NURSING EXAM TEST
[Author name]
[COMPANY NAME] [Company address]
, NURSING EXAM TEST
Exam 3
1. You are starting your shift after a 56 y/o male pt, Daniel, has been admitted to the ICU for DKA.
Already exhibiting confusion and irritability. His blood gases are pH=7.28, pCO2=33. HCO3=22,
Na=158. Vital signs are; BP=101/53, temp 99.0, pulse28. He has been on isotonic fluids for an
hour, but his blood glucose reading is 550 mg/dl. What would be the best IV solution infusion
for this pt at this time?
a. ½ NS
b. Bicarb drip in ½ NS
c. 0.9% NS
d. 5% dextrose in ½ NS
2 . A 50 y/o male presents with a variety of urinary complaints that include, dribbling,
hesitancy, urgency and nocturia. He states that he is awakened at least three times each evening
because of his symptoms. In his initial work up, the patients, UA is negative for infection, and his
prostate specific antigen level is 3.2. At this time, the next appropriate test or exam to order
would be which of the following?
a. MRI
b. TRANSURETHRAL US
c. CT scan of the pelvis
d. Kidney, ureter and bladder x-ray.
3. A pt had his appendix removed and is now experiencing post op fever. Which of the following
management options should be initiated for this pt?
a. antibiotic regimen
b. SUPPORTIVE FLUID THERAPY
c. have the pt go on a post op diet
d. D/C all medications as this is an allergic reaction to treatment
4. A 63 y/o Caucasian comes to the clinic for a check up and a BP of 125/80 is noted. The
examination reveals nothing remarkable. His history is also unremarkable. The NP checks his bp
, NURSING EXAM TEST
before he leaves and notes a bp of 120/82. Of the following, which must the NP include for
treatment?
a. CCB
b. schedule pt for exercise stress test
, NURSING EXAM TEST
c. ADVISE THERAPEUTIC LIFESTYLE CHANGES
d. prescribe ACE inhibitor
5. a 20 y/o male is brought into the psychiatric ward after threatening his family with violence.
He is very volatile and is indicating that he may harm himself is left alone. For this reason alone,
discharging the patient is not an option, if the NP were to discharge the pt, however, and he then
harmed himself or someone else, who would be liable?
a. THE NP
b. the department physician
c. the hospital
d. the hospital security personnel
6. A pt with a family history of chronic lung conditions comes to your office. He is active, eats
healthy, and is not a smoker, however, he thinks he may have asthma and wants to understand
the condition. Based on typical disease categorization, asthma is classified as
a. restrictive
b. OBSTRUCTIVE
c. mixed
d. neither
7. the first practitioner programs were initiated, primarily, because of what issues in health care
at the time?
a. PEDIATRIC PHYSICIAN SHORTAGES
b. indigent pt needs
c. managed care
d. hospital restructuring
8. An elderly pt takes an herbal root to help fight cold symptoms; however, he has a history
of renal insufficiency. Of the following, which could result from the pts condition and his
homeopathic treatment?
[Author name]
[COMPANY NAME] [Company address]
, NURSING EXAM TEST
Exam 3
1. You are starting your shift after a 56 y/o male pt, Daniel, has been admitted to the ICU for DKA.
Already exhibiting confusion and irritability. His blood gases are pH=7.28, pCO2=33. HCO3=22,
Na=158. Vital signs are; BP=101/53, temp 99.0, pulse28. He has been on isotonic fluids for an
hour, but his blood glucose reading is 550 mg/dl. What would be the best IV solution infusion
for this pt at this time?
a. ½ NS
b. Bicarb drip in ½ NS
c. 0.9% NS
d. 5% dextrose in ½ NS
2 . A 50 y/o male presents with a variety of urinary complaints that include, dribbling,
hesitancy, urgency and nocturia. He states that he is awakened at least three times each evening
because of his symptoms. In his initial work up, the patients, UA is negative for infection, and his
prostate specific antigen level is 3.2. At this time, the next appropriate test or exam to order
would be which of the following?
a. MRI
b. TRANSURETHRAL US
c. CT scan of the pelvis
d. Kidney, ureter and bladder x-ray.
3. A pt had his appendix removed and is now experiencing post op fever. Which of the following
management options should be initiated for this pt?
a. antibiotic regimen
b. SUPPORTIVE FLUID THERAPY
c. have the pt go on a post op diet
d. D/C all medications as this is an allergic reaction to treatment
4. A 63 y/o Caucasian comes to the clinic for a check up and a BP of 125/80 is noted. The
examination reveals nothing remarkable. His history is also unremarkable. The NP checks his bp
, NURSING EXAM TEST
before he leaves and notes a bp of 120/82. Of the following, which must the NP include for
treatment?
a. CCB
b. schedule pt for exercise stress test
, NURSING EXAM TEST
c. ADVISE THERAPEUTIC LIFESTYLE CHANGES
d. prescribe ACE inhibitor
5. a 20 y/o male is brought into the psychiatric ward after threatening his family with violence.
He is very volatile and is indicating that he may harm himself is left alone. For this reason alone,
discharging the patient is not an option, if the NP were to discharge the pt, however, and he then
harmed himself or someone else, who would be liable?
a. THE NP
b. the department physician
c. the hospital
d. the hospital security personnel
6. A pt with a family history of chronic lung conditions comes to your office. He is active, eats
healthy, and is not a smoker, however, he thinks he may have asthma and wants to understand
the condition. Based on typical disease categorization, asthma is classified as
a. restrictive
b. OBSTRUCTIVE
c. mixed
d. neither
7. the first practitioner programs were initiated, primarily, because of what issues in health care
at the time?
a. PEDIATRIC PHYSICIAN SHORTAGES
b. indigent pt needs
c. managed care
d. hospital restructuring
8. An elderly pt takes an herbal root to help fight cold symptoms; however, he has a history
of renal insufficiency. Of the following, which could result from the pts condition and his
homeopathic treatment?
