NURSING PRACTICE I
1. A nurse calls the physician of a client scheduled for a cardiac catheterization because
the client has numerous questions regarding the procedure and has requested to speak
to the physician. The physician is very upset and arrives at the unit to visit the client
after prompting by the nurse. The nurse is outside of the client’s room and hears the
physician tell the client in a derogatory manner that the nurse” doesn’t know anything.”
Which legal tort has the physician violates?
a. Libel
b. Slander
c. Assault
d. Negligence
2. A nurse is assessing a client who has just been measured and fitted for crutches. The
nurse determines that the client’s crutches are fitted correctly if:
a. The elbow is at a 30 degrees angle when the hand is on the handgrip
b. The elbow is straight when the hand is on the handgrip
c. The client’s axilla is resting on the crutches pad during ambulation
d. The top of the crutch is even with the axilla
3. The first attempt to elevate nursing as a profession by enriching and broadening the
preparation of nurses and by educating them in University setting is an idea conceived
by:
a. Rosario Delgado
b. Julita V. Sotejo
c. Florence Nightingale
d. Faye Abdellah
4. A nurse is instructing a client how to safely use crutches for ambulating at home.
Which measure would the nurse recommend to minimize the risk of falls while
ambulating with the crutches?
a. Use grab bars in the bathtub or shower
b. Remove scatter rugs in the home
c. Keep all pets out of the house
d. Use soft-soled slippers when walking with the crutches
5. A client is being discharged and will receive oxygen therapy at home. The nurse is
teaching the client and family about oxygen safety measures. Which of the following
statements by the client indicates the need for further teaching?
a. “I realize that I should check the oxygen level of the portable tank on a consistent
basis.”
b. “I will keep my scented candles within 5 feet of my oxygen tank.”
c. “I will not sit in front of my wood-burning fireplace with my oxygen on.”
d. “I will call the physician if I experience any shortness of breath.”
6. The four main concepts common to nursing that appear in each of the current
conceptual models are:
a. Person, Nursing , Environment, Medicine
b. Person, Health, Nursing, Support System
c. Person, Health, Psychology, Nursing
d. Person, Environment, Health, Nursing
7. A nurse is taking care of a client on contact isolation. After the nursing care has been
performed, on leaving the room, which protective item during client care, would the
nurse remove first?
a. Gloves
b. Mask
c. Eye wear(goggles)
d. Gown
,8. An older adult woman client with a fractured left tibia has a long leg cast and is using
crutches to ambulate. In caring for the client, the nurse assesses for which of the
following signs and symptoms that indicate a complication associated with crutch
walking?
a. Forearm muscle weakness
b. Left leg discomfort.
c. Triceps muscle spasm
d. Weak biceps brachii
9. A client requests pain medication and the nurse administers an intramuscular (IM)
injection. After administration of the injection, the nurse does which of the following
first?
a. Recaps the needle
b. Removes the gloves
c. Washes the hands
d. Places the syringe in the puncture-resistant needle box container
10. A nursing manager is reviewing the purpose for applying restraints with the nursing
staff. The nurse manager tells the staff that which of the following is not an indication
for the use of a restraint?
a. To prevent falls
b. To restrict movement of a limb
c. To prevent the client from pulling out IV lines and catheters
d. To prevent the violent client from injuring self and others
11. A client who is scheduled for gall bladder surgery is mentally impaired and is
unable to communicate. In regard to obtaining permission for the surgical procedure,
which nursing intervention would be most appropriate?
a. Ensure that the family has signed the informed consent
b. Ensure that the client has signed the informed consent
c. Inform the family about the advance directive process
d. Inform the family about the process of a living will
12. A client diagnosed with tuberculosis (TB) is scheduled to go to the radiology
department for a chest x-ray evaluation. Which nursing intervention would be
appropriate when preparing to transport the client?
a. Apply a mask to the client
b. Apply a mask and gown to the client
c. Apply a mask, gown, and gloves to the client
d. Notify the x-ray department that the personnel can be sure to wear a mask when the
client arrives.
