1
RPN INTEGRATED TEST V QUESTIONS AND
VERIFIED ANSWERS
1. What events or things are important to include in your report to the staff of the incoming shift?
a. The nursing interventions implemented
b. Changes that happened during your shift
c. Documents that have been done
d. Treatments that have been carried out
Answer: B – significant changes are reported to the incoming shift.
2. A 65-year old male patient was admitted to the unit. The family arrived to the unit shortly after the
patient died. How will the PN show respect to the family?
a. Tell them that it is alright to cry
b. Let the family wait and bring to them the patient’s belongings
c. Offer them a private room to sit
d. Introduce the family to the nursing supervisor/manager
Answer: C – one way of showing respect is acknowledging the need of the grieving family to express their
emotion and grief with privacy. B – this is the right of the family. A – more on emotional support.
3. Mr. BD who has stage 2 Alzheimer’s disease is admitted to the hospital. He is very confused and
disoriented. A few hours after admission, he jumps off from the bed, attempts to remove all
intravenous lines and throws things near him. Because of this behavior, the doctor orders restraints.
The PN requested assistance to restrain both his hands and apply a restraint jacket. His family was not
happy with the intervention and the niece asked the PN why her uncle was restrained? What is the
PN’s best response?
a. It is the doctor’s order that we place him on restraints
b. It was for the patient’s safety that we placed him on restraints
c. It is the hospital policy that we place him restraints for behavior such as this
Answer: B – restraints are always for patient’s safety and not for nurses’ convenience.
4. In the emergency room, a 65-year-old female with a wrist fracture suddenly cried when asked about
how she got a fracture. She shared that her daughter abuses her and how she hits her all the time. She
also shared that her daughter also abuses her children. Which among the following situations poses
the greatest danger?
a. The daughter takes all her retirement money away from her
b. The daughter is abusive to her children
c. The daughter can potentially kill someone
d. She constantly uses abusive and profane language
Answer: C - with the daughter’s unrestrained behavior, she can potentially kill someone.
5. Mr. K is concerned about his hyperactive 18 month old toddler Ryan. Mr. K asks the PN how he can
manage his son especially when eating. What is the best nursing response?
a. Discuss with Mr. K safety rules for Ryan
b. Put the child in the playpen when hyperactive
,2
c. Discourage running while eating
d. Put the child in the car seat during camping trip or any trip.
Answer: C – the hyperactivity of the toddlers poses possible harm. “Preventing the child from running when
eating” is a specific action that can prevent physical harm on the child. A – safety rules is a general response; B
– toddlers are no longer placed in the playpen (this is for infants); D – car seat is not only for toddlers but for
everyone.
6. How will the PN know that the participants of a breast-cancer prevention class are motivated in taking
actions on preventing such cancer?
a. The participants make verbal comments that the class was very beneficial
b. Some participants demonstrate the correct way of doing the breast-self examination
c. The participants are actively asking questions after the class
d. The participants are requesting for another similar class in the future
Answer: B – is a tangible and measurable evidence that the participants have learned something from the
class,
7. MC has undergone a mastectomy and is admitted to your unit. How will you know that she is ready to
care for herself?
a. She asks pertinent queries about wound care
b. She helps the nurse in changing the dressing
c. She looks at her wound
d. She informs the nurse about her concerns at how to take care of the wound
Answer: B - being able to perform dressing change is an indication that the patient can continue this same
care at home. A – indicates that the patient still needs information about wound care. C – being able to look at
the wound may mean “acceptance” of the fact that the patient had mastectomy. D – shows that the patient is
not ready yet.
8. How will the school nurse promote physical exercise to a group of students in the camp? (need to
correct sentence structure)
a. By physical fitness
b. By cultural backgrounds
c. By growth and development level
d. By physical growth
Answer: C - the appropriateness of exercise is tailored to the age of the group.
9. The daughter of a 92-year-old patient asked the community health nurse about the resources needed
for her mother. While she was asking the question, the patient interrupted and said “We need home
care”. The PN was about to propose a nursing home placement. What is the most appropriate
response for the PN to take at this time?
a. Have the daughter tour a nursing home
b. Ask the mother and daughter discuss what resources they need
c. Tell the mother, “I would like to know your daughter’s opinion on what resources are needed”
d. Identify the resources needed.
Answer: B – the patient and her daughter should get involved in the decision making; D – seems to be the
nurse is making decision
for the patient and her daughter.
