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Wednesday, July 11, 2007

Nursing Practice I (continuation)

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50. A client has been receiving an IV solution. What is an appropriate expected outcome for this client?

a. Monitor fluid intake and output every 4 hours
b. The client remains free of signs and symptoms of phelibits
c. edema and warmth over the IV site
d. Excess fluid volumn evidenced by weight gain

51. This theorist of management developed the 14 principles of management based on his experience.

a. Mary Follett
b. Max Weber
c. Henry Fayol
d. Kurt Lewin

52. The nurse prepares to palpate a clients maxillary sinues. For this procedure, where should the nurse place the hands?

a. On the bridge of the nose
b. below the eyebrows
c. below the cheekbones
d. over the temporal area

53. A client who receives general anesthesia returns from surgery. Postoperatively, which nursing diagnosis takes highest priority for this client?

a. Pain related to the surgery
b. Fluid volume deficit related to fluid and blood loss from surgery
c. Impared physical mobility related to surgery
d. Risk for aspiration related to anesthesia

54. After a client receives an IM injection, he complains of a burning pain in the injection site. Which nursing action whould be best to take at this time?

a. apply a cold compress to decrease swelling
b. apply a warm compress to dilate the blood vessels
c. Massage the area to promote absorption of the drug
d. Instruct the client to tighten his gluteal muscles to enhance absorption of the drug

55. These are mitigating circumstances that lessen the penalty, except:

a. Under 18 and over 70
b. No intention to commit so grave
c. There wa sufficent provocation
d. in contempt of authority

56. The nurse is monitoring options of effectiveness of drug theraphy, when should the nurse obtain a measurement of the blood sample through level.

a. 1 hour before administering the next dose
b. immediately before administering the next dose
c. immediately after administering the next dose
d. 30 mins. after administering the next dose

57. Which od the following options servers a framework for nursing education and clinical practice?

a. Scientific breakthrough
b. technological advances
c. theoretical models
d. medical practices

58. Nursing care for a client includes removing elastic stocking once per day. What is the rationale for this interventions?

a. TO increase blood flow to the heart
b. to observe the lower extremities
c. to allow the leg muscles to stretch and relax
d. To permit veins in the legs to fill with blood.

59. Hyperactive bowel sounds can result from all the following except.

a. Paralytic ileus
b. hunger
c. intestinal obstruction
d. diarrhea

60. The following characteristics speak of a leader except:

a. Do the right thing
b. focus on people
c. develops visions and strategies
d. have a short-term views

61. This theory of management suggest that an employees work motivation is controlled by conditions in the external environment rather than by internal needs and desires.

a. vroom's expectancy theory
b. skinner's operant theory
c. adam's equity theory
d. white competence theory

62. In Lydia Hall's theory, which of the ff. represents "core"?

a. Nurturance and factors that are exclusive to nursing
b. Therapeutic use of self
c. Focuses on nursing related to physicians order
d. All of the above.

63. A research that seeks to describe an existing problem situation and examine the underlying factors that contributes to the emergence of the problem:

a. Explanatory research
b. Quantitative research
c. Exploratory research
d. Quantitative research

64. During blood transfusion, the patient manifest tacycardia, distended neck vein and increase CVP reading, the nurse should

a. Obtain vital signs
b. Call the physician
c. Stop the infusion
d. Decrease the rate of infusion.

65. A nurse who is maintainin a private clinic in the community and renders service on materials and child health amont the neighborhood for a fee is

a. primary care nurse
b. an independent nurse practioner
c. nurse-midwife
d. a nurse specialist

66. A client comes to the clinic for a diagnostic allergy testing. Why is intradermal injections used for such tsting.

a. intradermal injection is less painful
b. intradermal drugs are easier to administer
c. intradermal drug diffuse more rapidly
d. intradermal drugs diffuse more slowly

67. A client is placed in isolation. Client isolation techniques attempt to break the chain of infection by interfering with the

a. Agent
b. susceptible host
c. transmission mode
d. portal of entry

68. A research hypothesis that proposes that there is association or significant relationship between variables is called.

a. null hypothesis
b. directional hypothesis
c. alternative hypothesis
d. non-directional hypothesis

69. Which of the ff. laboratory test results is themost impt. indicator of malnutrition in a client with a wound?

a. serum potassium level
b. albumin level
c. lymphocyte count
d. differential count

70. Which detail of a clients drug theraphy is the nurse legally responsible for documenting?

a. Peak concentration time of drug
b. Safe ranges of the drug
c. Clients socioeconomic data
d. client's reaction to the drug

71. Which of the ff. statements about these nursing practice acts are true?

a. These acts are not effective in the supervision or revocation of licensure of erring nurses
b. These acts have been authorized by the accredited national nurses organization
c. These acts usually define the scope of nursing practice
d. These acts describe the diffences between a registered nurse and a practice nurse

72. The following are true on a manager except?

a. Are interested in efficiency
b. emphasize tactics, structure and system
c. motivate people to comply with standards
d. use person to person influence

73. The nurse is assessing tactile fremitus in a client with pneumonia. For this examination, the nurse hould use the:

a. fingertips
b. ulnar surface of the hand
c. dorsal surface of the hand
d. finger pads

74. The ff. activities belong to the design phase in the research process, except?

a. developing a time table
b. selecting the study design
c. determining sampling plan
d. conducting a pilot study

75. When inspecting a client's skin, the nurse finds a vesicle on the client's arm. Which description appliest to a vesicle?

a. flat, nonpalpable and colored
b. solid, elevated and cicumscribed
c. circumscribed, elevated, and filled with serous fluid
d. elevated, pus-filled and circumscribed

76. Which nursing action is essential when providing continuous enteral feeding?

a. elevating the head of the bed
b. positioning the client on the left side
c. warming the formula before administering it
d. hanging a full day's worth of formula at one time

77. After initial assessment of a client, findings reveals a body temp of 38.5 C, Consequently the clients blood pressure can be expected to

a. Fluctuates
b. Remain the Same
c. Increase
d. Decrease

78. The nurse assesses the skin turgor of an elderly client. When evaluating skin turgon, the nurse should remember that:

a. Over hydration causes the skin to tent
b. Dehydration causes the skin to appear edematous and spongy
c. Inelastic turgor is a normal part of aging
d. Normal skin turgon is moist and boggy.

