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Home NCLEX Practice Questions Fundamentals of Nursing NCLEX Practice Quiz 2 (30 Items)
July 8, 2014
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Get your calculators ready. Because other than common board exam questions about
Fundamentals of Nursing, this quiz includes sample questions about drug dosage
calculations.
Nursing is not just an ART, it has a heART. Nursing is not just a SCIENCE, but it has a conSCIENCE
– Anonymous
Topics
Guidelines
To make the most out of this exam, follow the guidelines below:
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Questions
EXAM MODE
PRACTICE MODE
TEXT MODE
In Text Mode: All questions and answers are given for reading and answering at your
own pace. You can also copy this exam and make a print out.
1. Nurse Clarisse is teaching a patient about a newly prescribed drug. What could
cause a geriatric patient to have difficulty retaining knowledge about prescribed
medications?
A. Vital signs
B. Laboratory test result
C. Patient’s description of pain
D. Electrocardiographic (ECG) waveforms
4. A male patient has a soft wrist-safety device. Which assessment finding should
the nurse consider abnormal?
5. Which of the following planes divides the body longitudinally into anterior and
posterior regions?
A. Frontal plane
B. Sagittal plane
C. Midsagittal plane
D. Transverse plane
A. Shock dismay
B. Numbness
C. Stoicism
D. 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?
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?
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?
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?
A. Manager
B. Educator
C. Caregiver
D. 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?
14. A patient is in the bathroom when the nurse enters to give a prescribed
medication. What should the nurse in charge do?
A. ¼ ml
B. ½ ml
C. ¾ ml
D. 1 ¼ ml
16. The nurse in charge measures a patient’s temperature at 102 degrees F. what
is the equivalent Centigrade temperature?
A. 39 degrees C
B. 47 degrees C
C. 38.9 degrees C
D. 40.1 degrees C
17. To evaluate a patient for hypoxia, the physician is most likely to order which
laboratory test?
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?
A. Within 1 month
B. Within 3 months
C. Within 6 months
D. Within 12 months
20. Which human element considered by the nurse in charge during assessment
can affect drug administration?
A. The patient’s ability to recover
B. The patient’s occupational hazards
C. The patient’s socioeconomic status
D. The patient’s cognitive abilities
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Passive prevention
22. What does the nurse in charge do when making a surgical bed?
23. The physician prescribes 250 mg of a drug. The drug vial reads 500 mg/ml.
how much of the drug should the nurse give?
A. 2 ml
B. 1 ml
C. ½ ml
D. ¼ ml
25. Which nursing action is essential when providing continuous enteral feeding?
26. When teaching a female patient how to take a sublingual tablet, the nurse
should instruct the patient to place the table on the:
27. Which action by the nurse in charge is essential when cleaning the area
around a Jackson-Pratt wound drain?
28. The doctor orders dextrose 5% in water, 1,000 ml to be infused over 8 hours.
The I.V. tubing delivers 15 drops per milliliter. The nurse in charge should run the
I.V. infusion at a rate of:
A. 15 drop per minute
B. 21 drop per minute
C. 32 drop per minute
D. 125 drops per minute
A. Restlessness
B. Pale, warm, dry skin
C. Heart rate of 110 beats/minute
D. Urine output of 30 ml/hour
30. Which pulse should the nurse palpate during rapid assessment of an
unconscious male adult?
A. Radial
B. Brachial
C. Femoral
D. Carotid
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Sensory deficits could cause a geriatric patient to have difficulty retaining knowledge
about prescribed medications. Decreased plasma drug levels do not alter the patient’s
knowledge about the drug. A lack of family support may affect compliance, not
knowledge retention. Toilette syndrome is unrelated to knowledge retention.
The nurse should systematically assess all areas of the abdomen, if time and the
patient’s condition permit, concluding with the symptomatic area. Otherwise, the nurse
may elicit pain in the symptomatic area, causing the muscles in other areas to tighten.
This would interfere with further assessment.
Subjective data come directly from the patient and usually are recorded as
direct quotations that reflect the patient’s opinions or feelings about a situation. Vital
signs, laboratory test result, and ECG waveforms are examples of objective data.
A safety device on the wrist may impair circulation and restrict blood supply to body
tissues. Therefore, the nurse should assess the patient for signs of impaired circulation,
such as cool, pale fingers. A palpable radial or lunar pulse and pink nail beds are normal
findings.
Frontal or coronal plane runs longitudinally at a right angle to a sagittal plane dividing
the body in anterior and posterior regions. A sagittal plane runs longitudinally dividing
the body into right and left regions; if exactly midline, it is called a midsagittal plane. A
transverse plane runs horizontally at a right angle to the vertical axis, dividing the
structure into superior and inferior regions.
After placing the patient in high Fowler’s position and moving the patient to the side of
the bed, the nurse helps the patient sit on the edge of the bed and dangle the legs; the
nurse then faces the patient and places the chair next to and facing the head of the bed.
8. Answer: D. Demonstrating the procedure and having the patient return the
demonstration
Demonstrating by the nurse with a return demonstration by the patient ensures that the
patient can perform wound care correctly. Patients may claim to understand discharge
instruction when they do not. An interpreter of family member may communicate
verbal or written instructions inaccurately.
As a safety precaution, the nurse should discard an unlabeled syringe that contains
medication. The other options are considered unsafe because they promote error.