13. A nurse is observing a client using a walker. The nurse determines that the client is
using the walker correctly if the client:
a. Puts all four points of the walker flat on the floor, puts weight on the hand pieces, and
then walks into it
b. Puts weight on the hand pieces, moves the walker forward, and the walks into it.
c. Puts weight on the hand pieces, slides the walker forward, and then walks into it.
d. Walks into the walker, puts weight on the hand pieces, and then puts all four points of
the walker flat on the floor.
14. A nurse has an order to obtain a 24-hour urine collection of a client with renal
disorder. The nurse avoids which of the following to ensure proper collection of the 24-
hour specimen?
a. Have the client void at the start time, and place this specimen in the container.
b. Discard the first voiding;save all subsequent voiding during the 24-hour time period.
c. Place the container on ice, or in a refrigerator
d. Have the client void at the end time and place this specimen in the container.
,15.A client is receiving total parenteral nutrition (TPN) via central intravenous (IV) line
is scheduled to receive an antibiotic by the IV route. Which action by the nurse is
appropriate before hanging the antibiotic solution?
a. Ensure a separate IV access for the antibiotic.
b. Turn off the TPN for 30 minutes before administering the antibiotic.
c. Check with the pharmacy to be sure the antibiotic can be hung through the TPN line.
d. Flush the central line with 60 ml of normal saline solution before hanging the
antibiotic.
16. A nurse has inserted a nasogastric (NG) tube to the level of the oropharynx and has
repositioned the client’s head in a flexed forward position. The client has been asked to
begin swallowing. The client begins to cough, gag, and choke. Which of the following
nursing actions would least likely result in proper tube insertion and promote client
relaxation?
a. Continue to advance the tube to the desired distance.
b. Pulling the tube back slightly.
c. Checking the back of the pharynx using a tongue blade and flashlight.
d. Instructing the client to breath slowly.
17. A nurse has an order to obtain a urinalysis from a client with an indwelling urinary
catheter. The nurse avoids which of the following, which could contaminate the
specimen?
a. Obtaining the specimen from the urinary drainage bag
b. Clamping the tubing of the drainage bag
c. Aspirating a sample from the port on the drainage bag
d. Wiping the port with an alcohol swab before inserting the syringe
18. A nursing assistant is caring for an elderly client with cystitis who has an indwelling
urinary catheter. The registered nurse provides directions regarding care and ensures
that the nursing assistant:
a. Uses soap and water to cleanse the perineal area
b. Keeps the drainage bag above the level of the bladder
c. Loops the tubing under the client’s leg
d. Lets the drainage tubing rest under the leg
19. A nurse is inserting an indwelling urinary catheter into a male client. As the
catheter is inserted into the urethra, urine begins to flow into the tubing. At this point,
the nurse:
a. Immediately inflates the balloon
b. Withdraws the catheter approximately 1 inch and inflates the balloon
c. Inserts the catheter until resistance is met and inflates the balloon
d. Inserts the catheter 2.5 to 5 cm and inflates the balloon
20. A nurse is caring for a client with cancer. The client tells the nurse that a lawyer will
be arriving today to prepare a living will. The client asks the nurse to act as one of the
witnesses for the will. The most appropriate nursing action is to:
a. Agree to act as a witness.
b. Refuse to help the client.
c. Inform the client that a nurse caring for the client cannot serve as a witness to a
living will.
d. Call the physician.
21. Which of the following signs and symptoms would the nurse expect to find when
assessing an Asian patient for postoperative pain following abdominal surgery?
a. Decreased blood pressure and heart rate and shallow respiration
b. Quiet crying
c. Immobility, diaphoresis, and avoidance of deep breathing or coughing
d. Changing position q 2 hours
, 22. A patient with signs and symptoms of congestive heart failure and leg edema has
been placed on diuretic therapy. Which of the following data would best gauge his
progress?
