Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Comprehensive Practice Exams I
1. Carol is an RN working an evening shift on an intake unit of a long -term
care facility. She must ask one of the unregulated health care workers
(UHCWs) to perform a treatment on a resident. What must the RN ensure
before delegating a task to an UHCW?
A. The worker has practiced the task.
B. The worker has the appropriate knowledge and skills.
C. The worker is supervised during the performance of the task.
D. The worker will be guided through the task by another nurse.
2. Angela, a RN, overhears another RN, John, making plans to meet a
hospitalized client "for a drink" the next time the client is released from the
unit on evening pass. What should Angela do?
A. Tell the client that she should not meet the nurse socially.
B. Report the conversation to the nurse manager of
your unit. C. Discuss the overheard conversation
directly with John.
D. Encourage the interaction with the client after discharge.
3. Professional regulations and laws that govern nursing practice are in
place for which of the following reasons?
A. To limit the number of nurses in practice.
B. To ensure that nurses are of good moral
standing. C. To protect the safety of the
public.
D. To ensure that enough new nurses are available.
Case Study: Jessica Smith is 20-years-old and has a diagnosis of depression.
She is admitted to the mental health unit, where she is encouraged to
participate in group sessions and to eat her meals in the common room with
other patients. Questions 4 to 6
4. John Stewart, RN, is assigned to work with Jessica. Jessica asks John if he is
married or has a girlfriend. John responds by saying, “I am curious about why
you asked this question. However, what is important is how you are feeling
today.” John's response would be considered which of the following?
A. Inappropriate; Jessica was just interested in John's personal situation.
B. Inappropriate; John should have answered her to establish a
therapeutic relationship.
C. Appropriate because John is neither married nor has a girlfriend.
D. Appropriate because the focus of a therapeutic relationship is on the
client.
5. During the night shift, Jessica tells a nurse that she is going to -kill herself
and is placed on constant observation. When she asks to use the toilet, the
nurse follows her into the bathroom. Jessica says, “I don't need you to
follow me into the bathroom. Give me some space.” Which of the following
statements by the nurse would be considered the most appropriate?
A. "You are right; I don't need to come into the bathroom with you. I will
wait outside the door."
Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
,Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
B. “I must stay with you until we are sure you are not going to hurt
yourself."
C. “If you think you are going to be alright. I will check on you in 5
minutes.”
D. “I can't imagine that there is anything dangerous in the bathroom,
so go ahead, and I will wait for you in the hall way,"
6. Jessica is ready to be discharged and states to the nurse: “It would be
really good for me if we could meet for coffee if I am feeling depressed
again.” Which of the following statements indicates that the nurse
understands the boundaries of the therapeutic relationship?
A. "That would be okay as long as we go to a public place. Where would
you like to meet?"
B. "Before you leave the hospital, I will make sure you have the
information about the crisis centre.”
C. “We could go to the gym together. Exercise can be very therapeutic
for patients experiencing depression.”
D. “I often meet with people after they are discharged because it is
sometimes difficult to deal with situations after they leave the
hospital.”
7. Andrew, an RN, is employed by a community nursing service and is
scheduled for a daily visit to Mr. H. for a blood pressure check. Andrew is
very busy and is running late, so he decides to skip the visit to Mr. H. today.
He bases this decision on the rationale that his blood pressure was normal
yesterday. This derision would be:
A. Inappropriate; it would be considered neglect of duty.
B. Appropriate; it would be considered a knowledgeable assessment of
the client's situation.
C. Inappropriate; it would be considered client abuse.
D. Appropriate; it would be considered an effective way to prioritize hi s
workload for the day.
8. An RN is working night shift with another nurse and notices that the other
nurse is charting vital signs that she did pot actually take on her patients.
What should the nurse observing this situation do first?
A. Discuss the observations with the other nurse.
B. Nothing; it is not the nurse’s place to report this behaviour.
C. Notify the union steward representing the nursing employees.
D. Do the vital signs on the patients for the other nurse.
Case Study: Mr. Edwards lives in a long-term care facility and has signed a
form to state that he does not want to be resuscitated. During the winter, he
develops an upper respiratory infection that progresses to pneumonia. His
health has rapidly deteriorated, and he is no longer competent. His family
states they want everything possible done for Mr. Edwards, Questions 9 and
10
9. Which of the following should the nurse anticipate?
A. He should be treated with antibiotics for his pneumonia.
B. He should be resuscitated if he has a respiratory arrest.
C. The wishes of his family will he followed.
D. Pharmacologic intervention should not be initiated.
Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
,Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
10.On morning rounds, the nurse finds Mr. Edwards without vital signs. What
should the nurse do?
