C 01: N P P -C C
M C :P :AP -C N P A , 11 E
M L IPLE CHOICE
1. A f he f i g d be c ide ed bjec i e da a, EXCEPT:
a. Pa ie - e ed hea h hi
b. Pa ie - e ed ig a d f hei i e
c. Fi a cia ba ie e ed b he patient s ca egi e
d. Vi a ig b ai ed f he edica ec d
ANS: D
S bjec i e da a i ba ed ha a ie fa i e be c ica e he e. Pa ie -
e ed hea h hi , ig a d , a d ca egi e e ed fi a cia ba ie d be
c ide ed bjec i e da a. Vi a ig b ai ed f he edica ec d d be c ide ed
bjec i e da a.
DIF: C g i i e Le e : U de a di g (C ehe i ) TOP: N i g P ce : P a i g
MSC: NCLEX: Ma age e f C ie Ca e
2. The ei i g da a c ec ed defi e a e f i e e i achie e he de i ab e
c e . Which f he f i g e i he ea i g?
a. Rec g i i g c e (a e e )
b. A a ec e & i ii eh he i (a a i )
c. Ge e a e i ( a i g)
d. Ta e ac i ( i gi e e i )
ANS: C
Whe ge e a i g i ( a i g), he e ide ifie e ec ed c e a d e he
patient s problem(s) to define a set of inter entions to achie e the most desirable o tcomes.
Rec g i i g c e (a e e )i e he ga he i g f c e (i f ai )f he a ie
ab hei hea h a d ife e ac ice , hich a e i a fac ha aid he ei a i g
c i ica ca e deci i . P i i i i g h he i i ed ga i e a d a he a ie be ( )
ide ified. Fi a , a i g ac i i e i e e ai f i gi e e i acc ih
he e ec ed c e.
DIF: C g i i e Le e : U de a di g (C ehe i )
TOP: N i g P ce : N i g I e e i
MSC: NCLEX: Ma age e f C ie Ca e
3. A 5- ea - d chi d ih e 1 diabe e e i ha had e ea ed h i a i a i f e i de f
h pergl cemia. The parents tell the n rse that the can t keep track of e er thing that has to be
d e ca e f hei chi d. The e e ie edica i , die , a d a age e ih
he a e a d d a a dai chec i f he fa i e. The e ac i i ie a e c e ed i
hich e f he i g ce ?
a. Rec g i i g c e (a e e )
b. A a e c e & i i i e h he i (a a i )
, c. Ge e a e i ( a i g)
d. Ta e ac i ( i gi e e i )
ANS: D
Ta i g ac i h gh i gi e e i i he e he e ide a ie hea h eachi g,
d g ad i i a i , a ie ca e, a d he i e e i ece a a i he a ie i
acc i hi g e ec ed c e.
DIF: C g i i e Le e : U de a di g (C ehe i )
TOP: N i g P ce : N i g I e e i
MSC: NCLEX: Ma age e f C ie Ca e
4. The n rse is preparing to administer a medication and re ie s the patient s chart for dr g
allergies, ser m creatinine, and blood rea nitrogen (BUN) le els. The n rse s actions are
ef ec i e f hich f he f i g?
a. Rec g i i g c e (a e e )
b. A a e c e & i i i e h he i (a a i )
c. Ta e ac i ( i gi e e i )
d. Ge e a e i ( a i g)
ANS: A
Rec g i i g c e (a e e )i e ga he i g bjec i e a d bjec i e i f a i ab he
patient and the medication. Laborator al es from the patient s chart o ld be considered
c ec i f bjec i e da a.
DIF: C g i i e Le e : U de a di g (C ehe i )
TOP: N i g P ce : A e e MSC: NCLEX: Ma age e f C ie Ca e
5. Which f he f i g d be c ec ca eg i ed a bjec i e da a?
a. A i f he ba e e eg a ed ided b he a ie .
b. Lab a e a cia ed i h he d g he a ie i a i g.
c. The age a d e a i hi f a h eh d e be he a ie .
d. U a die a a e a d f d i a e.
