NURSINGPRACTICETEST
1
,NURSINGPRACTICETEST
2
,NURSINGPRACTICETEST
FUNDAMENTALSOFNURSI
NG
Si
tuat
ion1-Mr.I
barrai
sassignedtothetri
ageareaandwhi l
eondut y,heassessesthecondit
ion
ofMrs.
Simonwhoc ameinwithasthma.Shehasdiff
icult
ybr eat
hingandherr es
pirator
yrateis40
permi
nute.Mr
.Ibar
raisaskedtoinjec
tthecli
entepinephri
ne0.3mgs ubcut
aneous ly
1
.Theindicati
onf orepinephr inei
nject
ionforMrs.
Simoni
sto:
a.
Reduc eanaphyl axis
b.Rel
ievehyper sensiti
vitytoall
ergen
c.
Reli
ever espiratorydistressduetobronchi
alspas
m
d.Res
t or
ec l
ient'scardiacrhythm
2.Whenpr epar
ingtheepi nephri
neinject
ionf r
omanampul e,thenurs
eini
ti
all
y:
a.
Tapst heampuleatt het optoal
lowf l
uidt oflowtothebas eoft
heampule
b.Checksexpir
ationdat eofthemedi c
ationampul e
c.
Removesneedl ec apofs yri
ngeandpul lsplungertoexpelair
d.Breakstheneckoft heampul ewithagauz ewr appedaroundit
3.Mrs.Si
moni sobes e.Whenadmi nist
eringas ubcut
aneousi njec
tiont
oanobes epat
ient
.Iti
s
bes
tforthenurseto:
a.Inj
ectneedleata1 5degreeangl
eovert hes t
ret
c hedskinofthecl
ient
b.Pinchski
natt hei njec
tionsi
teandus eairl
ocktec hni
que
c.Pulls
kinofpat i
entdownt oadministerthedruginaZt rack
d.Spreadskinorpi nchatt hei
njec
tions i
teandinjectneedleata45-90degr
eeangle
4.Whenprepari
ngf orasubcutaneousi
njec
tion,
thepr
opersi
zeofs
yri
ngeandneedl
ewoul
d
be:
a. Syr inge3ml andneedlegauge21to23
b. Tuber c
ulinsyri
nge1ml withneedl
egauge26or27
c.
Syr
inge2ml andneedlegauge22
d. Syr ingel-3mlandneedlegauge25to27
5.Ther
ati
onalef
orgivingmedicati
onst hrought hesubcutaneousrouteis
;
a. Ther earemanyal t
ernati
ves it
esf orsubcut
aneousi njec
tion
b. Abs orpti
ontimeoft hemedi ci
neiss l
ower
c. Ther ear
elesspainreceptorsinthisarea
d. Themedi c
ationcanbeinjectedwhi l
et hecl
ientisinanypositi
on
Si
tuati
on2-Theuseofmassageandmedi
tati
ontohelpdecreas
est
res
sandpai
nhavebeen
st
ronglyr
ecommendedbasedondocumentedtes
timoni
als
.
6.Mar thawant stodoas tudyonthetopi
c."
Eff
ect
sofmas
sageandmedi
tat
ionons
tres
sand
pai
n."Thetypeof
researchthatbestsuitsthi
stopi
cis
:
a. Appl i
edr esear
c h
b. Qual it
ativeresearch
c. Basicresearch
d. Quant itati
veresearch
3
, NURSINGPRACTICETEST
7
.Thet
ypeofresearchdesignthatdoesnotmani
pul
atei
ndependentvar
iabl
eis
:
a. Experimentaldesign
b. Quas i
-experi
ment aldesi
gn
c. Non-experi
ment aldesign
d. Quant i
tati
vedes i
gn
8.Thi
sres
earchtopichasthepot ent
ialt
ocontri
but
etonur
singbec
aus
eits
eekst
o:
a. I ncl
udenewmodal it
iesofcare
b. Res olveaclini
calproblem
c. Cl ar
ifyanambi guousmodal i
tyofcar
e
d. Enhanc ec l
ientcare
9.Mar thadoesr eviewofr elatedl iterat
ureforthepur poseof
:
a. Det er mines tati
s ti
cal t
r eat mentofdataresearch
b. Or ientationt owhati sal readyknownorunknown
c. Toi dent if
yifpr oblemc anber epli
cated
d. Ans weringt heres ear chques t
ion
e.
