Answers 2025
Question No : 1
An elderly service user is admitted to the hospital with swollen ankles. The best way to limit
edema of the feet is for the registered nurse to:
A. Restrict fluids
B. Apply bandages
C. Elevate the legs
D. Do passive range of motion exercises (ROM)
Answer : C
Question No : 2 –
Which of the following actions is the most effective measure to reduce hospital acquired
infections?
A. Double bagging of all contaminated laundry
B. Restricting visitors of infectious service users
C. Using disposable supplies
D. Correct hand washing
Answer : D
Question No : 3 –
A service user is diagnosed with diabetic ketoacidosis. The registered nurse would expect
the physician to prescribe:
A. Regular insulin IV
B. NPH insulin SC
C. Glucagon IM
D. Mixed insulin SC
Answer : A
Question No : 4 –
The rationale for having the service user void before an abdominal paracentesis procedure is
to:
A. Minimize discomfort
B. Avoid abdominal distention
C. Prevent bladder puncture
D. Reduce infection rate
Answer : C
,Question No : 5 –
An 85-year-old man is admitted with dementia. He continuously attempts to remove his
nasogastric tube. The registered nurse applies cloth wrist restraints as ordered. Which of
the following actions by the registered nurse is most appropriate?
A. Evaluate the need to restrain by observing service user’s behavior once every 24 hrs
B. Perform circulation checks to the extremities every two hours
C. Remove the restraints when the service user is sleeping
D. Instruct family to limit physical contact with the service
user Answer : B
Question No : 6 –
During balloon inflation of an indwelling urinary catheter, the service user complains of pain
and discomfort. The registered nurse should:
A. Continue the procedure and assure the service user
B. Aspirate the fluid and remove the catheter
C. Withdraw the fluid and reinsert the catheter
D. Decrease the amount of injected fluid and secure
Answer : C
Question No : 7 –
A service user is to receive 25mg/hr of an aminophylline infusion. The solution prepared
by the pharmacy contains 500mg of aminophylline in 1000ml of D5W. How many
milligrams are available per ml?
A. 0.25 mg/ml
B. 0.5 mg/ml
C. 1 mg/ml
D. 2 mg/ml
Answer : B
Question No : 8 –
A service user has had a total hip joint replacement. Which of the following actions
should the registered nurse consider for the service user’s daily recommended exercise
program?
A. Administering an analgesic before exercising
B. Discontinuing the program if the service user dislikes it
C. Continuing exercises inspire of severe pain
D. Evaluating effectiveness of exercise based on pain scale
Answer : A
,Question No : 9 –
Whilst recovering from surgery a service user develops deep vein thrombosis. The sign that
would indicate this complication to the registered nurse would be:
A. Intermittent claudication
B. Pitting edema of the area
C. Severe pain when raising the legs
D. Localized warmth and tenderness of the site
Answer : D
Question No : 10 –
Which of the following techniques should the registered nurse implement to prevent the
service user’s mucous membranes from drying when the oxygen flow rate is higher than 4
liters per minute?
A. Use a non rebreather mask
B. Add humidity to the delivery system
C. Use a high flow oxygen delivery system
D. Ensure that the prongs are in the nares correctly
Answer : B
Question No : 11 –
Extrapyramidal adverse effects and symptoms are most often associated with which of the
following drug classes?
A. Antidepressants
B. Antipsychotics
C. Antihypertensives
D. Antidysrhythmics
Answer : B
Question No : 12 –
A construction worker was brought to the emergency department and admitted with the
diagnosis of heat stroke due to strenuous physical activity during hot weather conditions.
Which action should the registered nurse take?
A. Immediately immerse the service user in cold water to reduce the service user’s
temperature
B. Administer an antipyretic such as aspirin or acetaminophen
C. Place ice packs to the neck, axillae, scalp and groin
D. Encourage foods and oral fluids that contain carbohydrates and electrolytes
Answer : C
, Question No : 13 –
The registered nurse should observe for which of the following symptoms in a service user
who has just undergone a total thyroidectomy:
A. Weight gain
B. Depressed reflexes
C. Muscle spasm and twitching
D. Irritable behavior
Answer : C
Question No : 14 –
Which of the following indicates the registered nurse is engaging in a therapeutic registered
nurse-service user relationship?
A. The registered nurse establishes a relationship that is mutually beneficial
B. The registered nurse demonstrates sympathetic feelings toward the service user
C. The registered nurse commits to helping the service user find ways to help self
D. The registered nurse utilizes therapeutic touch to convey acceptance of
the service user Answer : C
Question No : 15 –
One factor affecting the pharmokinetics of older service users’ drug absorption is:
A. Decreased gastrointestinal motility
B. A difficulty in swallowing
C. A prevalence of obesity
D. Numerous medications
Answer : A
Question No : 16 –
Pain management for terminally ill service users is most effective when analgesics are given:
A. Around the clock
B. Only when clearly needed
C. After non-pharmacological methods fail
D. As the service user requests
them Answer : A
Question No : 17 –