ANS: B
Objec i e da a a e ea ed a d de ec ed b a he e a d d i c de ab a e . The
he e a e a e bjec i e da a.
DIF: C g i i e Le e : U de a di g (C ehe i )
TOP: N i g P ce : A e e MSC: NCLEX: Ma age e f C ie Ca e
6. The n rse re ie s a patient s database and learns that the patient li es alone, is forgetf l, and
d e ha e a e ab i hed i e. The a ie i be e h e i h h ee e edica i
be a e a diffe e i e f he da . The e de e a dai edica i cha a d e i
a famil member to p t the patient s pills in a pill organi er. This is an e ample of hich
ee e f he i g ce ?
a. Rec g i i g c e (a e e )
b. A a e c e & i i i e h he i (a a i )
c. Ta e ac i ( i gi e e i )
, d. Ge e a e i ( a i g)
ANS: C
Ta i g ac i ( i gi e e i )i e ed ca i a d a ie ca e i de a i he
a ie acc i h he g a f ea e .
DIF: C g i i e Le e : A i g (A ica i )
TOP: N i g P ce : N i g I e e i
MSC: NCLEX: Ma age e f C ie Ca e
7. A a ie h i h i a i ed f ch ic b c i e a di ea e (COPD) a g
home. The n rse and the patient disc ss the patient s sit ation and decide that the patient ma go
h e he ab e ef e f-ca e i h d ea a d h ia. Thi i a e a e f hich
ha e f he i g ce ?
a. Rec g i i g c e (a e e )
b. A a e c e & i i i e h he i (a a i )
c. Ta e ac i ( i gi e e i )
d. Ge e a e i ( a i g)
ANS: D
Ge e a i g i ( a i g) i e defi i g a e f i e e i achie e he
de i ab e c e , hich, f hi a ie , ea bei g ab e ef e f-ca e ac i i ie
ih d ea a d h ia.
DIF: C g i i e Le e : U de a di g (C ehe i ) TOP: N i g P ce : P a i g
MSC: NCLEX: Ma age e f C ie Ca e
8. A a ie i be e h e i h a e e ed-d e i ha e , a d he ei idi g eachi g.
Which i a c ec i e e ec ed c e f hi ce ?
a. The e i de a e he c ec e f a e e ed-d e i ha e he a ie .
b. The e i each he a ie h ad i i e edica i i h a e e ed-d e
i ha e .
c. The a ie i h e f-ad i i e he edica i i g he e e ed-
d e i ha e .
d. The a ie i i de e de ad i i e he edica i i g he e e ed-d e
i ha e a he e d f he e i .
ANS: D
E ec ed c e be a ie -ce e ed a d c ea a e he c e i h a ea ab e
dead i e a d h d ide if c e f e a ai .
DIF: C g i i e Le e : A i g (A ica i ) TOP: N i g P ce : P a i g
MSC: NCLEX: Ma age e f C ie Ca e
9. The e i ge e a i g i ( a i g) f a a ie h ha ch ic g di ea e a d
h ia. The a ie ha bee ad i ed f i c ea ed ge eed ab e a ba e i e f 2 L/ i .
The e ge e a e a e ec ed c e a i g, The a ie i ha e ge a a i f
>95% ai a he i e f di cha ge f the hospital. What i g i h hi g a ?
a. I ca be e a a ed.
, b. I i ea ab e.
c. I i a ie -ce e ed.
d. I i ea i ic.
ANS: D
The e ec ed c ei ea i ic beca e he a ie i a ai a d h d
be e ec ed a ai ha e ec ed c e b di cha ge f hi h iai ai .
