NP1 Exam 1 Review Questions With Complete Solutions
A 3 year old patient has an intramuscular medication ordered.
What is the most appropriate approach to gain the child's
cooperation?
a. engage the help of a second nurse to hold the child
b. give a pretend injection to a toy animal
c. restrain the patient's upper extremities
d. ask family member to leave the room Correct Answers B
A 50 year old woman weights 95 kg and has a history of tobacco
use, high blood pressure, high sodium intake, and sedentary
lifestyle. When developing an individualized care plan for her,
the nurse determines that the most important risk factors for
peripheral artery disease (PAD) that must be modifies are:
A. Weight and diet
B. Activity level and sodium intake
C. Tobacco use and high blood pressure
D. Sententary lifestyle and exercise training Correct Answers C
A 52-year-old woman is admitted with dyspnea and discomfort
in her left chest with deep breaths. She has smoked for 35 years
and recently lost over 10 lbs. Her vital signs on admission are:
HR 112, BP 138/82, RR 22, tympanic temperature 36.8 degrees
C (98.2 degrees F), and oxygen saturation 94%. She is receiving
oxygen at 2 L via a nasal cannula. Which vital sign reflects a
positive outcome of the oxygen therapy?
a. temperature: 37 degrees C (98.6 degrees F)
,b. Radial pulse: 112
c. respiratory rate: 24
d. oxygenation saturation: 96%
e. blood pressure: 134/78 Correct Answers D
A 55-year old female patient was in a motor vehicle accident
and is admitted to a surgical unit after repair of a fractured left
arm and left leg. She also has a laceration on her forehead. An
intravenous (IV) line is infusing in the right antecubital fossa,
and pneumonia compression stockings are on the right lower
leg. She is receiving oxygen via a simple face mask. Which sites
do you instruct the nursing assistant to use for obtaining the
patient's blood pressure and temperature?
a. right antecubital and tympanic membrane
b. right popliteal and rectal
c. left antecubital and oral
d. left popliteal and temporal artery Correct Answers A
A 86-year old woman is admitted to the unit with chills and a
fever of 104 degrees F. What physiological process explains
why she is at risk for dyspnea?
a. fever increases metabolic demands, requiring increased
oxygen
b. blood glucose stores are depleted and the cells do not have
energy to use oxygen
c. carbon dioxide production increases due to hyperventilation
d. carbon dioxide production decreases due to hypoventilation
Correct Answers A
,A child is taking albuterol through a pressurized metered-dose
inhaler (pMDI) that contains a total of 64 puffs. The dose is 2
puffs every 6 hours. How many days will the pMDI last?
___________ days. Correct Answers 8
A child's immunization may cause discomfort during
administration, but the benefits, of protection of disease, both for
the individual and society, outweigh the temporary discomforts.
Which principle is involved in this situation?
a. fidelity
b. beneficence
c. nonmaleficence
d. respect for autonomy Correct Answers B
A community center is presenting a nurse-led program on the
Patient Protection and Affordable Care Act. Which statement
made by a participate indicates a need for the further teaching?
a. "my small company will now have to offer the 75 employees
health insurance or pay a penalty"
b. "as long as my son is a full-time student in college, I will be
able to keep him on my health insurance until he is 26 year olds"
c. "I signed up for the state health insurance exchange before the
designated deadline to make sure I had health insurance"
d. "since I have now been diagnosed with diabetes, my health
insurance plan cannot charge me higher premiums" Correct
Answers B
, A compensatory mechanism involved in HF that leas to
inappropriate fluid retention and additional workload of the
heart is:
A. Ventricular dilation
B. Ventricular hypertrophy
C. Neurohormonal response
D. Sympathetic nervous system activation Correct Answers C
A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(Select all that apply.)
a. Inadequate lighting
b. Throw rugs
c. Multiple medications
d. Doorway thresholds
e. Cords covered by carpets
f. Staircases with handrails Correct Answers A, B, C, D, E
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of
Nurses (QSEN) competency?
a. patient-centered care
b. safety
c. teamwork and collaboration
d. informatics Correct Answers D
A 3 year old patient has an intramuscular medication ordered.
