NP4 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
1. Nurse Kim carries out the order for the client to have a
diagnostic test. Which of the following values indicate
hyponatremia? A sodium level _____
*
1 point
A. Below 8.5 to 10.5 mg/dL
B. Between 3.5 and 5.5 mEgL
C. Above 145 mEg/L
D. Below 135 mEg/L Correct Answers D. Below 135 mEg/L
10. A client with a history of Type 1 hypersensitivity reaction is
receiving immunotherapy. The nurse administers the allergen
injection and asks the client to wait for how many minutes so
that the immediate reactions can be treated?
*
1 point
A. 5 - 15 minutes
B. 30 - 40 minutes
C. 60 minutes
D. 15 - 25 minutes Correct Answers A. 5 - 15 minutes
100. Ms. Ada learned of a nurse in the orthopedic ward who
applied hot water bottle over a paralyzed leg which
consequently go burned. This is an example:
*
1 point
a. Malfeasance
b. Misdemeanor
,c. Malpractice
d. Negligence Correct Answers c. Malpractice
11.The client is fortunate that the level of his injury did not
affect his respiratory function. The nurse understands that the
cord segments involved in maintaining respiratory function are:
*
1 point
A. C1-2
B. C3-4
C. C5
D. C6 Correct Answers B. C3-4
12. Nurse Em understands that the LEAST effective method of
preventing contractures of the joints of the lower extremities
would be to:
*
1 point
A. Passively move the extremities through range of motion
exercises.
B. Provide the client with active exercise instructions.
C. Maintain proper alignment in bed.
D. Change the client's position every two hours. Correct
Answers B. Provide the client with active exercise instructions.
13. Nurse Em plans care for the client which includes turning
the client every two hours. This nursing measure is necessary to:
*
1 point
A. Improve circulation in the lower extremities.
B. Keep the client comfortable.
,C. Prevent occurrence of pressure sores.
D. Prevent flexion contractures in the lower extremities. Correct
Answers C. Prevent occurrence of pressure sores.
14. Nurse Em recognizes that an early major problem of the
client with paraplegia is:
*
1 point
A. Client education.
B. Bladder control.
C. Use of mechanical aids for ambulation.
D. Quadriceps setting Correct Answers B. Bladder control.
15. Nurse Em is aware that a complication the client with
paraplegia may experience is formation of urinary calculi. The
factor that contributes to this condition is:
*
1 point
A. High fluid intake
B. Increases loss of calcium for the skeletal system.
C. Inadequate kidney functioning.
D. Increased calcium intake. Correct Answers B. Increases loss
of calcium for the skeletal system.
17. The client asks the nurse what the doctor meant when he
heard him say that the client has intermittent claudication. The
nurses' BEST response is, Intermittent claudication is_______
*
1 point
A. Pain that can occur in the body with exercise
B. Pain in the leg when exercising
, C. Pain in the leg that occurs when at rest
D. A tingling feeling of sensation in the hands Correct Answers
B. Pain in the leg when exercising
18. The nurse writes a nursing diagnosis of Ineffective Tissue
Perfusion for the client. Which of the following interventions is
MOST appropriate for this nursing diagnosis?
*
1 point
A. Keep his legs in dependent position
B. Elevate his legs
C. Take hot bath
D. Limit his daily activities. Correct Answers A. Keep his legs
in dependent position
19. The nurse writes another nursing diagnosis of Risk for
Impaired Skin Integrity related to decreased peripheral
circulation. Which of the following interventions is MOST
appropriate for the nurse to instruct the client?
*
1 point
A. Monitor the extremities for color, motion and sensation, and
pulses.
B. Maintain an appropriate level of activity to promote
circulation.
C. Avoid risk factors that may increase problems with Peripheral
Arterial Disease.
D. Protect the legs from injury because the tissues are fragile.
Correct Answers B. Maintain an appropriate level of activity to
promote circulation.
