255
TEST I - Foundation of d. S.C
Professional Nursing Practice
3. Dr. Garcia writes the following order
1. The nurse In-charge in labor and for the
delivery unit administered a dose of client who has been recently
terbutaline to a client admitted “Digoxin
without checking the client’s pulse. .125 mg P.O. once daily.” To prevent
The standard that would be used to a dosage error, how should the
determine if the nurse was negligent nurse document this order onto the
is: medication administration record?
a. The physician’s orders. a. “Digoxin .1250 mg P.O. once
b. The action of a clinical nurse daily”
specialist who is recognized b. “Digoxin 0.1250 mg P.O. once
expert in the field. daily”
c. The statement in the drug c. “Digoxin 0.125 mg P.O. once
literature about daily”
administration of d. “Digoxin .125 mg P.O. once
terbutaline. daily”
d. The actions of a reasonably
prudent nurse with similar 4. A newly admitted female client
education and experience. was diagnosed with deep vein
thrombosis. Which nursing
2. Nurse Trish is caring for a female diagnosis should receive the
client with a history of GI bleeding, highest priority?
sickle cell disease, and a platelet a. Ineffective peripheral
count of 22,000/μl. The female client tissue perfusion related to
is dehydrated and receiving dextrose venous congestion.
5% in half- normal saline solution at b. Risk for injury related to
150 ml/hr. The client complains of edema.
severe bone pain and is scheduled to c. Excess fluid volume related to
receive a dose of morphine sulfate. peripheral vascular disease.
In administering the medication, d. Impaired gas exchange
Nurse Trish should avoid which related to increased
route? blood flow.
a. I.V
b. I.M
c. Oral
,5. Nurse Betty is assigned to the a. Prevent stress ulcer
following clients. The client that the b. Block prostaglandin synthesis
nurse would see first after c. Facilitate protein synthesis.
endorsement? d. Enhance gas exchange
a. A 34 year-old post-operative
appendectomy client of five 8. The doctor orders hourly urine output
hours who is complaining of measurement for a postoperative
pain. male client. The nurse Trish records
b. A 44 year-old myocardial the following amounts of output for 2
infarction (MI) client who is consecutive hours: 8 a.m.: 50 ml; 9
complaining of nausea. a.m.: 60 ml. Based on these amounts,
c. A 26 year-old client admitted for which action should the nurse take?
dehydration whose intravenous a. Increase the I.V. fluid infusion
(IV) has infiltrated. rate
d. A 63 year-old post operative’s b. Irrigate the indwelling urinary
abdominal hysterectomy client catheter
of three days whose incisional c. Notify the physician
dressing is saturated with d. Continue to monitor and
serosanguinous fluid. record hourly urine output
6. Nurse Gail places a client in a four-point 9. Tony, a basketball player twist his
restraint following orders from the right ankle while playing on the court
physician. The client care plan should and seeks care for ankle pain and
include: swelling. After the nurse applies ice to
a. Assess temperature frequently. the ankle for 30 minutes, which
b. Provide diversional activities. statement by Tony suggests that ice
c. Check circulation every 15-30 application has been effective?
minutes. a. “My ankle looks less swollen
d. Socialize with other patients once a now”.
shift. b. “My ankle feels warm”.
c. “My ankle appears redder now”.
7. A male client who has severe burns is
receiving H2 receptor antagonist
therapy. The nurse In- charge knows
the purpose of this therapy is to:
256
,
, d. “I need something stronger c. Emphasize the use of
for pain relief” group collaboration.
d. Concentrates on tasks and
10. The physician prescribes a loop activities.
diuretic for a client. When
administering this drug, the nurse 13. Which type of medication order
anticipates that the client may might read "Vitamin K 10 mg I.M.
develop which electrolyte daily × 3 days?"
imbalance? a. Single order
a. Hypernatremia b. Standard written order
b. Hyperkalemia c. Standing order
c. Hypokalemia d. Stat order
d. Hypervolemia
14. A female client with a fecal impaction
11. She finds out that some managers frequently exhibits which clinical
have benevolent-authoritative style manifestation?
of management. Which of the a. Increased appetite
following behaviors will she exhibit b. Loss of urge to defecate
most likely? c. Hard, brown, formed stools
a. Have condescending trust d. Liquid or semi-liquid stools
and confidence in their
subordinates. 15. Nurse Linda prepares to perform an
b. Gives economic and ego otoscopic examination on a female
awards. client. For proper visualization, the
c. Communicates downward to nurse should position the client's ear
staffs. by:
d. Allows decision making a. Pulling the lobule down and back
among subordinates. b. Pulling the helix up and forward
c. Pulling the helix up and back
12. Nurse Amy is aware that the
following is true about functional
nursing
a. Provides continuous,
coordinated and
comprehensive nursing
services.
b. One-to-one nurse patient ratio.