a. Fluid intake and output
b. Vital signs
c. Weight
d. Urine specific gravity
23.The correct sequence for assessing the abdomen is:
a. Tympanic percussion, measurement of the abdominal girth and inspection
b. Assessment for distention, tenderness and discoloration around the umbilicus
c. Percussion, palpation and auscultation
d. Auscultation, percussion and palpation
24. Penicillin is classified as an antibiotic with bactericidal action. The term bactericidal
indicates that this antibiotic will:
a. Inhibit the growth of a specific bacterium
b. Destroy a specific bacterium
c. Decrease the number of bacteria
d. Increase the number of bacteria
25. A physician asks a nurse to discontinue the feeding tube in a client who is in a
chronic vegetative state. The physician tells the nurse that the request was made by the
client’s spouse and children. The nurse understands the legal basis for carrying out the
order and first checks the client’s record for documentation of:
a. A court approval to discontinue the treatment.
b. A written order by the physician to remove the tube.
c. Authorization by the family to discontinue the treatment.
d. Approval by the institutional Ethics Committee.
26.A nurse provides medication instructions to a home health care client. To ensure
safe administration of medication in the home, the nurse:
a. Demonstrate the proper procedure for taking prescribed medications.
b. Allows the client to verbalize and demonstrate correct administration procedure.
c. Instruct the client that it is OK to double up on medications if a dose has been
missed.
d. Conducts pill counts on each home visit.
27.A client is admitted to the hospital for a bowel resection following a diagnosis of a
bowel tumor. During the admission assessment, the client tells the nurse that a living
will was prepared three years ago. The client asks the nurse if this document is still
effective. The most appropriate nursing response is which of the following?
a. “Yes it is.”
b. “You will have to ask your lawyer.”
c. “It should be reviewed yearly with your physician.”
d. “I have no idea.”
28.A nurse’s note that a postoperative client has not been obtaining relief of pain with
prescribed narcotics, but only while a particular licensed practical nurse (LPN) is
assigned to the client. The nurse:
a. Reviews the client’s medication administration record and immediately discuss the
situation with the nursing supervisor
b. Notifies the physician that the client needs an increase in narcotic dosage
c. Decides to avoid assigning the LPN to the care of clients receiving narcotics
d. Confronts the LPN with the information about the client having pain control
problems and asks if the LPN is using the narcotics personally
29.A client’s vital signs have noticeably deteriorated over the past four hours following
surgery. A nurse does not recognize the significance of these changes in vital signs and
1. A nurse calls the physician of a client scheduled for a cardiac catheterization because
the client has numerous questions regarding the procedure and has requested to speak
to the physician. The physician is very upset and arrives at the unit to visit the client
after prompting by the nurse. The nurse is outside of the client’s room and hears the
physician tell the client in a derogatory manner that the nurse” doesn’t know anything.”
Which legal tort has the physician violates?
a. Libel
b. Slander
c. Assault
d. Negligence
2. A nurse is assessing a client who has just been measured and fitted for crutches. The
nurse determines that the client’s crutches are fitted correctly if:
a. The elbow is at a 30 degrees angle when the hand is on the handgrip
b. The elbow is straight when the hand is on the handgrip
c. The client’s axilla is resting on the crutches pad during ambulation
d. The top of the crutch is even with the axilla
3. The first attempt to elevate nursing as a profession by enriching and broadening the
preparation of nurses and by educating them in University setting is an idea conceived
by:
a. Rosario Delgado
b. Julita V. Sotejo
c. Florence Nightingale
d. Faye Abdellah
4. A nurse is instructing a client how to safely use crutches for ambulating at home.
Which measure would the nurse recommend to minimize the risk of falls while
ambulating with the crutches?
a. Use grab bars in the bathtub or shower
b. Remove scatter rugs in the home
c. Keep all pets out of the house
d. Use soft-soled slippers when walking with the crutches
5. A client is being discharged and will receive oxygen therapy at home. The nurse is
teaching the client and family about oxygen safety measures. Which of the following
statements by the client indicates the need for further teaching?
a. “I realize that I should check the oxygen level of the portable tank on a consistent
basis.”
b. “I will keep my scented candles within 5 feet of my oxygen tank.”
c. “I will not sit in front of my wood-burning fireplace with my oxygen on.”
d. “I will call the physician if I experience any shortness of breath.”
