What referencing style is required for

assessments in this unit?

A) APA referencing style
B) Harvard referencing style
C) CDU APA 6th referencing style
D) CDU Harvard referencing style
You are having difficulty with the wording of your
essay and decide that you need some support.
The best place/person to seek advice from
is/are?
A) The Unit Coordinator
B) The CDU Library Staf
C) CDU Libguide for nurses
D) CDU Study skills online or the academic
language and learning success program
Which of the skills, qualities and understandings
listed below are Graduate Attributes developed
in NUR250?
A)Knowledge base, communication,team work
and social responsibility
B) Knowledge base, philanthropy,team work and
leadership
C)Philanthropy, leadership, social responsibility
and flexibility
D)Flexibility, leadership, application and social
responsibility
Breaches of academic integrity are taken
seriously by the University. This is because
A) Breaches of academic integrity reflect poorly
on the University
B)It contravenes copyright legislation
C)The University can generate fees
D)Breaches of academic integrity demonstrate
that you do not meet academic standards and
the ethical and legal requirements of
professional nursing practice.
Academic Integrity is?
A) Honestly reading all the learning material that
you are required to
B) Being truthful regarding whether and author
has written a fair article
C) The appropriate use and acknowledgement of

material from the sources you access

D) How trustworthy the source of information is.
Which of the following are steps in the clinical
reasoning process?
A) First Impressions
B) Develop a plan of care
C) Reflect on the experience
D) All of the above
Each day you will gather a large amount of
information about and from patients. What do
you do with that information?
A) Keep it to myself so I can have an easy day
B)Communicate the relevant information to
appropriate health professionals or other
relevant staf to ensure that the needs and
concerns of the patient are met
C) Report it to the shift team leader
D)Document it in the nursing notes and hope
others will note it
Who or what determines your role and scope of
practice as a registered nurse in Australia on
any given day?
A) AHPRA
B) NMBA
C) I do in accordance with my current level of
knowledge and skill
D) Where I am practicing today
Subjective data can be defined as?
A)Data that is subject to change
B)Information that can only be described or
verified by the patient
C) Measured or observed data
D)Vital signs
To maintain OHS Standards, I need to ensure
that I am current and up to date with which of
the following?
A)Immunization status
B)Fire Safety
C)Manual Handling
D)All of the above
You are caring for a patient who has been in
hospital for 2 days. Checking his blood pressure,

you consider it high. What is the next step?

A) Ask the patient what their usual blood
pressure range is
B) Review the graphic record on the patients
chart
C) Examine the medication chart for antihypertensive medications
D) Review the progress notes included in the
patients chart
You are preparing to give handover to the next
shift. Which of the following does NOT represent
efective nursing practice?
A) Provides the medical diagnosis or reason for
admission
B) Reports on number of visitors for each patient
C) States the priorities of care that are due
shortly after the report
D) States the time the patient last received pain
medication
Which of the following charting rules will NOT
keep the nurse legally safe?
A)Use military time
B)Document worries or concerns expressed by
the patient
C) Perform most of the charting at the end of the
shift
D) Record information that pertains to the
patient's health problems
An elderly woman is transferred from the ER to
the setting where you are practicing. During
your initial assessment you observe what
appears to be cigarette burns on her inner
thighs. Which of the following is the most
appropriate documentation?
A) Six round lesions partially healed, on inner
thighs, bilaterally
B) Several burnt areas on both of the patient's
inner thighs
C) Multiple lesions on the inner thighs, possibly
related to elder abuse
D) Several lesions on inner thighs possibly
related to cigarette burns
After realizing you have made a documentation
error, which action should you take to correct it?

A)Use correcting fluid or white out to cover the

mistake and make a new entry
B) Draw a line through it and write error above
the entry
C) Draw a line through it, write mistaken entry
and put your initials above it.
D) Draw enough lines through the information to
obscure it and put your initials above it.
You are caring for an older person with a
morphine PCA in progress. They are sleeping
comfortable but rouse when you speak to them
and their respiration are 8 breaths/minute. The
most appropriate nursing action is to?
A) Stop the PCA infusion
B) Obtain a oxygen saturation level
C) Continue to closely monitor the person
D)Administer naloxone and contact the doctor
You are replacing a transdermal pain
medication. Where on the body would you place
it?
A)On the side of the buttocks
B) Below the navel, midline on the abdomen
C)On the anterior thigh
D) On the Upper Torso
Which word is the most likely to be used to
describe neuropathic pain?
A) Dull
B) Mild
C) Shooting
D) Radiating
Which of the following is the false statement
about persistent pain?
A) Persistent pain is complex and poorly
understood
B) Persistent pain does not always have an
identifiable cause
C) Persistent pain is less likely in older people as
they are more stoic
D) The intensity of pain is a subjective
experience
Which of the following statements is a pain
myth?