,3
10. A 73-year-old male patient who has some nutrition problems is going to be discharged. The patient’s
brother who has limited resources expressed his willingness to take care of his older brother. What
should the PN do?
a. Refer the patient to appropriate community resources
b. Let the brother prepare nutritious food
c. Have a community nurse visit the patient
Answer: A – with financial support from community resources, the brother (who has financial problem) would
be able to provide nutritious food for the patient.
11. Ms. Sheila, 85 years old has an advanced stage of Alzheimer’s disease. Her family is providing care for
her. For the past week, her family members are uncertain to continue to care for her. The family also
mentioned about community health nurse who regularly visits the client. What would be your
response to ensure the safety of the client?
a. Suggest for a nursing home placement
b. Refer to a social worker
c. Inform the family of available resources
d. Suggest for respite care.
Answer: C – the family should be able to make important decision about their need of “care”.
12. A patient is for discharge and is waiting for his wife. He has come on a weekly basis to the hospital for
follow-up. How will the PN ensure that he will comply with his follow-up plans?
a. Ask him if a neighbor could bring him to the hospital
b. Ask him if his wife can drive to the hospital
c. Ask him, “will this follow-up cause any problem for you?”
Answer: C – assessment of the patient’s needs is an important question to finding out if the patient is able to
comply with the follow up plans. A – the neighbor should not be responsible for the patient’s transport. B –
although the wife can be responsible for transporting her husband, it is still ideal to assess for any possible
barrier to the implementation of the plan.
13. The PN is organizing a crosswalk to minimize the occurrences of motor accidents near the school area.
What would be the nurse’s initial step to do?
a. Send letters to the pupils about the plan of organizing a crosswalk
b. Conduct a meeting with the school principal and the parents
c. Conduct a meeting with the Ministry of Transportation
Answer: B – the support of the school (through the principal) and the parents is vital to the success of the
plan.
14. The PN is visiting a group home for children with cerebral palsy. Which among the following is
considered as the primary source of data?
a. Doctor
b. Records
c. Parents of the children
d. Observations of children’s behavior and activities
Answer: C – parents have the “first hand” information about their children’s health history.
, 4
15. The PN is developing health teaching plan on promotion of nutrition to a group of teenagers. Which
one should be considered?
a. Show video tape about proper nutrition
b. Introduce a game outlining the different food groups according to the Canada’s food guide
c. Develop a group discussion on the promotion of nutrition
d. Ask a dietician from the community to provide a lecture on the promotion on nutrition
Answer: B – “food game” will be enjoyable and a more efficient learning tool to teen agers.
16. A mother of a hyperactive child asks the home visiting nurse why she is recommending the Canadian
Food Guide to be used in her food planning. How would the visiting nurse respond?
a. Because of your son’s hyperactivity, you need to plan your meals according to the Canadian Food
Guide.
b. It is for his growth and development that I am recommending the Canadian Food Guide
c. Your son needs to have the complete nutritional requirements at his age
Answer: B – the Canadian Food Guide will help the mother choose nutritious foods needed by the growing
child.
17. A terminally ill patient with leukemia has decided to stay at home after receiving aggressive treatment
in the hospital. However, the family is concerned about taking care of the patient a she just had a bone
marrow transplant six months ago. What is your best nursing response in advocating the decision of
the patient?
a. Refer the client to a respite care
b. Call the community health center
c. Immediately inform the attending physician
d. Refer the case to the community’s self-care group.
Answer: B – the nurse in the community health center should be able to provide necessary care specific to
the patient and family’s concern.
18. Which among the following statements made by a client in a smoking cessation program best indicates
that your health teachings are effective?
a. I cut back my smoking from 25 to 20 cigarettes each day
b. I started to quit smoking last week
c. I only smoke once in the morning and in the evening
d. I smoke only when I’m stressed
Answer: A – this is measurable goal indicating that health teaching was effective. B – although it is good – is
very general; C – does not give any information about smoking cessation; D – no indication of smoking
cessation.
19. A terminally ill patient wants to say goodbye to his dog. The policy in the unit does not allow any pet to
visit the unit. You ask your nursing supervisor to advocate for the patient but your charge nurse
refused to allow the patient’s dog to come and visit. How can the PN continue to advocate for the
client?
a. Apologize to the patient and tell the patient that nurses cannot change the policy
b. Approach the nursing supervisor to explore the hospital policy and possibly obtain a special
permit to bring the dog
c. Tell the family to bring the dog in the evening when no one could see them
RPN INTEGRATED TEST V QUESTIONS AND
VERIFIED ANSWERS
1. What events or things are important to include in your report to the staff of the incoming shift?
a. The nursing interventions implemented
b. Changes that happened during your shift
c. Documents that have been done
d. Treatments that have been carried out
Answer: B – significant changes are reported to the incoming shift.
