NSG 0128 RPN Practice Questions and Answers
Which of the following recommendation made by the nurse to the patient with
multiple sclerosis is appropriate?
a. Rest-activity sequence
b. Nap in the afternoon
c. Rest whole day
d. Complete bedrest
Rationale: A – fatigue can strike anytime during the day on the patient with
MS. Rest must be taken in between activities.
Osteoarthritis is a disease that affects joints in the body. It can involve any
joint, but usually concerns hands and weight-bearing joints such as hips, knees,
feet and spine. When giving health teaching on activities on the patient with
osteoarthritis, the RPN will correctly inform the patient to:
a. Do little movement
b. Some exercise
c. Walk
d. Active physical activities
Rationale: C – Exercise helps lessen the symptoms of OA and can help make the
patient feel better overall. Moderate stretching exercises will help relieve the pain
and keep the muscles and tendons around the affected joint more flexible and
strong. Low-impact exercises like swimming, walking, water aerobics and
stationary bicycling can all reduce pain while maintaining strength and flexibility.
Marie is a 65- year - old elderly female patient who came in with hip fracture.
She was scheduled for total hip replacement. On pre-op day, Marie asks the
RN what can possibly predispose her to this problem. The most appropriate
, nursing response would be:
a. “Your weight”
b. “Your osteoporosis”
c. “Your age”
d. “Your genes”
Rationale: C – menopause predisposes the female patient to decalcification of
bones (from lack of estrogen) causing hip fracture
Following hip replacement, care of patient would include:
a. Preventing abduction
b. Preventing adduction
c. Promoting external rotation
d. Preventing extension
Rationale: B – preventing adduction (promoting abduction) prevents hip dislocation
post op
A patient with cardiac disease complains of chest pain radiating to his
shoulder. The physician ordered morphine, NTG and Lasix. Why was
morphine and NTG ordered?
a. To alleviate pain
b. To dilate vessels
c. To sedate the patient
d. To promote urination
Rationale: A – Morphine and NTG promote pain relief
, Post CABG, the patient HR went down. Which of the following drugs should be
given to the patient?
a. Digoxin
b. Atropine
c. Morphine
d. Inderal
Rationale: B – Atropine increases the heart rate
A community clinic strongly supports the needle exchange program for drug
users. Which of the following is the primary goal of this program?
a. harmful reduction
b. primary prevention
c. secondary prevention
d. tertiary prevention
Rationale: A - A hypodermic needle-exchange program or syringe exchange
program (SEP) is a sometimes controversial social policy, based on the
philosophy of harm reduction where injection drug users can obtain hypodermic
needles and associated injection equipment at little or no cost. These programs are
called "exchanges" because many require exchanging used needles for an equal
number of new needles. In practice, some programs vary in their stringency; in the
Canadian capital Ottawa, for example, participating clinics do not demand used
needles before giving out new ones.
Ken is a 5-year-old boy who came back from the recovery room following
tonsillectomy. When doing post op assessment, the RPN notes that Ken is
swallowing more frequently now. What is an appropriately nursing action?
a. Inform the physician
, b. Watch the patient more closely
c. Inspect throat using tongue blade
d. Administer pain medication
Rationale: A – frequent swallowing post tonsillectomy is a sign of bleeding. The
physician must be informed.
Case Study
Sandy was 10 years old when her teacher became concerned about possible abuse.
She was extremely shy and withdrawn and often took a great deal of time to grasp
ideas, despite the fact that testing showed no significant organic or perceptual
difficulties. Her mother, a professional artist who had chosen to stay home with
her four children, and her father, an accountant, found Sandy's slowness especially
distressing.
Questions 1 to 2 refer to this case
When doing physical assessment, which of the following findings strongly
support child abuse?
a. Different shapes and bruises all the body
b. The child has no eye contact when speaking with the nurse – this is not
specific to abuse
c. The mother has low self esteem – this is for the abuser and not for the abuse
d. The parent has a history of being abused when she was a child – this is for
the abuser and not for the abuse Rationale: A - Injuries appear to have a pattern
such as marks from a hand or belt.