A) It is best to wait until a person has pain

before giving medication
B) Anxiety can cause pain, pain can cause
anxiety
C) Pethidine is no longer recommended for postoperative pain
D) The rationale for the use of TENS unit is
supported by the gate-control theory
On assessment you observe clubbing of the
fingernails. What disorder could this be related
to?
a) cirrhosis of the liver
b) cardiovascular disease
C) Emphysema
d) Excessive Viatmin C intake
Which of the following skin disorders can be
most easily spread to others?
a) tinea pedis
b)candidiasis
c)psoriasis
d) impetigo
Which of the following statements is true of an
infestation with lice?
a) only dirty people have lice
b) Anyone can have head lice
c) Lice do not like to live on humans
d) Lice are a form of fungus
You are assessing the skin of an older person for
dehydration. What finding would indicate this
condition?
a) decreased turgor
b) increased moisture
c) presence of lesions
d) pallor or cyanosis
You are caring for a patient with a pressure ulcer
that is being treated with debridement, irrigation
and moist gauze dressing. You anticipate that
this wound is healing by?
a) tertiary intention
b) secondary intention

c) regeneration of cells
d) remodeling of tissues
You are admitting a person with severe burns to
the face and chest. The injured skin is dry and
leathery, with no pain sensations present. The
nurse recognizes that his burn is classified as
a) superficial
b) superficial partial thickness
c) deep partial thickness
d) full thickness
Which of the following is not a factor when
determining the severity of a burn?
a) depth of burn
b) type of burn
c) Location of burn
d) extent of burn
What is the most important first step when
nursing a patient with a major burn injury?
a) ensure a patent airway
b) insert an indwelling catheter
c) replace fluids
d) administer analgesia
When caring for a person with a major burn,
which of the following criteria indicate that fluid
resuscitation is efective during the first 24
hours of care?
a) urine output of 30-50ml/hr
b) central venous pressure of 18
c) heart rate of 130 beats per minute
d) blood pressure 96/70
You are caring for a person with deep partial
thickness burns to the entire left arm and left
side of the back. What finding should be
reported to the physician immediately?
a) fluid filled vesicles on the left arm
b) pain in the left arm
c) blanching when pressure is applied to the left
hand
d) decreased left radial pulse
Patients undergoing surgery are sometimes
concerned about?

a) being awake during the procedure

b) dying
c) how much pain and discomfort they might
have
d) all of the above
When administering John's prescribed premedication for surgery, you recognize that
a) pre- medication may help reduce the
anesthetic requirements of the patient
b) on the day of surgery, intravenous
,medications can only be given by the
anesthetist
c) diazepam should be administered within 15
minutes of scheduled surgery
d) intramuscular hyoscine injection should be
administered 2 hours before scheduled surgery
Following admission of the post-operative
patient (any patient, not specifically John) to the
surgical ward, which of the following requires
immediate attention?
a) oxygen saturation 80%
b) respiratory rate 13 breaths/min
c) blood pressure 90/60 mmhg
d) temp 34.6 degrees c
What is the name of the operation to remove
the appendix?
a) appendectomy
b) laparotomy
c) colonoscopy
d) appendicectomy
A colostomy is an opening in the bowel to allow
faecal elimination. Where in the bowel is it
sited?
a) rectum
b) colon
c) ileum
d) caecum
The nurse determines that the goals of dietary
teaching have been met when the person with
coeliac disease selects from the menu
a) scrambled eggs and bacon

b) pancakes with syrup

c) oatmeal, skim milk and orange juice
d) yoghurt, strawberries and rye toast with
butter
When preparing a person for a colonoscopy, the
nurse explains that
a) a signed consent is not necessary
b) sedation will probably be used during the
procedure
c) only one cleaning enema is necessary for
preparation
d) a light meal should be eaten the day before
the procedure
When assessing the abdomen of a person, the
nurse should?
a) position the patient in the supine position
with the bed flat and knees straight
b) listen in all four quadrants for 2-5 minutes for
bowel sounds
c) use the following order of technique:
inspection, palpation, percussion, auscultation
d) describe the bowel sounds as absent if no
sound is heard in the lower right quadrant after
2 minutes
The nurse identifies a need for dietary teaching
for a person whose daily intake of food groups
consists of:
a) plant oils (eg. olive oil) at most meals
b) red meat 3 servings per day
c) white rice and white bread used sparingly
d) wholegrain foods at most meals
An elderly person with a recent stroke is
exhibiting signs of severe dysphagia. The
optimal form of nutritional support at this time
would be:
a) total parental nutritional
b) regular diet
c) nasoenteric (nasogastric) feedings
d) nil by mouth until dysphagia resolves
What part of the peripheral vascular system has
the major control of blood pressure?
a) veins