6. The four main concepts common to nursing that appear in each of the current
conceptual models are:
a. Person, Nursing , Environment, Medicine
b. Person, Health, Nursing, Support System
c. Person, Health, Psychology, Nursing
d. Person, Environment, Health, Nursing
7. A nurse is taking care of a client on contact isolation. After the nursing care has been
performed, on leaving the room, which protective item during client care, would the
nurse remove first?
a. Gloves
b. Mask
c. Eye wear(goggles)
d. Gown
,8. An older adult woman client with a fractured left tibia has a long leg cast and is using
crutches to ambulate. In caring for the client, the nurse assesses for which of the
following signs and symptoms that indicate a complication associated with crutch
walking?
a. Forearm muscle weakness
b. Left leg discomfort.
c. Triceps muscle spasm
d. Weak biceps brachii
9. A client requests pain medication and the nurse administers an intramuscular (IM)
injection. After administration of the injection, the nurse does which of the following
first?
a. Recaps the needle
b. Removes the gloves
c. Washes the hands
d. Places the syringe in the puncture-resistant needle box container
10. A nursing manager is reviewing the purpose for applying restraints with the nursing
staff. The nurse manager tells the staff that which of the following is not an indication
for the use of a restraint?
a. To prevent falls
b. To restrict movement of a limb
c. To prevent the client from pulling out IV lines and catheters
d. To prevent the violent client from injuring self and others
11. A client who is scheduled for gall bladder surgery is mentally impaired and is
unable to communicate. In regard to obtaining permission for the surgical procedure,
which nursing intervention would be most appropriate?
a. Ensure that the family has signed the informed consent
b. Ensure that the client has signed the informed consent
c. Inform the family about the advance directive process
d. Inform the family about the process of a living will
12. A client diagnosed with tuberculosis (TB) is scheduled to go to the radiology
department for a chest x-ray evaluation. Which nursing intervention would be
appropriate when preparing to transport the client?
a. Apply a mask to the client
b. Apply a mask and gown to the client
c. Apply a mask, gown, and gloves to the client
d. Notify the x-ray department that the personnel can be sure to wear a mask when the
client arrives.
13. A nurse is observing a client using a walker. The nurse determines that the client is
using the walker correctly if the client:
a. Puts all four points of the walker flat on the floor, puts weight on the hand pieces, and
then walks into it
b. Puts weight on the hand pieces, moves the walker forward, and the walks into it.
c. Puts weight on the hand pieces, slides the walker forward, and then walks into it.
d. Walks into the walker, puts weight on the hand pieces, and then puts all four points of
the walker flat on the floor.
14. A nurse has an order to obtain a 24-hour urine collection of a client with renal
disorder. The nurse avoids which of the following to ensure proper collection of the 24-
hour specimen?
a. Have the client void at the start time, and place this specimen in the container.
b. Discard the first voiding;save all subsequent voiding during the 24-hour time period.
c. Place the container on ice, or in a refrigerator
d. Have the client void at the end time and place this specimen in the container.
,15.A client is receiving total parenteral nutrition (TPN) via central intravenous (IV) line
is scheduled to receive an antibiotic by the IV route. Which action by the nurse is
appropriate before hanging the antibiotic solution?
a. Ensure a separate IV access for the antibiotic.
b. Turn off the TPN for 30 minutes before administering the antibiotic.
c. Check with the pharmacy to be sure the antibiotic can be hung through the TPN line.
d. Flush the central line with 60 ml of normal saline solution before hanging the
antibiotic.
16. A nurse has inserted a nasogastric (NG) tube to the level of the oropharynx and has
repositioned the client’s head in a flexed forward position. The client has been asked to
begin swallowing. The client begins to cough, gag, and choke. Which of the following
nursing actions would least likely result in proper tube insertion and promote client
relaxation?
a. Continue to advance the tube to the desired distance.
b. Pulling the tube back slightly.
c. Checking the back of the pharynx using a tongue blade and flashlight.
d. Instructing the client to breath slowly.