A. Notify the physician that the patient has no vital signs,
B. Begin CPR and call for an ambulance.
C. Call the supervisor for further directions.
D. Go to the desk and review the chart to determine the resuscitation
status.
11.Mr. Ralph has been prescribed a narcotic analgesic to be given around
the clock for his cancer- related pain. He is competent and has actively been
involved in decisions regarding his care. What should the nurse do when Mr.
Ralph refuses his next dose?
A. Try to persuade him to take the medication as ordered by the doctor.
B. Ensure that he understands the rationale for taking the medication as
ordered.
C. Ask his wife to hold his hands while you put the pill under his tongue.
D. Document his choice and reassess his pain in 1 hour.
12.A 70-year-old man is admitted to the emergency department
unconscious with a ruptured abdominal aortic aneurysm. No family
members are present, and the surgeon instructs the staff to lake the client
directly to the operating room for lifesaving surgery. Which of the following
actions should the nurse take regarding informed consent?
A. Take the client to the operating room for surgery without informed
consent.
B. Keep the patient in the emergency department until the
family has been contacted.
C. Ask the nursing supervisor to cont act the hospital lawyer.
D. Contact the hospital chaplain so he can sign the consent on the client’s
behalf.
13.Linda is a staff nurse who suspects that one of her coworkers is self -
administering illegal drugs during work hours. Which of the following is
Linda's first priority?
A. Notify the nurse manager and document the situation.
B. Determine if this is a breach of any hospital policy.
C. Report the nurse to the provincial or territorial governing body.
D. Discuss her concerns wit h one of the doctors.
14.A nurse is caring for a client with a fresh postoperative wound after a
femoral- popliteal revascularization procedure. The nurse fails to routinely
assess the pedal pulses on the affected leg, and the blood vessel becomes
occluded. The nurse is at risk for being accused of which of the following?
A. Malpractice.
B. Negligence.
C. Refusal of treatment.
D. Forgetfulness.
Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
, Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
15.A patient on a surgical unit asks a nurse her opinion of her surgeon. The
nurse replies. "He is a rude man, and his patients always end up with
infections." The nurse is at risk of being accused of which of the following?
A. Libel.
B. Slander.
C. Negligence.
D. Assault.
16.A nurse on a medical unit charts in the patient’s medical records: "The
doctor was tardy and negligent in his follow- up care.” The nurse is at risk
of being accused of which of the following?
A. Negligence.
B. Slande
r. C. Libel.
D. Ignorance.
17.A nurse reports to a physician that a client receiving a blood
transfusion has an increased temperature of IDC greater than his
baseline and is complaining of a headache. The doctor tells the nurse to
continue the blood infusion. By following the order, the nurse is at risk of
being accused of which of the following?
A. Negligenc
e. B.
Malpractice.
C. Assault.
D. Unethical conduct.
18.Mr. Brown uses a wheelchair. On one occasion, he is unable to call the
nurse to assist him to the toilet. He urinates in his wheelchair. His nurse
scolds him in front of other residents for his "accident." The nurse has
demonstrated which of the following?
A. Verbal abuse.
B. Incompetence.
C. Reinforcement.
D. Negligence.
19.Maureen, a nurse working on a medical unit, is caring for Sally, a client
with anemia. Maureen has a part -time business selling vitamins and
supplements and approaches Sally, offering to sell her vitamins to help
"improve her blood.” When another nurse overhears this conversation, he
should discuss which of the following with Maureen?
A. How he can also start selling the vitamins and supplements.
B. That Maureen is in a conflict of interest.
C. How impressed he is with the initiative Maureen has taken.
D. The cost of the supplements she is selling.
20.After surgery, the surgeon writes "resume pre-opmeds" as an order on
a patient's chart. What should the nurse do with this order?
A. Contact the surgeon for clarification because this is not a complete
order.
Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Comprehensive Practice Exams I
1. Carol is an RN working an evening shift on an intake unit of a long -term
care facility. She must ask one of the unregulated health care workers
(UHCWs) to perform a treatment on a resident. What must the RN ensure
before delegating a task to an UHCW?
A. The worker has practiced the task.
B. The worker has the appropriate knowledge and skills.
C. The worker is supervised during the performance of the task.
D. The worker will be guided through the task by another nurse.
2. Angela, a RN, overhears another RN, John, making plans to meet a
hospitalized client "for a drink" the next time the client is released from the
unit on evening pass. What should Angela do?
A. Tell the client that she should not meet the nurse socially.
B. Report the conversation to the nurse manager of
your unit. C. Discuss the overheard conversation
directly with John.
D. Encourage the interaction with the client after discharge.
3. Professional regulations and laws that govern nursing practice are in
place for which of the following reasons?
A. To limit the number of nurses in practice.
B. To ensure that nurses are of good moral
standing. C. To protect the safety of the
public.
D. To ensure that enough new nurses are available.
Case Study: Jessica Smith is 20-years-old and has a diagnosis of depression.
She is admitted to the mental health unit, where she is encouraged to
participate in group sessions and to eat her meals in the common room with
other patients. Questions 4 to 6
4. John Stewart, RN, is assigned to work with Jessica. Jessica asks John if he is
married or has a girlfriend. John responds by saying, “I am curious about why
you asked this question. However, what is important is how you are feeling
today.” John's response would be considered which of the following?
A. Inappropriate; Jessica was just interested in John's personal situation.
B. Inappropriate; John should have answered her to establish a
therapeutic relationship.
C. Appropriate because John is neither married nor has a girlfriend.
D. Appropriate because the focus of a therapeutic relationship is on the
client.
5. During the night shift, Jessica tells a nurse that she is going to -kill herself
and is placed on constant observation. When she asks to use the toilet, the
nurse follows her into the bathroom. Jessica says, “I don't need you to
follow me into the bathroom. Give me some space.” Which of the following
statements by the nurse would be considered the most appropriate?
A. "You are right; I don't need to come into the bathroom with you. I will
wait outside the door."
Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
,Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
B. “I must stay with you until we are sure you are not going to hurt
yourself."
C. “If you think you are going to be alright. I will check on you in 5
minutes.”
D. “I can't imagine that there is anything dangerous in the bathroom,
so go ahead, and I will wait for you in the hall way,"
6. Jessica is ready to be discharged and states to the nurse: “It would be
really good for me if we could meet for coffee if I am feeling depressed
again.” Which of the following statements indicates that the nurse
understands the boundaries of the therapeutic relationship?
A. "That would be okay as long as we go to a public place. Where would
you like to meet?"
B. "Before you leave the hospital, I will make sure you have the
information about the crisis centre.”
C. “We could go to the gym together. Exercise can be very therapeutic
for patients experiencing depression.”
D. “I often meet with people after they are discharged because it is
sometimes difficult to deal with situations after they leave the
hospital.”
7. Andrew, an RN, is employed by a community nursing service and is
scheduled for a daily visit to Mr. H. for a blood pressure check. Andrew is
very busy and is running late, so he decides to skip the visit to Mr. H. today.
He bases this decision on the rationale that his blood pressure was normal
yesterday. This derision would be:
A. Inappropriate; it would be considered neglect of duty.
B. Appropriate; it would be considered a knowledgeable assessment of
the client's situation.
C. Inappropriate; it would be considered client abuse.
D. Appropriate; it would be considered an effective way to prioritize hi s
workload for the day.
8. An RN is working night shift with another nurse and notices that the other
nurse is charting vital signs that she did pot actually take on her patients.
What should the nurse observing this situation do first?
A. Discuss the observations with the other nurse.
B. Nothing; it is not the nurse’s place to report this behaviour.
C. Notify the union steward representing the nursing employees.
D. Do the vital signs on the patients for the other nurse.
Case Study: Mr. Edwards lives in a long-term care facility and has signed a
form to state that he does not want to be resuscitated. During the winter, he
develops an upper respiratory infection that progresses to pneumonia. His
health has rapidly deteriorated, and he is no longer competent. His family
states they want everything possible done for Mr. Edwards, Questions 9 and
10
9. Which of the following should the nurse anticipate?
A. He should be treated with antibiotics for his pneumonia.
B. He should be resuscitated if he has a respiratory arrest.
C. The wishes of his family will he followed.
D. Pharmacologic intervention should not be initiated.
Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
,Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
10.On morning rounds, the nurse finds Mr. Edwards without vital signs. What
should the nurse do?