DIF: C g i i e Le e : A i g (A ica i ) TOP: N i g P ce : P a i g
MSC: NCLEX: Ma age e f C ie Ca e
10. The e i de e i g a eachi g a f a e de a ie h i begi a i g a
a ih e e i e d g ha ca e di i e a d h a ic h e i . Which h he i
( b e ) d c e ed b he ei a ia e f hi a ie ?
a. Deficie edge e a ed d g ide effec .
b. I effec i e hea h ai e a ce e a ed age.
c. Readi e f e ha ced edge e a ed edica i ide effec .
d. Ri f i j e a ed ide effec f he edica i .
ANS: D
Thi a ie ha a i c ea ed i f i j beca e f d g ide effec , hi i a a ia e
h he i ( b e ) di ec he e f ca e a d f - he a ie i ecei e.
DIF: C g i i e Le e : A i g (A ica i )
TOP: N i g P ce : N i g Diag i
MSC: NCLEX: Ma age e f C ie Ca e
11. A de a ie ea ad i i e a edica i i g a de ice ha e i e a a
de e i . The a ie bec e f a ed a d e e e ac f e f-c fide ce i e f i g
hi a . Which ac i i he e ef e ?
a. A he a ie ee i g i he i i ea ed.
b. P ide i e i ci ihi ai h i g each e f he i .
c. Sched e i e e i a d ac ice each e e a a e .
d. Teach he ced e fa i e be h ca ad i i e he edica i f he
a ie .
ANS: C
N rses sho ld be sensiti e to patient s le el of fr stration hen teaching skills. In this case,
b ea i g he e d i i di id a a i he i h hi patient s fr stration e e .
DIF: C g i i e Le e : A i g (A ica i ) TOP: N i g P ce : P a i g
MSC: NCLEX: Ma age e f C ie Ca e
12. A ch -age chi d i begi a i g a edica i be ad i i e ed a 5 L h ee i e dai .
The child s parent tells the n rse that, ith a pre io s se of the dr g, the child repeatedl forgot
b i g he edica i h e f ch , e i g i i ed e e i g d e . Wha i he
e ec e d?
a. E c age he chi d be e e ib e a d ha i i i a a e he
edica i a e c ibed.
M C :P :AP -C N P A , 11 E
M L IPLE CHOICE
1. A f he f i g d be c ide ed bjec i e da a, EXCEPT:
a. Pa ie - e ed hea h hi
b. Pa ie - e ed ig a d f hei i e
c. Fi a cia ba ie e ed b he patient s ca egi e
d. Vi a ig b ai ed f he edica ec d
ANS: D
S bjec i e da a i ba ed ha a ie fa i e be c ica e he e. Pa ie -
e ed hea h hi , ig a d , a d ca egi e e ed fi a cia ba ie d be
c ide ed bjec i e da a. Vi a ig b ai ed f he edica ec d d be c ide ed
bjec i e da a.
DIF: C g i i e Le e : U de a di g (C ehe i ) TOP: N i g P ce : P a i g
MSC: NCLEX: Ma age e f C ie Ca e
2. The ei i g da a c ec ed defi e a e f i e e i achie e he de i ab e
c e . Which f he f i g e i he ea i g?
a. Rec g i i g c e (a e e )
b. A a ec e & i ii eh he i (a a i )
c. Ge e a e i ( a i g)
d. Ta e ac i ( i gi e e i )
ANS: C
Whe ge e a i g i ( a i g), he e ide ifie e ec ed c e a d e he
patient s problem(s) to define a set of inter entions to achie e the most desirable o tcomes.
Rec g i i g c e (a e e )i e he ga he i g f c e (i f ai )f he a ie
ab hei hea h a d ife e ac ice , hich a e i a fac ha aid he ei a i g
c i ica ca e deci i . P i i i i g h he i i ed ga i e a d a he a ie be ( )
ide ified. Fi a , a i g ac i i e i e e ai f i gi e e i acc ih
he e ec ed c e.