2. A 65-year old male patient was admitted to the unit. The family arrived to the unit shortly after the
patient died. How will the PN show respect to the family?
a. Tell them that it is alright to cry
b. Let the family wait and bring to them the patient’s belongings
c. Offer them a private room to sit
d. Introduce the family to the nursing supervisor/manager
Answer: C – one way of showing respect is acknowledging the need of the grieving family to express their
emotion and grief with privacy. B – this is the right of the family. A – more on emotional support.
3. Mr. BD who has stage 2 Alzheimer’s disease is admitted to the hospital. He is very confused and
disoriented. A few hours after admission, he jumps off from the bed, attempts to remove all
intravenous lines and throws things near him. Because of this behavior, the doctor orders restraints.
The PN requested assistance to restrain both his hands and apply a restraint jacket. His family was not
happy with the intervention and the niece asked the PN why her uncle was restrained? What is the
PN’s best response?
a. It is the doctor’s order that we place him on restraints
b. It was for the patient’s safety that we placed him on restraints
c. It is the hospital policy that we place him restraints for behavior such as this
Answer: B – restraints are always for patient’s safety and not for nurses’ convenience.
4. In the emergency room, a 65-year-old female with a wrist fracture suddenly cried when asked about
how she got a fracture. She shared that her daughter abuses her and how she hits her all the time. She
also shared that her daughter also abuses her children. Which among the following situations poses
the greatest danger?
a. The daughter takes all her retirement money away from her
b. The daughter is abusive to her children
c. The daughter can potentially kill someone
d. She constantly uses abusive and profane language
Answer: C - with the daughter’s unrestrained behavior, she can potentially kill someone.
5. Mr. K is concerned about his hyperactive 18 month old toddler Ryan. Mr. K asks the PN how he can
manage his son especially when eating. What is the best nursing response?
a. Discuss with Mr. K safety rules for Ryan
b. Put the child in the playpen when hyperactive
,2
c. Discourage running while eating
d. Put the child in the car seat during camping trip or any trip.
Answer: C – the hyperactivity of the toddlers poses possible harm. “Preventing the child from running when
eating” is a specific action that can prevent physical harm on the child. A – safety rules is a general response; B
– toddlers are no longer placed in the playpen (this is for infants); D – car seat is not only for toddlers but for
everyone.
6. How will the PN know that the participants of a breast-cancer prevention class are motivated in taking
actions on preventing such cancer?
a. The participants make verbal comments that the class was very beneficial
b. Some participants demonstrate the correct way of doing the breast-self examination
c. The participants are actively asking questions after the class
d. The participants are requesting for another similar class in the future
Answer: B – is a tangible and measurable evidence that the participants have learned something from the
class,
7. MC has undergone a mastectomy and is admitted to your unit. How will you know that she is ready to
care for herself?
a. She asks pertinent queries about wound care
b. She helps the nurse in changing the dressing
c. She looks at her wound
d. She informs the nurse about her concerns at how to take care of the wound
Answer: B - being able to perform dressing change is an indication that the patient can continue this same
care at home. A – indicates that the patient still needs information about wound care. C – being able to look at
the wound may mean “acceptance” of the fact that the patient had mastectomy. D – shows that the patient is
not ready yet.
8. How will the school nurse promote physical exercise to a group of students in the camp? (need to
correct sentence structure)
a. By physical fitness
b. By cultural backgrounds
c. By growth and development level
d. By physical growth
Answer: C - the appropriateness of exercise is tailored to the age of the group.
9. The daughter of a 92-year-old patient asked the community health nurse about the resources needed
for her mother. While she was asking the question, the patient interrupted and said “We need home
care”. The PN was about to propose a nursing home placement. What is the most appropriate
response for the PN to take at this time?
a. Have the daughter tour a nursing home
b. Ask the mother and daughter discuss what resources they need
c. Tell the mother, “I would like to know your daughter’s opinion on what resources are needed”
d. Identify the resources needed.
Answer: B – the patient and her daughter should get involved in the decision making; D – seems to be the
nurse is making decision
for the patient and her daughter.
