Nursing Board Review: Fundamentals of Nursing Practice Test Part 3

July 2010 Nursing Board Exam Review Questions on Fundamentals of Nursing.
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1.    Nurse Brenda is teaching a patient about a newly prescribed drug. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications?

a. Decreased plasma drug levels
b. Sensory deficits
c. Lack of family support
d. History of Tourette syndrome

2.    When examining a patient with abdominal pain the nurse in charge should assess:

Any quadrant first
The symptomatic quadrant first
The symptomatic quadrant last
The symptomatic quadrant either second or third

3.    The nurse is assessing a postoperative adult patient. Which of the following should the nurse document as subjective data?

Vital signs
Laboratory test result
Patient’s description of pain
Electrocardiographic (ECG) waveforms

4.    A male patient has a soft wrist-safety device. Which assessment finding should the nurse consider abnormal?

A palpable radial pulse
A palpable ulnar pulse
Cool, pale fingers
Pink nail beds

5.    Which of the following planes divides the body longitudinally into anterior and posterior regions?

Frontal plane
Sagittal plane
Midsagittal plane
Transverse plane

6.    A female patient with a terminal illness is in denial. Indicators of denial include:

Shock dismay
Numbness
Stoicism
Preparatory grief

7.    The nurse in charge is transferring a patient from the bed to a chair. Which action does the nurse take during this patient transfer?

Position the head of the bed flat
Helps the patient dangle the legs
Stands behind the patient
Places the chair facing away from the bed

8.    A female patient who speaks a little English has emergency gallbladder surgery, during discharge preparation, which nursing action would best help this patient understand wound care instruction?

Asking frequently if the patient understands the instruction
Asking an interpreter to replay the instructions to the patient.
Writing out the instructions and having a family member read them to the patient
Demonstrating the procedure and having the patient return the demonstration

9.    Before administering the evening dose of a prescribed medication, the nurse on the evening shift finds an unlabeled, filled syringe in the patient’s medication drawer. What should the nurse in charge do?

Discard the syringe to avoid a medication error
Obtain a label for the syringe from the pharmacy
Use the syringe because it looks like it contains the same medication the nurse was prepared to give
Call the day nurse to verify the contents of the syringe

10.    When administering drug therapy to a male geriatric patient, the nurse must stay especially alert for adverse effects. Which factor makes geriatric patients to adverse drug effects?

Faster drug clearance
Aging-related physiological changes
Increased amount of neurons
Enhanced blood flow to the GI tract

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

Manager
Educator
Caregiver
Patient advocate

12.    A female patient exhibits signs of heightened anxiety. Which response by the nurse is most likely to reduce the patient’s anxiety?

“Everything will be fine. Don’t worry.”
“Read this manual and then ask me any questions you may have.”
“Why don’t you listen to the radio?”
“Let’s talk about what’s bothering you.”

13.    A scrub nurse in the operating room has which responsibility?

Positioning the patient
Assisting with gowning and gloving
Handling surgical instruments to the surgeon
Applying surgical drapes

14.    A patient is in the bathroom when the nurse enters to give a prescribed medication. What should the nurse in charge do?

Leave the medication at the patient’s bedside
Tell the patient to be sure to take the medication. And then leave it at the bedside
Return shortly to the patient’s room and remain there until the patient takes the medication
Wait for the patient to return to bed, and then leave the medication at the bedside

15.    The physician orders heparin, 7,500 units, to be administered subcutaneously every 6 hours. The vial reads 10,000 units per millilitre. The nurse should anticipate giving how much heparin for each dose?

¼ ml
½ ml
¾ ml
1 ¼ ml

16.    The nurse in charge measures a patient’s temperature at 102 degrees F. what is the equivalent Centigrade temperature?

39 degrees C
47 degrees C
38.9 degrees C
40.1 degrees C

17.    To evaluate a patient for hypoxia, the physician is most likely to order which laboratory test?

Red blood cell count
Sputum culture
Total hemoglobin
Arterial blood gas (ABG) analysis

18.    The nurse uses a stethoscope to auscultate a male patient’s chest. Which statement about a stethoscope with a bell and diaphragm is true?

The bell detects high-pitched sounds best
The diaphragm detects high-pitched sounds best
The bell detects thrills best
The diaphragm detects low-pitched sounds best

19.    A male patient is to be discharged with a prescription for an analgesic that is a controlled substance. During discharge teaching, the nurse should explain that the patient must fill this prescription how soon after the date on which it was written?

Within 1 month
Within 3 months
Within 6 months
Within 12 months

20.    Which human element considered by the nurse in charge during assessment can affect drug administration?

The patient’s ability to recover
The patient’s occupational hazards
The patient’s socioeconomic status
The patient’s cognitive abilities

21.    When explaining the initiation of I.V. therapy to a 2-year-old child, the nurse should:

Ask the child, “Do you want me to start the I.V. now?”
Give simple directions shortly before the I.V. therapy is to start
Tell the child, “This treatment is for your own good”
Inform the child that the needle will be in place for 10 days

22.    All of the following parts of the syringe are sterile except the:

Barrel
Inside of the plunger
Needle tip
Barrel tip

23.    The best way to instill eye drops is to:

Instruct the patient to lock upward, and drop the medication into the center of the lower lid
Instruct the patient to look ahead, and drop the medication into the center of the lower lid
Drop the medication into the inner canthus regardless of eye position
Drop the medication into the center of the canthus regardless of eye position

24.    The difference between an 18G needle and a 25G needle is the needle’s:

Length
Bevel angle
Thickness
Sharpness

25.    A patient receiving an anticoagulant should be assessed for signs of:

Hypotension
Hypertension
An elevated hemoglobin count
An increased number of erythrocytes

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