DIF: C g i i e Le e : U de a di g (C ehe i )
TOP: N i g P ce : N i g I e e i
MSC: NCLEX: Ma age e f C ie Ca e
3. A 5- ea - d chi d ih e 1 diabe e e i ha had e ea ed h i a i a i f e i de f
h pergl cemia. The parents tell the n rse that the can t keep track of e er thing that has to be
d e ca e f hei chi d. The e e ie edica i , die , a d a age e ih
he a e a d d a a dai chec i f he fa i e. The e ac i i ie a e c e ed i
hich e f he i g ce ?
a. Rec g i i g c e (a e e )
b. A a e c e & i i i e h he i (a a i )
, c. Ge e a e i ( a i g)
d. Ta e ac i ( i gi e e i )
ANS: D
Ta i g ac i h gh i gi e e i i he e he e ide a ie hea h eachi g,
d g ad i i a i , a ie ca e, a d he i e e i ece a a i he a ie i
acc i hi g e ec ed c e.
DIF: C g i i e Le e : U de a di g (C ehe i )
TOP: N i g P ce : N i g I e e i
MSC: NCLEX: Ma age e f C ie Ca e
4. The n rse is preparing to administer a medication and re ie s the patient s chart for dr g
allergies, ser m creatinine, and blood rea nitrogen (BUN) le els. The n rse s actions are
ef ec i e f hich f he f i g?
a. Rec g i i g c e (a e e )
b. A a e c e & i i i e h he i (a a i )
c. Ta e ac i ( i gi e e i )
d. Ge e a e i ( a i g)
ANS: A
Rec g i i g c e (a e e )i e ga he i g bjec i e a d bjec i e i f a i ab he
patient and the medication. Laborator al es from the patient s chart o ld be considered
c ec i f bjec i e da a.
DIF: C g i i e Le e : U de a di g (C ehe i )
TOP: N i g P ce : A e e MSC: NCLEX: Ma age e f C ie Ca e
5. Which f he f i g d be c ec ca eg i ed a bjec i e da a?
a. A i f he ba e e eg a ed ided b he a ie .
b. Lab a e a cia ed i h he d g he a ie i a i g.
c. The age a d e a i hi f a h eh d e be he a ie .
d. U a die a a e a d f d i a e.
ANS: B
Objec i e da a a e ea ed a d de ec ed b a he e a d d i c de ab a e . The
he e a e a e bjec i e da a.
DIF: C g i i e Le e : U de a di g (C ehe i )
TOP: N i g P ce : A e e MSC: NCLEX: Ma age e f C ie Ca e
6. The n rse re ie s a patient s database and learns that the patient li es alone, is forgetf l, and
d e ha e a e ab i hed i e. The a ie i be e h e i h h ee e edica i
be a e a diffe e i e f he da . The e de e a dai edica i cha a d e i
a famil member to p t the patient s pills in a pill organi er. This is an e ample of hich
ee e f he i g ce ?
a. Rec g i i g c e (a e e )
b. A a e c e & i i i e h he i (a a i )
c. Ta e ac i ( i gi e e i )
, d. Ge e a e i ( a i g)
ANS: C
Ta i g ac i ( i gi e e i )i e ed ca i a d a ie ca e i de a i he
a ie acc i h he g a f ea e .
DIF: C g i i e Le e : A i g (A ica i )
TOP: N i g P ce : N i g I e e i
MSC: NCLEX: Ma age e f C ie Ca e
7. A a ie h i h i a i ed f ch ic b c i e a di ea e (COPD) a g
home. The n rse and the patient disc ss the patient s sit ation and decide that the patient ma go
h e he ab e ef e f-ca e i h d ea a d h ia. Thi i a e a e f hich
ha e f he i g ce ?
a. Rec g i i g c e (a e e )
b. A a e c e & i i i e h he i (a a i )
c. Ta e ac i ( i gi e e i )
d. Ge e a e i ( a i g)
ANS: D
Ge e a i g i ( a i g) i e defi i g a e f i e e i achie e he
de i ab e c e , hich, f hi a ie , ea bei g ab e ef e f-ca e ac i i ie
ih d ea a d h ia.