10.Cli
ent '
srightss houldbepr otect edwhendoi ngresearc
husinghumans
ubj
ect
s.Mar
tha
identi
fiesthes erightsas
fol
lowsEXCEPT:
a. r i
ghtofs elf
-det ermi nat i
on
b. r i
ghtt oc ompens ation
c. r ightofpr ivac y
d. r i
ghtnott obehar med
Sit
uation3-Richar
dhasanursingdiagnosisofi
neffecti
veair
wayc l
earancer
elat
edtoexces
sive
secret
ionsandisatri
skfori
nfecti
onbec auseofretai
nedsecret
ions.
PartofNurseMar
io'
snursi
ng
careplani
stoloosenandremoveexc ess
ivesecreti
onsintheair
way,
1
1 .Mari
ol i
stenst oRic hard'sbilaterals
oundsandf indst hatcongesti
oni si
ntheupperl obesof
thelungs.The
appropri
atepos i
tiont odraint heant eri
orandpos t
eriorapicals
egment soft helungswhen
Mar i
odoesper cus si
on
wouldbe:
a. Cl ientlyingonhi sbac kt henflatonhisabdomenonTr endelenburgpos i
ti
on
b. Cl ientseat edupr ighti nbedoronac hairthenl eani
ngf orwardinsit
tingpos i
ti
on
c. Cl ientlyingf latonhi sbac kandt henflatonhi sabdomen
d. Cl ientlyingonhi srightt henleftsideonTr endelenburgpos i
tion
12.Whendocument i
ngoutcomeofRi chard'
st r
eatment
,Marioshouldinc
ludethefol
lowi
ngi
n
hisrec
ordi
ngEXCEPT:
a. Col or,
amountandc onsi
stentofsputum
b. Char acterofbreathsoundsandr espir
ator
yratebeforeandafterpr
ocedure
c. Amountoff luidi
ntakeofc l
ientbef
or eandaf
tertheprocedure
d. Si gni
ficantchangesinvi
talsigns
1
3.Whenas s
es si
ngRic har
df orchestperc
us s
ionorc hes
tvibrationandpos t
uraldr
ainageMar
io
wouldfoc
usont he
foll
owingEXCEPT:
a.Amountoff oodandf l
ui dtakenduri
ngt helas
tmeal beforet r
eatment
b.Res pirator
yr ate,br
eat hsoundsandlocationofcongestion
c.Teac hingthec l
ient'
srelati
vestoperform' t
heprocedure
d.Doc tor '
sorderregardingpos i
ti
onrestri
c t
ionandcli
ent'stoleranc
eforlyi
ngflat
4
1
,NURSINGPRACTICETEST
2
,NURSINGPRACTICETEST
FUNDAMENTALSOFNURSI
NG
Si
tuat
ion1-Mr.I
barrai
sassignedtothetri
ageareaandwhi l
eondut y,heassessesthecondit
ion
ofMrs.
Simonwhoc ameinwithasthma.Shehasdiff
icult
ybr eat
hingandherr es
pirator
yrateis40
permi
nute.Mr
.Ibar
raisaskedtoinjec
tthecli
entepinephri
ne0.3mgs ubcut
aneous ly
1
.Theindicati
onf orepinephr inei
nject
ionforMrs.
Simoni
sto:
a.
Reduc eanaphyl axis
b.Rel
ievehyper sensiti
vitytoall
ergen
c.
Reli
ever espiratorydistressduetobronchi
alspas
m
d.Res
t or
ec l
ient'scardiacrhythm
2.Whenpr epar
ingtheepi nephri
neinject
ionf r
omanampul e,thenurs
eini
ti
all
y:
a.
Tapst heampuleatt het optoal
lowf l
uidt oflowtothebas eoft
heampule
b.Checksexpir
ationdat eofthemedi c
ationampul e
c.
Removesneedl ec apofs yri
ngeandpul lsplungertoexpelair
d.Breakstheneckoft heampul ewithagauz ewr appedaroundit
3.Mrs.Si
moni sobes e.Whenadmi nist
eringas ubcut
aneousi njec
tiont
oanobes epat
ient
.Iti
s
bes
tforthenurseto:
a.Inj
ectneedleata1 5degreeangl
eovert hes t
ret
c hedskinofthecl
ient
b.Pinchski
natt hei njec
tionsi
teandus eairl
ocktec hni
que
c.Pulls
kinofpat i
entdownt oadministerthedruginaZt rack
d.Spreadskinorpi nchatt hei
njec
tions i
teandinjectneedleata45-90degr
eeangle
4.Whenprepari
ngf orasubcutaneousi
njec
tion,
thepr
opersi
zeofs
yri
ngeandneedl
ewoul
d
be:
a. Syr inge3ml andneedlegauge21to23
b. Tuber c
ulinsyri
nge1ml withneedl
egauge26or27
c.