b) capillaries
c) arteries
d) arterioles
Which circulatory process supplies the heart
with blood?
a)systemic circulation
b) pulmonary circulation
c) coronary circulation
d) hepatic circulation
The amount of blood pumped by the ventricles
in 1 minute is known as?
a) heart rate
b) ventricular contraction
c) stroke volume
d) cardiac output
When checking the capillary filling time of a
patient, the colour returns in 10 seconds. The
nurse recognises this as an indication of?
a) a normal response
b) thrombus formation in the veins
c) lymphatic obstruction of venous return
d) impaired arterial flow to the area
At what anatomical location would you assess
the apical impulse?
a) left midclavicular, fifth intercostal
b) left substernal, sixth intercostal space
c) right midaxillary, second intercostal space
d) right nipple line, any intercostal space
Before administering digoxin, the nurse
recognises that they must:
a) assess the heart is below 60
b) assess the heart rate is above 60
c) check the persons identity
d) assess that the blood pressure in the normal
range for the person
A patient with heart failure and atrial fibrillation
is treated with digoxin and a loop diuretic. To
prevent possible complications from this
combination of drugs the nurse needs to?
a) monitor serum potassium levels

b) keep an accurate measure of intake and

output
c) teach the patient about dietary restriction of
potassium
d) withhold the digoxin and notify the medical
staf if the heart rate is irregular
When teaching a patient with hypertension
about controlling the condition, the nurse
recognises that?
a) all patients with elevated blood pressure
require medications
b) it is not necessary to limit salt in the diet if
taking a diuretic
c) obese people must achieve a normal weight
in order to lower blood pressure
d) lifestyle modifications are indicated for all
people with elevated blood pressure
The most common cause of sudden cardiac
death is?
a) mitral valve disease
b) aortic valve disease
c) left ventricular failure
d) coronary artery disease
Which of the following is NOT a correct
statement about pain associated with
myocardial infarction?
a) it is relieved by rest and inactivity
b) it is usually substernal in location
c) it is sudden in onset and prolonged in
duration
d) it is vice-like and radiates to the shoulder and
arms
When teaching the use of a metered-dose
inhaler, the nurse's instructions should be?
a) take quick shallow breaths in rapid succession
while holding the canister down
b) use the inhaler containing the antiinflammatory drug first, then the bronchodilator
c) use the anti-inflammatory drug as needed to
treat acute episodes of wheezing
d) rinse mouth after using the inhaler to reduce
systemic absorption of the drug

10

Which of the following does NOT generally afect

pulse oximetry (spo2) readings?
a) anaemia
b) hypotension
c) dirty or incorrect probes
d) good peripheral perfusion
A plan of care for a patient with COPD would
include?
a)chronic corticosteroid therapy
b)excercise such as walking
c) high flow oxygen administration
d) lung exercises that involve inhaling longer
than exhaling
Very early signs of inadequate oxygenation or
hypoxia are?
a) dyspnoea and hypotension
b) apprehension and restlessness
c) cyanosis and cool, clammy skin
d) increased urine output and diaphoresis
A common finding when assessing a person with
osteoarthritis is?
a) elevated erythrocyte sedimentation rate
b) evening but no morning stifness
c) progressive joint pain with activity
d) symmetrical swelling of
metacarpalphalangeal joints
The nurse advises a person with early
osteoporosis to?
a)stop smoking
b) start swimming for exercise
c) eat a high protein diet
d) lose weight
An indication of neuro-muscular problem noted
during the assessment of a person with a
fracture is?
a) exaggeration of extremity movement
b) petechiae on the head and upper thorax
c) purulent drainage at the site of an open
fracture
d) decreased sensation distal to the fracture site

11

The decreased agility found in older adult is

caused by age related?
a) loss of elasticity in ligaments and cartilage
b) decrease in bone mass
c) erosion of articular cartilage
d) decrease in the number and diameter of
muscle cells
A normal finding in a musculo-skeletal
assessment is?
a) muscle strength 4
b) lateral curve of the spine
c) full range of motion of all joints without pain
or laxity
d) simultaneous occurrence of stand and swing
phase of gait
An appropriate nursing intervention for a patient
with pneumonia with the nursing diagnosis of
inefective airway clearance related to thick
secretion and fatigue would be too?
a) provide analgesic as ordered to promote
patient comfort
b) perform postural drainage every hour
c) administer oxygen as prescribed to maintain
optimal oxygen levels
d) teach the patient how to cough efectively to
bring secretions to the mouth

12