DIF: C g i i e Le e : U de a di g (C ehe i ) TOP: N i g P ce : P a i g
MSC: NCLEX: Ma age e f C ie Ca e
8. A a ie i be e h e i h a e e ed-d e i ha e , a d he ei idi g eachi g.
Which i a c ec i e e ec ed c e f hi ce ?
a. The e i de a e he c ec e f a e e ed-d e i ha e he a ie .
b. The e i each he a ie h ad i i e edica i i h a e e ed-d e
i ha e .
c. The a ie i h e f-ad i i e he edica i i g he e e ed-
d e i ha e .
d. The a ie i i de e de ad i i e he edica i i g he e e ed-d e
i ha e a he e d f he e i .
ANS: D
E ec ed c e be a ie -ce e ed a d c ea a e he c e i h a ea ab e
dead i e a d h d ide if c e f e a ai .
DIF: C g i i e Le e : A i g (A ica i ) TOP: N i g P ce : P a i g
MSC: NCLEX: Ma age e f C ie Ca e
9. The e i ge e a i g i ( a i g) f a a ie h ha ch ic g di ea e a d
h ia. The a ie ha bee ad i ed f i c ea ed ge eed ab e a ba e i e f 2 L/ i .
The e ge e a e a e ec ed c e a i g, The a ie i ha e ge a a i f
>95% ai a he i e f di cha ge f the hospital. What i g i h hi g a ?
a. I ca be e a a ed.
, b. I i ea ab e.
c. I i a ie -ce e ed.
d. I i ea i ic.
ANS: D
The e ec ed c ei ea i ic beca e he a ie i a ai a d h d
be e ec ed a ai ha e ec ed c e b di cha ge f hi h iai ai .
DIF: C g i i e Le e : A i g (A ica i ) TOP: N i g P ce : P a i g
MSC: NCLEX: Ma age e f C ie Ca e
10. The e i de e i g a eachi g a f a e de a ie h i begi a i g a
a ih e e i e d g ha ca e di i e a d h a ic h e i . Which h he i
( b e ) d c e ed b he ei a ia e f hi a ie ?
a. Deficie edge e a ed d g ide effec .
b. I effec i e hea h ai e a ce e a ed age.
c. Readi e f e ha ced edge e a ed edica i ide effec .
d. Ri f i j e a ed ide effec f he edica i .
ANS: D
Thi a ie ha a i c ea ed i f i j beca e f d g ide effec , hi i a a ia e
h he i ( b e ) di ec he e f ca e a d f - he a ie i ecei e.
DIF: C g i i e Le e : A i g (A ica i )
TOP: N i g P ce : N i g Diag i
MSC: NCLEX: Ma age e f C ie Ca e
11. A de a ie ea ad i i e a edica i i g a de ice ha e i e a a
de e i . The a ie bec e f a ed a d e e e ac f e f-c fide ce i e f i g
hi a . Which ac i i he e ef e ?
a. A he a ie ee i g i he i i ea ed.
b. P ide i e i ci ihi ai h i g each e f he i .
c. Sched e i e e i a d ac ice each e e a a e .
d. Teach he ced e fa i e be h ca ad i i e he edica i f he
a ie .
ANS: C
N rses sho ld be sensiti e to patient s le el of fr stration hen teaching skills. In this case,
b ea i g he e d i i di id a a i he i h hi patient s fr stration e e .
DIF: C g i i e Le e : A i g (A ica i ) TOP: N i g P ce : P a i g
MSC: NCLEX: Ma age e f C ie Ca e
12. A ch -age chi d i begi a i g a edica i be ad i i e ed a 5 L h ee i e dai .
The child s parent tells the n rse that, ith a pre io s se of the dr g, the child repeatedl forgot
b i g he edica i h e f ch , e i g i i ed e e i g d e . Wha i he
e ec e d?
a. E c age he chi d be e e ib e a d ha i i i a a e he
edica i a e c ibed.