256
TEST I - Foundation of d. S.C
Professional Nursing Practice
3. Dr. Garcia writes the following order
1. The nurse In-charge in labor and for the
delivery unit administered a dose of client who has been recently
terbutaline to a client admitted “Digoxin
without checking the client’s pulse. .125 mg P.O. once daily.” To prevent
The standard that would be used to a dosage error, how should the
determine if the nurse was negligent nurse document this order onto the
is: medication administration record?
a. The physician’s orders. a. “Digoxin .1250 mg P.O. once
b. The action of a clinical nurse daily”
specialist who is recognized b. “Digoxin 0.1250 mg P.O. once
expert in the field. daily”
c. The statement in the drug c. “Digoxin 0.125 mg P.O. once
literature about daily”
administration of d. “Digoxin .125 mg P.O. once
terbutaline. daily”
d. The actions of a reasonably
prudent nurse with similar 4. A newly admitted female client
education and experience. was diagnosed with deep vein
thrombosis. Which nursing
2. Nurse Trish is caring for a female diagnosis should receive the
client with a history of GI bleeding, highest priority?
sickle cell disease, and a platelet a. Ineffective peripheral
count of 22,000/μl. The female client tissue perfusion related to
is dehydrated and receiving dextrose venous congestion.
5% in half- normal saline solution at b. Risk for injury related to
150 ml/hr. The client complains of edema.
severe bone pain and is scheduled to c. Excess fluid volume related to
receive a dose of morphine sulfate. peripheral vascular disease.
In administering the medication, d. Impaired gas exchange
Nurse Trish should avoid which related to increased
route? blood flow.
a. I.V
b. I.M
c. Oral
,5. Nurse Betty is assigned to the a. Prevent stress ulcer
following clients. The client that the b. Block prostaglandin synthesis
nurse would see first after c. Facilitate protein synthesis.
endorsement? d. Enhance gas exchange
a. A 34 year-old post-operative
appendectomy client of five 8. The doctor orders hourly urine output
hours who is complaining of measurement for a postoperative
pain. male client. The nurse Trish records
b. A 44 year-old myocardial the following amounts of output for 2
infarction (MI) client who is consecutive hours: 8 a.m.: 50 ml; 9
complaining of nausea. a.m.: 60 ml. Based on these amounts,
c. A 26 year-old client admitted for which action should the nurse take?
dehydration whose intravenous a. Increase the I.V. fluid infusion
(IV) has infiltrated. rate
d. A 63 year-old post operative’s b. Irrigate the indwelling urinary
abdominal hysterectomy client catheter
of three days whose incisional c. Notify the physician
dressing is saturated with d. Continue to monitor and
serosanguinous fluid. record hourly urine output
6. Nurse Gail places a client in a four-point 9. Tony, a basketball player twist his
restraint following orders from the right ankle while playing on the court
physician. The client care plan should and seeks care for ankle pain and
include: swelling. After the nurse applies ice to
a. Assess temperature frequently. the ankle for 30 minutes, which
b. Provide diversional activities. statement by Tony suggests that ice
c. Check circulation every 15-30 application has been effective?
minutes. a. “My ankle looks less swollen
d. Socialize with other patients once a now”.
shift. b. “My ankle feels warm”.
c. “My ankle appears redder now”.
7. A male client who has severe burns is
receiving H2 receptor antagonist
therapy. The nurse In- charge knows
the purpose of this therapy is to:
256
,
, d. “I need something stronger c. Emphasize the use of
for pain relief” group collaboration.
d. Concentrates on tasks and
10. The physician prescribes a loop activities.
diuretic for a client. When
administering this drug, the nurse 13. Which type of medication order
anticipates that the client may might read "Vitamin K 10 mg I.M.
develop which electrolyte daily × 3 days?"
imbalance? a. Single order
a. Hypernatremia b. Standard written order
b. Hyperkalemia c. Standing order
c. Hypokalemia d. Stat order
d. Hypervolemia
14. A female client with a fecal impaction
11. She finds out that some managers frequently exhibits which clinical
have benevolent-authoritative style manifestation?
of management. Which of the a. Increased appetite
following behaviors will she exhibit b. Loss of urge to defecate
most likely? c. Hard, brown, formed stools
a. Have condescending trust d. Liquid or semi-liquid stools
and confidence in their
subordinates. 15. Nurse Linda prepares to perform an
b. Gives economic and ego otoscopic examination on a female
awards. client. For proper visualization, the
c. Communicates downward to nurse should position the client's ear
staffs. by:
d. Allows decision making a. Pulling the lobule down and back
among subordinates. b. Pulling the helix up and forward
c. Pulling the helix up and back
12. Nurse Amy is aware that the
following is true about functional
nursing
a. Provides continuous,
coordinated and
comprehensive nursing
services.
b. One-to-one nurse patient ratio.
256