As the homework required of Sandy increased, she became more withdrawn. The
Which of the following recommendation made by the nurse to the patient with
multiple sclerosis is appropriate?
a. Rest-activity sequence
b. Nap in the afternoon
c. Rest whole day
d. Complete bedrest
Rationale: A – fatigue can strike anytime during the day on the patient with
MS. Rest must be taken in between activities.
Osteoarthritis is a disease that affects joints in the body. It can involve any
joint, but usually concerns hands and weight-bearing joints such as hips, knees,
feet and spine. When giving health teaching on activities on the patient with
osteoarthritis, the RPN will correctly inform the patient to:
a. Do little movement
b. Some exercise
c. Walk
d. Active physical activities
Rationale: C – Exercise helps lessen the symptoms of OA and can help make the
patient feel better overall. Moderate stretching exercises will help relieve the pain
and keep the muscles and tendons around the affected joint more flexible and
strong. Low-impact exercises like swimming, walking, water aerobics and
stationary bicycling can all reduce pain while maintaining strength and flexibility.
Marie is a 65- year - old elderly female patient who came in with hip fracture.
She was scheduled for total hip replacement. On pre-op day, Marie asks the
RN what can possibly predispose her to this problem. The most appropriate
, nursing response would be:
a. “Your weight”
b. “Your osteoporosis”
c. “Your age”
d. “Your genes”
Rationale: C – menopause predisposes the female patient to decalcification of
bones (from lack of estrogen) causing hip fracture
Following hip replacement, care of patient would include:
a. Preventing abduction
b. Preventing adduction
c. Promoting external rotation
d. Preventing extension
Rationale: B – preventing adduction (promoting abduction) prevents hip dislocation
post op
A patient with cardiac disease complains of chest pain radiating to his
shoulder. The physician ordered morphine, NTG and Lasix. Why was
morphine and NTG ordered?
a. To alleviate pain
b. To dilate vessels
c. To sedate the patient
d. To promote urination
Rationale: A – Morphine and NTG promote pain relief
, Post CABG, the patient HR went down. Which of the following drugs should be
given to the patient?
a. Digoxin
b. Atropine
c. Morphine
d. Inderal
Rationale: B – Atropine increases the heart rate
A community clinic strongly supports the needle exchange program for drug
users. Which of the following is the primary goal of this program?
a. harmful reduction
b. primary prevention
c. secondary prevention
d. tertiary prevention
Rationale: A - A hypodermic needle-exchange program or syringe exchange
program (SEP) is a sometimes controversial social policy, based on the
philosophy of harm reduction where injection drug users can obtain hypodermic
needles and associated injection equipment at little or no cost. These programs are
called "exchanges" because many require exchanging used needles for an equal
number of new needles. In practice, some programs vary in their stringency; in the
Canadian capital Ottawa, for example, participating clinics do not demand used
needles before giving out new ones.
Ken is a 5-year-old boy who came back from the recovery room following
tonsillectomy. When doing post op assessment, the RPN notes that Ken is
swallowing more frequently now. What is an appropriately nursing action?
a. Inform the physician
, b. Watch the patient more closely
c. Inspect throat using tongue blade
d. Administer pain medication
Rationale: A – frequent swallowing post tonsillectomy is a sign of bleeding. The
physician must be informed.
Case Study
Sandy was 10 years old when her teacher became concerned about possible abuse.
She was extremely shy and withdrawn and often took a great deal of time to grasp
ideas, despite the fact that testing showed no significant organic or perceptual
difficulties. Her mother, a professional artist who had chosen to stay home with
her four children, and her father, an accountant, found Sandy's slowness especially
distressing.
Questions 1 to 2 refer to this case
When doing physical assessment, which of the following findings strongly
support child abuse?
a. Different shapes and bruises all the body
b. The child has no eye contact when speaking with the nurse – this is not
specific to abuse
c. The mother has low self esteem – this is for the abuser and not for the abuse
d. The parent has a history of being abused when she was a child – this is for
the abuser and not for the abuse Rationale: A - Injuries appear to have a pattern
such as marks from a hand or belt.
As the homework required of Sandy increased, she became more withdrawn. The