Anxiety may result from feeling of helplessness, isolation, or insecurity. This response
helps reduce anxiety by encouraging the patient to express feelings. The nurse should
be supportive and develop goals together with the patient to give the patient some
control over an anxiety-inducing situation. Because the other options ignore the
patient’s feeling and block communication, they would not reduce anxiety.
The scrub nurse assist the surgeon by providing appropriate surgical instruments and
supplies, maintaining strict surgical asepsis and, with the circulating nurse, accounting
for all gauze, sponges, needles, and instruments. The circulating nurse assists the
surgeon and scrub nurse, positions the patient, applies appropriate equipment and
surgical drapes, assists with gowning and gloving, and provides the surgeon and scrub
nurse with supplies.
14. Answer: C. Return shortly to the patient’s room and remain there until the
patient takes the medication
The nurse should return shortly to the patient’s room and remain there until the patient
takes the medication to verify that it was taken as directed. The nurse should never
leave medication at the patient’s bedside unless specifically requested to do so.
15. Answer: C. ¾ ml
All of these test help evaluate a patient with respiratory problems. However, ABG
analysis is the only test evaluates gas exchange in the lungs, providing information
about patient’s oxygenation status.
The diaphragm of a stethoscope detects high-pitched sound best; the bell detects low
pitched sounds best. Palpation detects thrills best.
The nurse must consider the patient’s cognitive abilities to understand drug
instructions. If not, the nurse must find a family member or significant other to take on
the responsibility of administering medications in the home setting. The patient’s ability
to recover, occupational hazards, and socioeconomic status do not affect drug
administration.
22. Answer: A. Leaves the bed in the high position when finished
When making a surgical bed, the nurse leaves the bed in the high position when
finished. After placing the top linens on the bed without pouching them, the nurse
fanfolds these linens to the side opposite from where the patient will enter and places
the pillow on the bedside chair. All these actions promote transfer of the postoperative
patient from the stretcher to the bed. When making an occupied bed or unoccupied bed,
the nurse places the pillow at the head of the bed and tucks the top sheet and blanket
under the bottom of the bed. When making an occupied bed, the nurse rolls the patient
to the far side of the bed.
23. Answer: C. ½ ml
The nurse should give ½ ml of the drug. The dosage is calculated as follows:
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Patients can become dependent on barbiturates, especially with prolonged use. Because
of the rapid distribution of some barbiturates, no correlation exists between duration of
action and half-life. Barbiturates are absorbed well and do not cause hepatotoxicity,
although existing hepatic damage does require cautions use of the drug because
barbiturates are metabolized in the liver.
Elevating the head of the bed during enteral feeding minimizes the risk
of aspiration and allows the formula to flow in the patient’s intestines. When such
elevation is contraindicated, the patient should be positioned on the right side. The
nurse should give enteral feeding at room temperature to minimize GI distress. To limit
microbial growth, the nurse should hang only the amount of formula that can be infused
in 3 hours.
The nurse should instruct the patient to touch the tip of the tongue to the roof of the
mouth and then place the sublingual tablet on the floor of the mouth. Sublingual
medications are absorbed directly into the bloodstream form the oral mucosa,
bypassing the GI and hepatic systems. No drug is administered on top of the tongue or
on the roof of the mouth. With the buccal route, the tablet is placed between the gum
and the cheek.
The nurse always should clean around a wound drain, moving from center outward in
ever-larger circles, because the skin near the drain site is more contaminated than the
site itself. The nurse should never remove the drain before cleaning the skin. Alcohol
should never be used to clean around a drain; it may irritate the skin and has no lasting
effect on bacteria because it evaporates. The nurse should wear sterile gloves to prevent
contamination, but a mask is not necessary.
Giving 1,000 ml over 8 hours is the same as giving 125 ml over 1 hour (60 minutes) to
find the number of milliliters per minute:
During a rapid assessment, the nurse’s first priority is to check the patient’s vital
functions by assessing his airway, breathing, and circulation. To check a patient’s
circulation, the nurse must assess his heart and vascular network function. This is done
by checking his skin color, temperature, mental status and, most importantly, his pulse.
The nurse should use the carotid artery to check a patient’s circulation. In a patient with
a circulatory problems or a history of compromised circulation, the radial pulse may not
be palpable. The brachial pulse is palpated during rapid assessment of an infant.
See Also
Fundamentals of Nursing
TAGS
DOSAGE CALCULATION
NCLEX EXAMS
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Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working
as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it
is to cram on difficult nursing topics and finding help online is near to impossible. His situation drove his
passion for helping student nurses through the creation of content and lectures that is easy to digest.
Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to
educate and inspire students in nursing. As a nurse educator since 2010, his goal in Nurseslabs is to
simplify the learning process, breakdown complicated topics, help motivate learners, and look for
unique ways of assisting students in mastering core nursing concepts effectively.
3 COMMENTS
FYI, a question reads “a male patient undergoes a total abdominal hysterectomy”. Should
read “female”.
Reply
Reply
Hey, in regards to question #8, in class we were told always to use the language line or an
official interpreter provided by the hospital to relay patient teaching to a patient whom
doesn’t speak English. These people are specifically trained to prevent
miscommunication. Other forms of pt teaching should be used in congruence with this
resource.
Reply
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