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,Test I - Foundation of Nursing, Nursing Research, Professional
Adjustment, Leadership and Management
1. A nurse has just received a unit of packed red blood cells from the
blood bank to transfuse into a client as ordered. Before, preparing
bubbles in the bag
the blood for transfusion the nurse
noticed the . The nurse should take which of the following
presence of
actions?
a. The nurse must look for another registered nurse to double check the bag
b. The nurse must add 10ml of normal saline to the bag to remove the
bubbles
c. The nurse must return the bag to the blood bank for replacement
d. The nurse must add 100 units of Heparin to the bag
2. A nurse is assisting the physician in inserting a chest tube to the
client. The nurse selects which of the following materials to be used
as the first layer of the dressing at the chest tube insertion site?
a. The nurse must prepare a 4x4 sterile gauze
b. The nurse must put absorbent kelix dressing
c. Petrolatum jelly gauze
d. Gauze with betadine
3. A physician orders 1L of ½ normal saline to infuse over 8hours.
The drop factors is 15 drops per 1ml. A nurse prepares to set the
flow rate at how many drops per minute?
a. 20 gtts/minute
b. 28 drops per minute
c. 31 gtts/minute
d. 22 drops per minute
4. A nurse enters a client’s room to perform physical assessment. The
nurse wants to test the reflexes of the client. The nurse does which
of the following as the most appropriate nursing action?
a. Use a penlight to shine a light towards the bridge of the nose
b. Stimulate the back of the throat using a tongue depressor
c. Pull down the client’s lower eyelids
d. Ask the client to swallow
5. Mr. Cruz, 40 year old client was diagnosed with chronic
pancreatitis. The nurse checks the laboratory results, anticipating a
, laboratory report that indicates a serum amylase level of
a. 100 units/L
b. 500 units/L
c. 45 units/L
d. 300 units/L
6. At 8:00 AM a nurse is preparing to change the Total Parenteral
Nutrition (TPN) solution bag and tubing. The client’s central venous
line is located in the right subclavian vein. The nurse would instruct
the client to do which of the following most essential items during
the tubing change?
a. instruct the client to breathe normally
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, b. the nurse must turn the head of the client to the right
c. ask the client to take a deep breath, hold it, bear down
d. tell the client to exhale slowly and evenly until tubing change is done
7. A client begins to exhibit atrial fibrillation and has a ventricular
rate at 150 beats per minute. The nurse assess the client for
a. nausea and vomiting
b. flat neck veins
c. hypotension and dizziness
d. hypertension and headache
8. A nurse is making initial rounds at the beginning of the shift. She
enters the room of a client receiving total parenteral nutrition
(TPN) and discovers that the bag is empty. Which of the following
solutions readily available on the nursing unit should the nurse
hang until another TPN solution is mixed and delivered to the
nursing unit?
a. 10% dextrose in water
b. 5% dextrose in water
c. 5% dextrose in 0.9% sodium chloride
d. NOTA
9. A physician tells a nurse that the client’s intravenous line will be
discontinued. A nurse obtains which of the following supplies from
the unit supply area for use in applying pressure to the site after
removing the intravenous (IV) catheter?
a. Sterile gauze
b. Adhesive bandage
c. Betadine swab
d. Alcohol swab
10.A physician’s order reads Potassium chloride 30mEq to be added to
1L ml normal saline and to be given over 10-hour period. The
available potassium chloride is 40mEq per 20ml. A nurse prepares
how many milliliters of Potassium Chloride to administer the correct
dose of medication?
a. 15ml
b. 10ml
c. 50ml
d. 20ml
,Test I - Foundation of Nursing, Nursing Research, Professional
Adjustment, Leadership and Management
1. A nurse has just received a unit of packed red blood cells from the
blood bank to transfuse into a client as ordered. Before, preparing
bubbles in the bag
the blood for transfusion the nurse
noticed the . The nurse should take which of the following
presence of
actions?
a. The nurse must look for another registered nurse to double check the bag
b. The nurse must add 10ml of normal saline to the bag to remove the
bubbles
c. The nurse must return the bag to the blood bank for replacement
d. The nurse must add 100 units of Heparin to the bag
2. A nurse is assisting the physician in inserting a chest tube to the
client. The nurse selects which of the following materials to be used
as the first layer of the dressing at the chest tube insertion site?
a. The nurse must prepare a 4x4 sterile gauze
b. The nurse must put absorbent kelix dressing
c. Petrolatum jelly gauze
d. Gauze with betadine
3. A physician orders 1L of ½ normal saline to infuse over 8hours.
The drop factors is 15 drops per 1ml. A nurse prepares to set the
flow rate at how many drops per minute?
a. 20 gtts/minute
b. 28 drops per minute
c. 31 gtts/minute
d. 22 drops per minute
4. A nurse enters a client’s room to perform physical assessment. The
nurse wants to test the reflexes of the client. The nurse does which
of the following as the most appropriate nursing action?
a. Use a penlight to shine a light towards the bridge of the nose
b. Stimulate the back of the throat using a tongue depressor
c. Pull down the client’s lower eyelids
d. Ask the client to swallow
5. Mr. Cruz, 40 year old client was diagnosed with chronic
pancreatitis. The nurse checks the laboratory results, anticipating a
, laboratory report that indicates a serum amylase level of
a. 100 units/L
b. 500 units/L
c. 45 units/L
d. 300 units/L
6. At 8:00 AM a nurse is preparing to change the Total Parenteral
Nutrition (TPN) solution bag and tubing. The client’s central venous
line is located in the right subclavian vein. The nurse would instruct
the client to do which of the following most essential items during
the tubing change?
a. instruct the client to breathe normally
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, b. the nurse must turn the head of the client to the right
c. ask the client to take a deep breath, hold it, bear down
d. tell the client to exhale slowly and evenly until tubing change is done
7. A client begins to exhibit atrial fibrillation and has a ventricular
rate at 150 beats per minute. The nurse assess the client for
a. nausea and vomiting
b. flat neck veins
c. hypotension and dizziness
d. hypertension and headache
8. A nurse is making initial rounds at the beginning of the shift. She
enters the room of a client receiving total parenteral nutrition
(TPN) and discovers that the bag is empty. Which of the following
solutions readily available on the nursing unit should the nurse
hang until another TPN solution is mixed and delivered to the
nursing unit?
a. 10% dextrose in water
b. 5% dextrose in water
c. 5% dextrose in 0.9% sodium chloride
d. NOTA
9. A physician tells a nurse that the client’s intravenous line will be
discontinued. A nurse obtains which of the following supplies from
the unit supply area for use in applying pressure to the site after
removing the intravenous (IV) catheter?
a. Sterile gauze
b. Adhesive bandage
c. Betadine swab
d. Alcohol swab
10.A physician’s order reads Potassium chloride 30mEq to be added to
1L ml normal saline and to be given over 10-hour period. The
available potassium chloride is 40mEq per 20ml. A nurse prepares
how many milliliters of Potassium Chloride to administer the correct
dose of medication?
a. 15ml
b. 10ml
c. 50ml
d. 20ml