Syr
inge2ml andneedlegauge22
d. Syr ingel-3mlandneedlegauge25to27
5.Ther
ati
onalef
orgivingmedicati
onst hrought hesubcutaneousrouteis
;
a. Ther earemanyal t
ernati
ves it
esf orsubcut
aneousi njec
tion
b. Abs orpti
ontimeoft hemedi ci
neiss l
ower
c. Ther ear
elesspainreceptorsinthisarea
d. Themedi c
ationcanbeinjectedwhi l
et hecl
ientisinanypositi
on
Si
tuati
on2-Theuseofmassageandmedi
tati
ontohelpdecreas
est
res
sandpai
nhavebeen
st
ronglyr
ecommendedbasedondocumentedtes
timoni
als
.
6.Mar thawant stodoas tudyonthetopi
c."
Eff
ect
sofmas
sageandmedi
tat
ionons
tres
sand
pai
n."Thetypeof
researchthatbestsuitsthi
stopi
cis
:
a. Appl i
edr esear
c h
b. Qual it
ativeresearch
c. Basicresearch
d. Quant itati
veresearch
3
, NURSINGPRACTICETEST
7
.Thet
ypeofresearchdesignthatdoesnotmani
pul
atei
ndependentvar
iabl
eis
:
a. Experimentaldesign
b. Quas i
-experi
ment aldesi
gn
c. Non-experi
ment aldesign
d. Quant i
tati
vedes i
gn
8.Thi
sres
earchtopichasthepot ent
ialt
ocontri
but
etonur
singbec
aus
eits
eekst
o:
a. I ncl
udenewmodal it
iesofcare
b. Res olveaclini
calproblem
c. Cl ar
ifyanambi guousmodal i
tyofcar
e
d. Enhanc ec l
ientcare
9.Mar thadoesr eviewofr elatedl iterat
ureforthepur poseof
:
a. Det er mines tati
s ti
cal t
r eat mentofdataresearch
b. Or ientationt owhati sal readyknownorunknown
c. Toi dent if
yifpr oblemc anber epli
cated
d. Ans weringt heres ear chques t
ion
e.
10.Cli
ent '
srightss houldbepr otect edwhendoi ngresearc
husinghumans
ubj
ect
s.Mar
tha
identi
fiesthes erightsas
fol
lowsEXCEPT:
a. r i
ghtofs elf
-det ermi nat i
on
b. r i
ghtt oc ompens ation
c. r ightofpr ivac y
d. r i
ghtnott obehar med
Sit
uation3-Richar
dhasanursingdiagnosisofi
neffecti
veair
wayc l
earancer
elat
edtoexces
sive
secret
ionsandisatri
skfori
nfecti
onbec auseofretai
nedsecret
ions.
PartofNurseMar
io'
snursi
ng
careplani
stoloosenandremoveexc ess
ivesecreti
onsintheair
way,
1
1 .Mari
ol i
stenst oRic hard'sbilaterals
oundsandf indst hatcongesti
oni si
ntheupperl obesof
thelungs.The
appropri
atepos i
tiont odraint heant eri
orandpos t
eriorapicals
egment soft helungswhen
Mar i
odoesper cus si
on
wouldbe:
a. Cl ientlyingonhi sbac kt henflatonhisabdomenonTr endelenburgpos i
ti
on
b. Cl ientseat edupr ighti nbedoronac hairthenl eani
ngf orwardinsit
tingpos i
ti
on
c. Cl ientlyingf latonhi sbac kandt henflatonhi sabdomen
d. Cl ientlyingonhi srightt henleftsideonTr endelenburgpos i
tion
12.Whendocument i
ngoutcomeofRi chard'
st r
eatment
,Marioshouldinc
ludethefol
lowi
ngi
n
hisrec
ordi
ngEXCEPT:
a. Col or,
amountandc onsi
stentofsputum
b. Char acterofbreathsoundsandr espir
ator
yratebeforeandafterpr
ocedure
c. Amountoff luidi
ntakeofc l
ientbef
or eandaf
tertheprocedure
d. Si gni
ficantchangesinvi
talsigns
1
3.Whenas s
es si
ngRic har
df orchestperc
us s
ionorc hes
tvibrationandpos t
uraldr
ainageMar
io
wouldfoc
usont he
foll
owingEXCEPT:
a.Amountoff oodandf l
ui dtakenduri
ngt helas
tmeal beforet r
eatment
b.Res pirator
yr ate,br
eat hsoundsandlocationofcongestion
c.Teac hingthec l
ient'
srelati
vestoperform' t
heprocedure
d.Doc tor '
sorderregardingpos i
ti
onrestri
c t
ionandcli
ent'stoleranc
eforlyi
ngflat
4