,3
10. A 73-year-old male patient who has some nutrition problems is going to be discharged. The patient’s
brother who has limited resources expressed his willingness to take care of his older brother. What
should the PN do?
a. Refer the patient to appropriate community resources
b. Let the brother prepare nutritious food
c. Have a community nurse visit the patient
Answer: A – with financial support from community resources, the brother (who has financial problem) would
be able to provide nutritious food for the patient.
11. Ms. Sheila, 85 years old has an advanced stage of Alzheimer’s disease. Her family is providing care for
her. For the past week, her family members are uncertain to continue to care for her. The family also
mentioned about community health nurse who regularly visits the client. What would be your
response to ensure the safety of the client?
a. Suggest for a nursing home placement
b. Refer to a social worker
c. Inform the family of available resources
d. Suggest for respite care.
Answer: C – the family should be able to make important decision about their need of “care”.
12. A patient is for discharge and is waiting for his wife. He has come on a weekly basis to the hospital for
follow-up. How will the PN ensure that he will comply with his follow-up plans?
a. Ask him if a neighbor could bring him to the hospital
b. Ask him if his wife can drive to the hospital
c. Ask him, “will this follow-up cause any problem for you?”
Answer: C – assessment of the patient’s needs is an important question to finding out if the patient is able to
comply with the follow up plans. A – the neighbor should not be responsible for the patient’s transport. B –
although the wife can be responsible for transporting her husband, it is still ideal to assess for any possible
barrier to the implementation of the plan.
13. The PN is organizing a crosswalk to minimize the occurrences of motor accidents near the school area.
What would be the nurse’s initial step to do?
a. Send letters to the pupils about the plan of organizing a crosswalk
b. Conduct a meeting with the school principal and the parents
c. Conduct a meeting with the Ministry of Transportation
Answer: B – the support of the school (through the principal) and the parents is vital to the success of the
plan.
14. The PN is visiting a group home for children with cerebral palsy. Which among the following is
considered as the primary source of data?
a. Doctor
b. Records
c. Parents of the children
d. Observations of children’s behavior and activities
Answer: C – parents have the “first hand” information about their children’s health history.
, 4
15. The PN is developing health teaching plan on promotion of nutrition to a group of teenagers. Which
one should be considered?
a. Show video tape about proper nutrition
b. Introduce a game outlining the different food groups according to the Canada’s food guide
c. Develop a group discussion on the promotion of nutrition
d. Ask a dietician from the community to provide a lecture on the promotion on nutrition
Answer: B – “food game” will be enjoyable and a more efficient learning tool to teen agers.
16. A mother of a hyperactive child asks the home visiting nurse why she is recommending the Canadian
Food Guide to be used in her food planning. How would the visiting nurse respond?
a. Because of your son’s hyperactivity, you need to plan your meals according to the Canadian Food
Guide.
b. It is for his growth and development that I am recommending the Canadian Food Guide
c. Your son needs to have the complete nutritional requirements at his age
Answer: B – the Canadian Food Guide will help the mother choose nutritious foods needed by the growing
child.
17. A terminally ill patient with leukemia has decided to stay at home after receiving aggressive treatment
in the hospital. However, the family is concerned about taking care of the patient a she just had a bone
marrow transplant six months ago. What is your best nursing response in advocating the decision of
the patient?
a. Refer the client to a respite care
b. Call the community health center
c. Immediately inform the attending physician
d. Refer the case to the community’s self-care group.
Answer: B – the nurse in the community health center should be able to provide necessary care specific to
the patient and family’s concern.
18. Which among the following statements made by a client in a smoking cessation program best indicates
that your health teachings are effective?
a. I cut back my smoking from 25 to 20 cigarettes each day
b. I started to quit smoking last week
c. I only smoke once in the morning and in the evening
d. I smoke only when I’m stressed
Answer: A – this is measurable goal indicating that health teaching was effective. B – although it is good – is
very general; C – does not give any information about smoking cessation; D – no indication of smoking
cessation.
19. A terminally ill patient wants to say goodbye to his dog. The policy in the unit does not allow any pet to
visit the unit. You ask your nursing supervisor to advocate for the patient but your charge nurse
refused to allow the patient’s dog to come and visit. How can the PN continue to advocate for the
client?
a. Apologize to the patient and tell the patient that nurses cannot change the policy
b. Approach the nursing supervisor to explore the hospital policy and possibly obtain a special
permit to bring the dog
c. Tell the family to bring the dog in the evening when no one could see them
