QUESTIONS AND CORRECT ANSWERS WITH
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INTRODUCTION
Welcome to your TAFE Nursing Exam Study Guide. This resource has been
meticulously compiled to assist you in preparing for your nursing examinations. It
is designed to cover a broad spectrum of fundamental nursing concepts, clinical
skills, and theoretical knowledge essential for your practice as an Enrolled or
Registered Nurse.
The following 400 questions are presented in a multiple-choice format (A, B, C, D)
to mimic the structure of standard nursing exams. Each question is accompanied by
the correct answer and a detailed rationale to enhance your understanding and
facilitate active learning. The questions have been carefully curated, and
significant effort has been made to ensure there is no duplication of content,
allowing for a diverse and thorough review of key topics.
To use this guide effectively, we recommend simulating exam conditions by
attempting a set number of questions within a timed setting, then reviewing the
rationales to reinforce your learning. Good luck with your studies and your future
nursing career.
,(Q.1) A nurse is caring for a client with a suspected deep vein thrombosis (DVT)
in the left leg. Which of the following is a priority nursing action?
A) Apply a warm compress to the affected leg.
B) Massage the left leg to promote circulation.
C) Encourage the client to ambulate frequently.
D) Prepare for an ultrasound examination.
Correct Answer: D
Rationale: An ultrasound is the definitive diagnostic test for a DVT. Applying
heat, massaging, or encouraging ambulation are contraindicated as they could
dislodge a thrombus, leading to a pulmonary embolism. The priority is to confirm
the diagnosis through a non-invasive test.
(Q.2) A client is prescribed 500mg of a medication. The available stock is 250mg
tablets. How many tablets should the nurse administer?
A) 0.5 tablets
B) 1 tablet
C) 2 tablets
D) 3 tablets
,Correct Answer: C
Rationale: The calculation is 500 mg (prescribed) / 250 mg (stock strength) = 2
tablets. Administering 2 tablets provides the correct total dose of 500mg.
(Q.3) A nurse is assessing a client's pain using the PQRSTU method. What does
the "R" stand for?
A) Radiation
B) Relief
C) Region
D) Rate
Correct Answer: A
Rationale: In the PQRSTU pain assessment mnemonic, P is
Provocation/Palliation, Q is Quality/Quantity, R is Radiation/Region, S is Severity
Scale, T is Timing, and U is Understanding (the client's perception of the pain). 'R'
primarily asks, "Does the pain radiate anywhere?"
(Q.4) A nurse is providing discharge teaching to a client with a new colostomy.
Which statement by the client indicates a need for further teaching?
A) "I will need to change the entire ostomy appliance at least once a week."
B) "I should avoid eating foods like popcorn and nuts."
, C) "I can continue to shower with my ostomy appliance on."
D) "My stoma should be a dark purple or black colour."
Correct Answer: D
Rationale: A healthy stoma is pink to beefy red, moist, and may bleed slightly. A
dark purple or black stoma is a sign of ischemia and necrosis, indicating a medical
emergency. The other statements are correct; changing the appliance regularly,
avoiding foods that can cause blockages, and showering are part of standard
ostomy care.
(Q.5) A client is receiving a blood transfusion. Fifteen minutes after the
transfusion starts, the client reports chills, low back pain, and develops a fever.
What is the nurse's priority action?
A) Slow the transfusion rate.
B) Administer an antihistamine as prescribed.
C) Stop the transfusion and keep the IV line open with normal saline.
D) Increase the flow rate of the transfusion to dilute the reaction.
Correct Answer: C
Rationale: These are classic signs of a febrile or hemolytic transfusion reaction.
The priority action is to stop the transfusion immediately to prevent further