17. A nurse has an order to obtain a urinalysis from a client with an indwelling urinary
catheter. The nurse avoids which of the following, which could contaminate the
specimen?
a. Obtaining the specimen from the urinary drainage bag
b. Clamping the tubing of the drainage bag
c. Aspirating a sample from the port on the drainage bag
d. Wiping the port with an alcohol swab before inserting the syringe
18. A nursing assistant is caring for an elderly client with cystitis who has an indwelling
urinary catheter. The registered nurse provides directions regarding care and ensures
that the nursing assistant:
a. Uses soap and water to cleanse the perineal area
b. Keeps the drainage bag above the level of the bladder
c. Loops the tubing under the client’s leg
d. Lets the drainage tubing rest under the leg
19. A nurse is inserting an indwelling urinary catheter into a male client. As the
catheter is inserted into the urethra, urine begins to flow into the tubing. At this point,
the nurse:
a. Immediately inflates the balloon
b. Withdraws the catheter approximately 1 inch and inflates the balloon
c. Inserts the catheter until resistance is met and inflates the balloon
d. Inserts the catheter 2.5 to 5 cm and inflates the balloon
20. A nurse is caring for a client with cancer. The client tells the nurse that a lawyer will
be arriving today to prepare a living will. The client asks the nurse to act as one of the
witnesses for the will. The most appropriate nursing action is to:
a. Agree to act as a witness.
b. Refuse to help the client.
c. Inform the client that a nurse caring for the client cannot serve as a witness to a
living will.
d. Call the physician.
21. Which of the following signs and symptoms would the nurse expect to find when
assessing an Asian patient for postoperative pain following abdominal surgery?
a. Decreased blood pressure and heart rate and shallow respiration
b. Quiet crying
c. Immobility, diaphoresis, and avoidance of deep breathing or coughing
d. Changing position q 2 hours
, 22. A patient with signs and symptoms of congestive heart failure and leg edema has
been placed on diuretic therapy. Which of the following data would best gauge his
progress?
a. Fluid intake and output
b. Vital signs
c. Weight
d. Urine specific gravity
23.The correct sequence for assessing the abdomen is:
a. Tympanic percussion, measurement of the abdominal girth and inspection
b. Assessment for distention, tenderness and discoloration around the umbilicus
c. Percussion, palpation and auscultation
d. Auscultation, percussion and palpation
24. Penicillin is classified as an antibiotic with bactericidal action. The term bactericidal
indicates that this antibiotic will:
a. Inhibit the growth of a specific bacterium
b. Destroy a specific bacterium
c. Decrease the number of bacteria
d. Increase the number of bacteria
25. A physician asks a nurse to discontinue the feeding tube in a client who is in a
chronic vegetative state. The physician tells the nurse that the request was made by the
client’s spouse and children. The nurse understands the legal basis for carrying out the
order and first checks the client’s record for documentation of:
a. A court approval to discontinue the treatment.
b. A written order by the physician to remove the tube.
c. Authorization by the family to discontinue the treatment.
d. Approval by the institutional Ethics Committee.
26.A nurse provides medication instructions to a home health care client. To ensure
safe administration of medication in the home, the nurse:
a. Demonstrate the proper procedure for taking prescribed medications.
b. Allows the client to verbalize and demonstrate correct administration procedure.
c. Instruct the client that it is OK to double up on medications if a dose has been
missed.
d. Conducts pill counts on each home visit.
27.A client is admitted to the hospital for a bowel resection following a diagnosis of a
bowel tumor. During the admission assessment, the client tells the nurse that a living
will was prepared three years ago. The client asks the nurse if this document is still
effective. The most appropriate nursing response is which of the following?
a. “Yes it is.”
b. “You will have to ask your lawyer.”
c. “It should be reviewed yearly with your physician.”
d. “I have no idea.”
28.A nurse’s note that a postoperative client has not been obtaining relief of pain with
prescribed narcotics, but only while a particular licensed practical nurse (LPN) is
assigned to the client. The nurse:
a. Reviews the client’s medication administration record and immediately discuss the
situation with the nursing supervisor
b. Notifies the physician that the client needs an increase in narcotic dosage
c. Decides to avoid assigning the LPN to the care of clients receiving narcotics
d. Confronts the LPN with the information about the client having pain control
problems and asks if the LPN is using the narcotics personally
29.A client’s vital signs have noticeably deteriorated over the past four hours following
surgery. A nurse does not recognize the significance of these changes in vital signs and
