TNS EXAM 2 – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES |
GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS
1. Foundations of Nursing Practice
2. Health Assessment and Physical Examination
3. Pharmacology and Medication Administration
4. Medical-Surgical Nursing
5. Maternal and Child Health Nursing
6. Mental Health and Psychiatric Nursing
7. Community Health and Public Health Nursing
8. Nursing Research and Evidence-Based Practice
9. Leadership, Management, and Ethics
10. Emergency and Critical Care Nursing
INTRODUCTION
This comprehensive examination is designed to assess the knowledge, critical thinking, and clinical judgment skills
essential for competent nursing practice. The exam covers a wide range of topics including foundational principles,
pharmacological interventions, medical-surgical management, maternal-child health, mental health, community
health, research, and ethical-legal considerations. It utilizes a combination of multiple-choice questions and scenario-
based items to evaluate the candidate's ability to apply theoretical knowledge to practical situations. Success on this
exam requires not only recall of facts but also the ability to analyze complex patient data, prioritize care, and make
sound professional decisions. This assessment is a vital tool for validating readiness for professional nursing
responsibilities and ensuring safe, effective patient care.
,Question 1
A patient is prescribed 500 mg of a medication that is available in a liquid concentration of 250 mg/5 mL. How many
milliliters should the nurse administer?
A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL
🟢 Correct Answer: B. 10 mL
🔴 Explanation: To calculate the dose, use the formula: Desired dose / Available dose * Volume. 500 mg / 250 mg * 5
mL = 10 mL. This is a fundamental dosage calculation that ensures patient safety.
Question 2
A nurse is caring for a patient with a diagnosis of heart failure. Which assessment finding is the earliest indicator of
fluid volume excess?
A. Pitting edema in the lower extremities
B. Jugular venous distention
C. Sudden weight gain of 1 kg in 24 hours
D. Dyspnea on exertion
🟢 Correct Answer: C. Sudden weight gain of 1 kg in 24 hours
🔴 Explanation: A sudden weight gain is an early and sensitive indicator of fluid retention, as 1 kg of weight gain
roughly equals 1 liter of fluid. Other signs like edema and distention appear later.
Question 3
A client with a history of asthma presents with wheezing, shortness of breath, and a peak expiratory flow rate of 60%
of personal best. What is the nurse's priority action?
A. Administer a bronchodilator via nebulizer
B. Position the client in a high Fowler's position
,C. Administer oxygen via nasal cannula
D. Notify the healthcare provider immediately
🟢 Correct Answer: A. Administer a bronchodilator via nebulizer
🔴 Explanation: This is an acute asthma exacerbation. The priority is to administer a fast-acting bronchodilator to
relieve bronchospasm and improve airflow. While other actions are important, this is the most direct intervention.
Question 4
During a community health fair, a nurse is providing education on the prevention of Lyme disease. Which instruction
is most important to include?
A. "Wear long sleeves and pants when hiking in wooded areas."
B. "Apply insect repellent containing DEET to exposed skin."
C. "Perform a full-body tick check after spending time outdoors."
D. "Avoid areas with high grass and leaf litter."
🟢 Correct Answer: C. "Perform a full-body tick check after spending time outdoors."
🔴 Explanation: While all options are preventative, performing a thorough tick check is the most critical step for
early detection and removal of ticks, which can prevent transmission of Borrelia burgdorferi.
Question 5
A nurse is preparing to administer an intramuscular injection to an adult patient in the ventrogluteal site. Which
action is most important for proper landmarking?
A. Placing the patient in a prone position.
B. Using the palm of the hand to locate the greater trochanter.
C. Placing the index finger on the anterior superior iliac spine.
D. Injecting at a 45-degree angle.
🟢 Correct Answer: C. Placing the index finger on the anterior superior iliac spine.
🔴 Explanation: For the ventrogluteal site, the correct landmarking technique involves placing the palm on the
, greater trochanter, the index finger on the anterior superior iliac spine, and the middle finger on the iliac crest to
form a 'V'.
Question 6
A patient who has undergone a total hip arthroplasty is 24 hours post-operative. Which position is contraindicated
for this patient?
A. Supine with a pillow between the legs
B. Side-lying on the operative side
C. Semi-Fowler's position with hips flexed to 60 degrees
D. Sitting in a low chair
🟢 Correct Answer: D. Sitting in a low chair
🔴 Explanation: Sitting in a low chair causes excessive hip flexion, which increases the risk of dislocation. The patient
should sit in a high, firm chair to maintain hip flexion at or below 90 degrees.
Question 7
A nurse is assessing a patient's cranial nerve function. To test Cranial Nerve XI (Accessory), the nurse should ask the
patient to:
A. Shrug their shoulders against resistance.
B. Stick out their tongue and move it side to side.
C. Read aloud from a book.
D. Identify a familiar scent.
🟢 Correct Answer: A. Shrug their shoulders against resistance.
🔴 Explanation: Cranial Nerve XI, the Spinal Accessory nerve, innervates the sternocleidomastoid and trapezius
muscles. Asking the patient to shrug their shoulders and turn their head against resistance assesses these muscles.
Question 8
A 3-year-old child is brought to the emergency department with a fever, stridor, and a "barking" cough. The nurse
suspects croup. What is the priority nursing intervention?
GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS
1. Foundations of Nursing Practice
2. Health Assessment and Physical Examination
3. Pharmacology and Medication Administration
4. Medical-Surgical Nursing
5. Maternal and Child Health Nursing
6. Mental Health and Psychiatric Nursing
7. Community Health and Public Health Nursing
8. Nursing Research and Evidence-Based Practice
9. Leadership, Management, and Ethics
10. Emergency and Critical Care Nursing
INTRODUCTION
This comprehensive examination is designed to assess the knowledge, critical thinking, and clinical judgment skills
essential for competent nursing practice. The exam covers a wide range of topics including foundational principles,
pharmacological interventions, medical-surgical management, maternal-child health, mental health, community
health, research, and ethical-legal considerations. It utilizes a combination of multiple-choice questions and scenario-
based items to evaluate the candidate's ability to apply theoretical knowledge to practical situations. Success on this
exam requires not only recall of facts but also the ability to analyze complex patient data, prioritize care, and make
sound professional decisions. This assessment is a vital tool for validating readiness for professional nursing
responsibilities and ensuring safe, effective patient care.
,Question 1
A patient is prescribed 500 mg of a medication that is available in a liquid concentration of 250 mg/5 mL. How many
milliliters should the nurse administer?
A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL
🟢 Correct Answer: B. 10 mL
🔴 Explanation: To calculate the dose, use the formula: Desired dose / Available dose * Volume. 500 mg / 250 mg * 5
mL = 10 mL. This is a fundamental dosage calculation that ensures patient safety.
Question 2
A nurse is caring for a patient with a diagnosis of heart failure. Which assessment finding is the earliest indicator of
fluid volume excess?
A. Pitting edema in the lower extremities
B. Jugular venous distention
C. Sudden weight gain of 1 kg in 24 hours
D. Dyspnea on exertion
🟢 Correct Answer: C. Sudden weight gain of 1 kg in 24 hours
🔴 Explanation: A sudden weight gain is an early and sensitive indicator of fluid retention, as 1 kg of weight gain
roughly equals 1 liter of fluid. Other signs like edema and distention appear later.
Question 3
A client with a history of asthma presents with wheezing, shortness of breath, and a peak expiratory flow rate of 60%
of personal best. What is the nurse's priority action?
A. Administer a bronchodilator via nebulizer
B. Position the client in a high Fowler's position
,C. Administer oxygen via nasal cannula
D. Notify the healthcare provider immediately
🟢 Correct Answer: A. Administer a bronchodilator via nebulizer
🔴 Explanation: This is an acute asthma exacerbation. The priority is to administer a fast-acting bronchodilator to
relieve bronchospasm and improve airflow. While other actions are important, this is the most direct intervention.
Question 4
During a community health fair, a nurse is providing education on the prevention of Lyme disease. Which instruction
is most important to include?
A. "Wear long sleeves and pants when hiking in wooded areas."
B. "Apply insect repellent containing DEET to exposed skin."
C. "Perform a full-body tick check after spending time outdoors."
D. "Avoid areas with high grass and leaf litter."
🟢 Correct Answer: C. "Perform a full-body tick check after spending time outdoors."
🔴 Explanation: While all options are preventative, performing a thorough tick check is the most critical step for
early detection and removal of ticks, which can prevent transmission of Borrelia burgdorferi.
Question 5
A nurse is preparing to administer an intramuscular injection to an adult patient in the ventrogluteal site. Which
action is most important for proper landmarking?
A. Placing the patient in a prone position.
B. Using the palm of the hand to locate the greater trochanter.
C. Placing the index finger on the anterior superior iliac spine.
D. Injecting at a 45-degree angle.
🟢 Correct Answer: C. Placing the index finger on the anterior superior iliac spine.
🔴 Explanation: For the ventrogluteal site, the correct landmarking technique involves placing the palm on the
, greater trochanter, the index finger on the anterior superior iliac spine, and the middle finger on the iliac crest to
form a 'V'.
Question 6
A patient who has undergone a total hip arthroplasty is 24 hours post-operative. Which position is contraindicated
for this patient?
A. Supine with a pillow between the legs
B. Side-lying on the operative side
C. Semi-Fowler's position with hips flexed to 60 degrees
D. Sitting in a low chair
🟢 Correct Answer: D. Sitting in a low chair
🔴 Explanation: Sitting in a low chair causes excessive hip flexion, which increases the risk of dislocation. The patient
should sit in a high, firm chair to maintain hip flexion at or below 90 degrees.
Question 7
A nurse is assessing a patient's cranial nerve function. To test Cranial Nerve XI (Accessory), the nurse should ask the
patient to:
A. Shrug their shoulders against resistance.
B. Stick out their tongue and move it side to side.
C. Read aloud from a book.
D. Identify a familiar scent.
🟢 Correct Answer: A. Shrug their shoulders against resistance.
🔴 Explanation: Cranial Nerve XI, the Spinal Accessory nerve, innervates the sternocleidomastoid and trapezius
muscles. Asking the patient to shrug their shoulders and turn their head against resistance assesses these muscles.
Question 8
A 3-year-old child is brought to the emergency department with a fever, stridor, and a "barking" cough. The nurse
suspects croup. What is the priority nursing intervention?