What is the most appropriate approach to gain the child's
cooperation?
a. engage the help of a second nurse to hold the child
b. give a pretend injection to a toy animal
c. restrain the patient's upper extremities
d. ask family member to leave the room Correct Answers B
A 50 year old woman weights 95 kg and has a history of tobacco
use, high blood pressure, high sodium intake, and sedentary
lifestyle. When developing an individualized care plan for her,
the nurse determines that the most important risk factors for
peripheral artery disease (PAD) that must be modifies are:
A. Weight and diet
B. Activity level and sodium intake
C. Tobacco use and high blood pressure
D. Sententary lifestyle and exercise training Correct Answers C
A 52-year-old woman is admitted with dyspnea and discomfort
in her left chest with deep breaths. She has smoked for 35 years
and recently lost over 10 lbs. Her vital signs on admission are:
HR 112, BP 138/82, RR 22, tympanic temperature 36.8 degrees
C (98.2 degrees F), and oxygen saturation 94%. She is receiving
oxygen at 2 L via a nasal cannula. Which vital sign reflects a
positive outcome of the oxygen therapy?
a. temperature: 37 degrees C (98.6 degrees F)
,b. Radial pulse: 112
c. respiratory rate: 24
d. oxygenation saturation: 96%
e. blood pressure: 134/78 Correct Answers D
A 55-year old female patient was in a motor vehicle accident
and is admitted to a surgical unit after repair of a fractured left
arm and left leg. She also has a laceration on her forehead. An
intravenous (IV) line is infusing in the right antecubital fossa,
and pneumonia compression stockings are on the right lower
leg. She is receiving oxygen via a simple face mask. Which sites
do you instruct the nursing assistant to use for obtaining the
patient's blood pressure and temperature?
a. right antecubital and tympanic membrane
b. right popliteal and rectal
c. left antecubital and oral
d. left popliteal and temporal artery Correct Answers A
A 86-year old woman is admitted to the unit with chills and a
fever of 104 degrees F. What physiological process explains
why she is at risk for dyspnea?
a. fever increases metabolic demands, requiring increased
oxygen
b. blood glucose stores are depleted and the cells do not have
energy to use oxygen
c. carbon dioxide production increases due to hyperventilation
d. carbon dioxide production decreases due to hypoventilation
Correct Answers A
,A child is taking albuterol through a pressurized metered-dose
inhaler (pMDI) that contains a total of 64 puffs. The dose is 2
puffs every 6 hours. How many days will the pMDI last?
___________ days. Correct Answers 8
A child's immunization may cause discomfort during
administration, but the benefits, of protection of disease, both for
the individual and society, outweigh the temporary discomforts.
Which principle is involved in this situation?
a. fidelity
b. beneficence
c. nonmaleficence
d. respect for autonomy Correct Answers B
A community center is presenting a nurse-led program on the
Patient Protection and Affordable Care Act. Which statement
made by a participate indicates a need for the further teaching?
a. "my small company will now have to offer the 75 employees
health insurance or pay a penalty"
b. "as long as my son is a full-time student in college, I will be
able to keep him on my health insurance until he is 26 year olds"
c. "I signed up for the state health insurance exchange before the
designated deadline to make sure I had health insurance"
d. "since I have now been diagnosed with diabetes, my health
insurance plan cannot charge me higher premiums" Correct
Answers B
, A compensatory mechanism involved in HF that leas to
inappropriate fluid retention and additional workload of the
heart is:
A. Ventricular dilation
B. Ventricular hypertrophy
C. Neurohormonal response
D. Sympathetic nervous system activation Correct Answers C
A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(Select all that apply.)
a. Inadequate lighting
b. Throw rugs
c. Multiple medications
d. Doorway thresholds
e. Cords covered by carpets
f. Staircases with handrails Correct Answers A, B, C, D, E
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of
Nurses (QSEN) competency?
a. patient-centered care
b. safety
c. teamwork and collaboration
d. informatics Correct Answers D
