.
14. (C) The bronchodilator will allow a more productive cough.
15. (B) Weight gain is associated with CHF and congenital heart deficits.
16. (C) The skin would be dry and not oily.
17. (A) Streptokinase is a clot busting drug and the best choice in this situation.
18. (A) Green vegetables and liver are a great source of folic acid.
19. (D) Cl. difficile has not been linked to meningitis.
20. (D) RBC’s last for 120 days in the body.