79. Which of the ff. does not govern the practice of nursing?

a. RA 7164
b. RA 9173
c. BON Resolution for Code of Ethics
d. Board Resolution Scope of Nursing Practice

80. A client with sever chest pain is brought to the emergency department. He tells the nurse, "I just have a little indigestion." Which of the following mechanisms is the client exhibiting?

a. Denial
b. Anxiety
c. Repression
d. Confusion

81. These are "in-between factors" present in research environment that threaten the internal and external validity of a research study.

a. Dependent variable
b. Independent variables
c. Intervening variables
d. Criterion variable

82. The ff. are motivational factors according to Herzberg, except:

a. Challenging aspects of the work itself
b. Added responsibility
c. Oppurtunities for personal growth
d. Quality of supervision

83. The nurse measures the client's temperature at 102 F. What is the equivalent centigrade temp?

a. 39.1 C
b. 47.2 C
c. 38.9 C
d. 40.1 C

84. A client is placed on a low-sodium (500mg/day) diet. Which client statement indicates that the nurse's nutrition teaching plan has been effective?

a. "I can eat a ham-and-cheese sandwich w/ potato chips for lunch"
b. "I choose broiled chiken whith a baked potato for dinner"
c. "I choose a tossed salad w/ sardines and oil and vinegar dressing for lunch"
d. "Im glad i can still have chicken bouillon soup"

85. Why should an infant be quiet and seated upright when the nurse assess his fontaanels?

a. The mother will have less trouble holding a quiet upright infant
b. Lying down can cause the fontanels to recede, making assessment more difficult.
c. The infant can breath more easily when sitting up
d. Lying down and crying can cause the fontanels to buldge

86. Communicating and using the research findings is under what phase of the research process?

a. Implementation phase
b. Dissemination phase
c. Analysis and interpretation phase
d. Design phase

87. To give a Z-tract injection, the nuse measures the correct medication dose and draws a small amount of air into the syringe. What is the rationale for this action?

a. Adding air decreases pain caused by the injection
b. Adding air prevents the drug from flowing back into the needle tract
c. Adding air prevens the solution from entering a blood vessel
d. Adding air ensures that client receives the entire dose.

88. Which of the ff. is true of Care System method?

a. Autonomy and authority for the care of four to siz patients on a 24-h basis
b. Assigning nurses to give total nursing care to a single patient
c. Divison of labor which nurses are assigned to perform secific tasks
d. Assigning a team to give total care to a selected group of clients

89. Which of the ff. best describes the action of the nurse who documents her nursing diagnosis?

a. She documents and charts it whenever necessary
b. She can be accused of malpractice
c. She does it reguarly as an impt. responsibility
d. She starts it only when the pt. is acutely ill

90. To help assess a clients cerabral function, the nurse should ask:

a. Have you noticed a change in your memory?
b. Have you noticed a chnge in your muscle strength?
c. Have you had any coodination problem?
d. Have you had any problems with your eyes?

91. The nurse is evaulating a postoperative client for infection. Which sign of sympton would be most indicative for infection?

a. The presence of an indwelling urinary catheter
b. Rectal temperature of 100F
c. Red, warm , tender incision
d. WVC count of 8,000/UI

92. A patient classification system where patients need close attention and complete care in most activities and requires frequent and complex treatments and medications

a. Minimal Care (category 1)
b. Moderate Care (category 2)
c. Maximum Care (category 3)
d. Intensive Care (category 4)

93. What nursing diagnosis is commonly used to develop a plan of care for managing client's drug regimen?

a. Noncomplience
b. Altered coping mechanism
c. Anxiety
d. Altered home maintenance

94. Which of the ff. provides that nurses be members of the national nurse organization?

a. RA 877
b. 1987 Code of Ethics approved by the house of delegates PNA
c. Board Resolution No 1955 promulgated by the Board of Nursing
d. RA 7164

95. The ff. are good sources of research problems except?

a. Literature
b. Clininal experience
c. Daily news reports
d. existing theories

96. What is the common goal of discharge planning in all care settings?

a. prolonging hospitalization until the client can function independently
b. Teaching client how to perform self-care activities
c. Providing the financial resources needed to ensure proper care
d. Preventing the need for medical follow-up care.

97. The physician prescribe as IV infucion of 1000 ml D5W every 12 hours for a client. The IV setup delivers 15 gtt/ml. Approx. how many drops should be administered each minute?

a. 18
b. 21
c. 24
d. 27

98. Which of the following provides the material and human resources and building the structure to care out the activities of the organization?

a. Planning
b. Organizing
c. Command
d. Control

99. A client is scheduled to receive a blood transfusion. During the transfusion, the nurse should observer for which sign or symptoms of a transfusion reaction?

a. Dizziness
b. Chills
c. Hypothermia
d. Hyperreflexia

100. The client has an abdominal hysterectomy, 10 hours ago. Which position should the nurse teach the client to avoid?

a. High Fowlers
b. lateral recumbent
c. Supine
d. Side lying

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Anonymous said...

where's the answer and ratiuonale for the test questions? tnx..

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