A. Notify the physician that the patient has no vital signs,
B. Begin CPR and call for an ambulance.
C. Call the supervisor for further directions.
D. Go to the desk and review the chart to determine the resuscitation
status.
11.Mr. Ralph has been prescribed a narcotic analgesic to be given around
the clock for his cancer- related pain. He is competent and has actively been
involved in decisions regarding his care. What should the nurse do when Mr.
Ralph refuses his next dose?
A. Try to persuade him to take the medication as ordered by the doctor.
B. Ensure that he understands the rationale for taking the medication as
ordered.
C. Ask his wife to hold his hands while you put the pill under his tongue.
D. Document his choice and reassess his pain in 1 hour.
12.A 70-year-old man is admitted to the emergency department
unconscious with a ruptured abdominal aortic aneurysm. No family
members are present, and the surgeon instructs the staff to lake the client
directly to the operating room for lifesaving surgery. Which of the following
actions should the nurse take regarding informed consent?
A. Take the client to the operating room for surgery without informed
consent.
B. Keep the patient in the emergency department until the
family has been contacted.
C. Ask the nursing supervisor to cont act the hospital lawyer.
D. Contact the hospital chaplain so he can sign the consent on the client’s
behalf.
13.Linda is a staff nurse who suspects that one of her coworkers is self -
administering illegal drugs during work hours. Which of the following is
Linda's first priority?
A. Notify the nurse manager and document the situation.
B. Determine if this is a breach of any hospital policy.
C. Report the nurse to the provincial or territorial governing body.
D. Discuss her concerns wit h one of the doctors.
14.A nurse is caring for a client with a fresh postoperative wound after a
femoral- popliteal revascularization procedure. The nurse fails to routinely
assess the pedal pulses on the affected leg, and the blood vessel becomes
occluded. The nurse is at risk for being accused of which of the following?
A. Malpractice.
B. Negligence.
C. Refusal of treatment.
D. Forgetfulness.
Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
, Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
15.A patient on a surgical unit asks a nurse her opinion of her surgeon. The
nurse replies. "He is a rude man, and his patients always end up with
infections." The nurse is at risk of being accused of which of the following?
A. Libel.
B. Slander.
C. Negligence.
D. Assault.
16.A nurse on a medical unit charts in the patient’s medical records: "The
doctor was tardy and negligent in his follow- up care.” The nurse is at risk
of being accused of which of the following?
A. Negligence.
B. Slande
r. C. Libel.
D. Ignorance.
17.A nurse reports to a physician that a client receiving a blood
transfusion has an increased temperature of IDC greater than his
baseline and is complaining of a headache. The doctor tells the nurse to
continue the blood infusion. By following the order, the nurse is at risk of
being accused of which of the following?
A. Negligenc
e. B.
Malpractice.
C. Assault.
D. Unethical conduct.
18.Mr. Brown uses a wheelchair. On one occasion, he is unable to call the
nurse to assist him to the toilet. He urinates in his wheelchair. His nurse
scolds him in front of other residents for his "accident." The nurse has
demonstrated which of the following?
A. Verbal abuse.
B. Incompetence.
C. Reinforcement.
D. Negligence.
19.Maureen, a nurse working on a medical unit, is caring for Sally, a client
with anemia. Maureen has a part -time business selling vitamins and
supplements and approaches Sally, offering to sell her vitamins to help
"improve her blood.” When another nurse overhears this conversation, he
should discuss which of the following with Maureen?
A. How he can also start selling the vitamins and supplements.
B. That Maureen is in a conflict of interest.
C. How impressed he is with the initiative Maureen has taken.
D. The cost of the supplements she is selling.
20.After surgery, the surgeon writes "resume pre-opmeds" as an order on
a patient's chart. What should the nurse do with this order?
A. Contact the surgeon for clarification because this is not a complete
order.
Comprehensive
Comprehensive Practice
Practice Exams
Exams 1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
1.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