SOLUTIONS
1. Nurse Kim carries out the order for the client to have a
diagnostic test. Which of the following values indicate
hyponatremia? A sodium level _____
*
1 point
A. Below 8.5 to 10.5 mg/dL
B. Between 3.5 and 5.5 mEgL
C. Above 145 mEg/L
D. Below 135 mEg/L Correct Answers D. Below 135 mEg/L
10. A client with a history of Type 1 hypersensitivity reaction is
receiving immunotherapy. The nurse administers the allergen
injection and asks the client to wait for how many minutes so
that the immediate reactions can be treated?
*
1 point
A. 5 - 15 minutes
B. 30 - 40 minutes
C. 60 minutes
D. 15 - 25 minutes Correct Answers A. 5 - 15 minutes
100. Ms. Ada learned of a nurse in the orthopedic ward who
applied hot water bottle over a paralyzed leg which
consequently go burned. This is an example:
*
1 point
a. Malfeasance
b. Misdemeanor
,c. Malpractice
d. Negligence Correct Answers c. Malpractice
11.The client is fortunate that the level of his injury did not
affect his respiratory function. The nurse understands that the
cord segments involved in maintaining respiratory function are:
*
1 point
A. C1-2
B. C3-4
C. C5
D. C6 Correct Answers B. C3-4
12. Nurse Em understands that the LEAST effective method of
preventing contractures of the joints of the lower extremities
would be to:
*
1 point
A. Passively move the extremities through range of motion
exercises.
B. Provide the client with active exercise instructions.
C. Maintain proper alignment in bed.
D. Change the client's position every two hours. Correct
Answers B. Provide the client with active exercise instructions.
13. Nurse Em plans care for the client which includes turning
the client every two hours. This nursing measure is necessary to:
*
1 point
A. Improve circulation in the lower extremities.
B. Keep the client comfortable.
,C. Prevent occurrence of pressure sores.
D. Prevent flexion contractures in the lower extremities. Correct
Answers C. Prevent occurrence of pressure sores.
14. Nurse Em recognizes that an early major problem of the
client with paraplegia is:
*
1 point
A. Client education.
B. Bladder control.
C. Use of mechanical aids for ambulation.
D. Quadriceps setting Correct Answers B. Bladder control.
15. Nurse Em is aware that a complication the client with
paraplegia may experience is formation of urinary calculi. The
factor that contributes to this condition is:
*
1 point
A. High fluid intake
B. Increases loss of calcium for the skeletal system.
C. Inadequate kidney functioning.
D. Increased calcium intake. Correct Answers B. Increases loss
of calcium for the skeletal system.
17. The client asks the nurse what the doctor meant when he
heard him say that the client has intermittent claudication. The
nurses' BEST response is, Intermittent claudication is_______
*
1 point
A. Pain that can occur in the body with exercise
B. Pain in the leg when exercising
, C. Pain in the leg that occurs when at rest
D. A tingling feeling of sensation in the hands Correct Answers
B. Pain in the leg when exercising
18. The nurse writes a nursing diagnosis of Ineffective Tissue
Perfusion for the client. Which of the following interventions is
MOST appropriate for this nursing diagnosis?
*
1 point
A. Keep his legs in dependent position
B. Elevate his legs
C. Take hot bath
D. Limit his daily activities. Correct Answers A. Keep his legs
in dependent position
19. The nurse writes another nursing diagnosis of Risk for
Impaired Skin Integrity related to decreased peripheral
circulation. Which of the following interventions is MOST
appropriate for the nurse to instruct the client?
*
1 point
A. Monitor the extremities for color, motion and sensation, and
pulses.
B. Maintain an appropriate level of activity to promote
circulation.
C. Avoid risk factors that may increase problems with Peripheral
Arterial Disease.
D. Protect the legs from injury because the tissues are fragile.
Correct Answers B. Maintain an appropriate level of activity to
promote circulation.
