Nursing Board Review: Fundamentals of Nursing Practice Test Part 1

July 2010 Nursing Board Exam Review Questions on Fundamentals of Nursing.

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1.    Jake is complaining of shortness of breath. The nurse assesses his respiratory rate to be 30 breaths per minute and documents that Jake is tachypneic. The nurse understands that tachypnea means:

a. Pulse rate greater than 100 beats per minute
b. Blood pressure of 140/90
c. Respiratory rate greater than 20 breaths per minute
d. Frequent bowel sounds

2.    The nurse listens to Mrs. Sullen’s lungs and notes a hissing sound or musical sound. The nurse documents this as:

a. Wheezes
b. Rhonchi
c. Gurgles
d. Vesicular

3.    The nurse in charge measures a patient’s temperature at 101 degrees F. What is the equivalent centigrade temperature?

a. 36.3 degrees C
b. 37.95 degrees C
c. 40.03 degrees C
d. 38.01 degrees C

4.    Which approach to problem solving tests any number of solutions until one is found that works for that particular problem?

a. Intuition
b. Routine
c. Scientific method
d. Trial and error

5.    What is the order of the nursing process?

a. Assessing, diagnosing, implementing, evaluating, planning
b. Diagnosing, assessing, planning, implementing, evaluating
c. Assessing, diagnosing, planning, implementing, evaluating
d. Planning, evaluating, diagnosing, assessing, implementing

6.    During the planning phase of the nursing process, which of the following is the outcome?

a. Nursing history
b. Nursing notes
c. Nursing care plan
d. Nursing diagnosis

7.    What is an example of a subjective data?

a. Heart rate of 68 beats per minute
b. Yellowish sputum
c. Client verbalized, “I feel pain when urinating.”
d. Noisy breathing

8.    Which expected outcome is correctly written?

a. “The patient will feel less nauseated in 24 hours.”
b. “The patient will eat the right amount of food daily.”
c. “The patient will identify all the high-salt food from a prepared list by discharge.”
d. “The patient will have enough sleep.”

9.    Which of the following behaviors by Nurse Jane Robles demonstrates that she understands well th elements of effecting charting?

a. She writes in the chart using a no. 2 pencil.
b. She noted: appetite is good this afternoon.
c. She signs on the medication sheet after administering the medication.
d. She signs her charting as follow: J.R

10.    What is the disadvantage of computerized documentation of the nursing process?

a. Accuracy
b. Legibility
c. Concern for privacy
d. Rapid communication

11.    The theorist who believes that adaptation and manipulation of stressors are related to foster change is:

a. Dorothea Orem
b. Sister Callista Roy
c. Imogene King
d. Virginia Henderson

12.    Formulating a nursing diagnosis is a joint function of:

a. Patient and relatives
b. Nurse and patient
c. Doctor and family
d. Nurse and doctor

13.    Mrs. Caperlac has been diagnosed to have hypertension since 10 years ago. Since then, she had maintained low sodium, low fat diet, to control her blood pressure. This practice is viewed as:

a. Cultural belief
b. Personal belief
c. Health belief
d. Superstitious belief

14.    Becky is on NPO since midnight as preparation for blood test. Adreno-cortical response is activated. Which of the following is an expected response?

a. Low blood pressure
b. Warm, dry skin
c. Decreased serum sodium levels
d. Decreased urine output

15.    What nursing action is appropriate when obtaining a sterile urine specimen from an indwelling catheter to prevent infection?

a. Use sterile gloves when obtaining urine.
b. Open the drainage bag and pour out the urine.
c. Disconnect the catheter from the tubing and get urine.
d. Aspirate urine from the tubing port using a sterile syringe.

16.    A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the venipuncture site is red and swollen. Which of the following interventions would the nurse perform first?

a. Stop the infusion
b. Call the attending physician
c. Slow that infusion to 20 ml/hr
d. Place a clod towel on the site

17.    The nurse enters the room to give a prescribed medication but the patient is inside the bathroom. What should the nurse do?

a. Leave the medication at the bedside and leave the room.
b. After few minutes, return to that patient’s room and do not leave until the patient takes the medication.
c. Instruct the patient to take the medication and leave it at the bedside.
d. Wait for the patient to return to bed and just leave the medication at the bedside.

18.    Which of the following is inappropriate nursing action when administering NGT feeding?

a. Place the feeding 20 inches above the pint if insertion of NGT.
b. Introduce the feeding slowly.
c. Instill 60ml of water into the NGT after feeding.
d. Assist the patient in fowler’s position.

19.    A female patient is being discharged after thyroidectomy. After providing the medication teaching. The nurse asks the patient to repeat the instructions. The nurse is performing which professional role?

a. Manager
b. Caregiver
c. Patient advocate
d. Educator

20.    Which data would be of greatest concern to the nurse when completing the nursing assessment of a 68-year-old woman hospitalized due to Pneumonia?

a. Oriented to date, time and place
b. Clear breath sounds
c. Capillary refill greater than 3 seconds and buccal cyanosis
d. Hemoglobin of 13 g/dl

21.    During a change-of-shift report, it would be important for the nurse relinquishing responsibility for care of the patient to communicate. Which of the following facts to the nurse assuming responsibility for care of the patient?

a. That the patient verbalized, “My headache is gone.”
b. That the patient’s barium enema performed 3 days ago was negative
c. Patient’s NGT was removed 2 hours ago
d. Patient’s family came for a visit this morning.

22.    Which statement is the most appropriate goal for a nursing diagnosis of diarrhea?

a. “The patient will experience decreased frequency of bowel elimination.”
b. “The patient will take anti-diarrheal medication.”
c. “The patient will give a stool specimen for laboratory examinations.”
d. “The patient will save urine for inspection by the nurse.

23.    Which of the following is the most important purpose of planning care with this patient?

a. Development of a standardized NCP.
b. Expansion of the current taxonomy of nursing diagnosis
c. Making of individualized patient care
d. Incorporation of both nursing and medical diagnoses in patient care

24.    Using Maslow’s hierarchy of basic human needs, which of the following nursing diagnoses has the highest priority?

a. Ineffective breathing pattern related to pain, as evidenced by shortness of breath.
b. Anxiety related to impending surgery, as evidenced by insomnia.
c. Risk of injury related to autoimmune dysfunction
d. Impaired verbal communication related to tracheostomy, as evidenced by inability to speak.

25.    When performing an abdominal examination, the patient should be in a supine position with the head of the bed at what position?

a. 30 degrees
b. 90 degrees
c. 45 degrees
d. 0 degree