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NRS

Total questions: 48

Worksheet time: 33mins

Name
Class
Date
1.

Dyspnea- first actions

a)

Provide oxygen

b)

Elevate HOB

c)

Check vitals

d)

Auscultate lungs

2.

Bronchoscopy procedures

a)

Monitor respiratory status

b)

Assess gag reflex

c)

Fever

d)

Sore throat is normal

e)

Administered oxygen

3.

Interventions for COPD

a)

Administered 5 L of oxygen

b)

Group personal activities together

c)

Check gag reflex

d)

Check for hyperoxia

4.

TB skin test exposure

a)

10 mm bump

b)

Cool to the touch

c)

No bump is present

d)

5-6 mm bump

5.

What medicine can adverse the effects of opioids in respiratory clients

a)

Ibuprofen

b)

Naloxone

c)

Mophine

d)

Furosemide

6.

Suctioning a client

a)

Suction for 20 seconds

b)

Rotate suction

c)

Hyperoxygenate before procedure

d)

Suction down and up

7.

What underlying diagnosis puts this patient at increased risk for pneumonia?

a)

COPD

b)

Hypercholesterolemia

c)

HTN

d)

GERD

8.

What, in this patient's history, may be contributing factors to his SOB? (SELECT ALL THAT APPLY)

a)

Hypertension

b)

Left sided heart failure

c)

right sided heart failure

d)

COPD

e)

NKDA

9.

AB experiences a sudden hypoxic episode when ambulating. His O2sat drops to 82% on 2 L NC and his respiratory rate increases to 40 bpm.


During the hypoxic episode, what would be the priority nursing intervention?

a)

Administer pain medication and call the pharmacist.

b)

Start another IV and call the nurse manager.

c)

Administer additional oxygen via a non-rebreather mask and call the physician.

d)

Reassure the patient and family.

10.

The physician orders furosemide 40 mg IV daily. Available is a vial containing 20mg/ml. How many ml will the nurse administer?

a)

4ml

b)

2ml

c)

1ml

d)

0.5 ml

11.

When someone has swelling in their leg, they have

a)

anemia

b)

high blood pressure

c)

low blood sugar

d)

edema

12.

The medical word for high blood pressure is

a)

Hypertension

b)

Hypercapnea

c)

Hyperbolic

d)

Hyperthyroidism

13.

A CHRONIC condition is one that lasts

a)

for a short time.

b)

until next year

c)

a lifetime

d)

for 2 weeks

14.

A Myocardial Infarction is a

a)

brain bleed

b)

stroke

c)

broken arm

d)

heart attack

15.

A nurse provides education to a client who is 1 day postpartum about receiving a rubella vaccine. Which of the following instructions should be included.

a)

breastfeeding is not recommended

b)

an allergy to peanuts is a contraindication

c)

a method of contraception is required for the next weeks

d)

contact the provider if the injection site is sore within 24 hours.

16.

While assessing a 29 y/o G2 P2 who had a normal Spontaneous vaginal delivery 30 minutes ago, the nurse notes a large amount of red vaginal bleeding. What would be the first priority nursing action.

a)

check V/S

b)

notify the HCP

c)

firmly massage the uterine fundus

d)

put the baby to breast

17.

The nurse in a newborn nursery is monitoring a preterm infant for respiratory distress syndrome. Which assessment findings should alert the nurse to the possibility of this syndrome. Select all that apply.

a)

Cyanosis

b)

Tachypnea

c)

Hypotension

d)

Retractions

e)

Audible grunts

18.

On assessment of a postpartum client, the nurse notes that the uterus feels soft and boggy. The nurse should take which initial action?

a)

document the findings

b)

elevate the clients legs

c)

massage the fundus until its firm

d)

push on the uterus to assist in expressing clots

19.

A postpartum client is diagnosed with cystitis. The nurse should plan for which priority action in the care of the client?

a)

providing sitz baths

b)

encouraging fluid intake

c)

placing ice on the perineum

d)

motioning H&H levels

20.

A nurse is instructing a client on the use of an incentive spirometer. Which statement by the client indicates understanding?

a)

I will place the adapter on my finger to read my blood oxygen saturation level

b)

I will lie on my back with my knees bent

c)

I will rest my hand over my abdomen

d)

I will take in a deep breath and hold it before exhaling

21.

A nurse is caring for a client who just experienced a generalized seizure. What action should the nurse preform first?

a)

Keep the client in a side-lying position

b)

Document the duration of the seizure

c)

Reorient the client to the environment

d)

Provide client hygiene

22.

A client tells the healthcare provider, "My leg itches." The complaint of itching is considered to be __________ data.

a)

subjective

b)

objective

23.

The nurse reviews the arterial blood gas results of an assigned client and notes that the laboratory report indicates a pH of 7.30, PCO2 of 58 mm Hg, PO2 of 80 mm Hg, and HCO3 of 27 mEq/L. The nurse interprets that the client has which acid-base disturbance?

a)

Metabolic acidosis

b)

Metabolic alkalosis

c)

Respiratory acidosis

d)

Respiratory alkalosis

24.

A client who is positive for human immunodeficiency virus (HIV) delivers a newborn infant. The nurse provides instructions to help the client with care of her infant. Which client statement indicates the need for further instruction?

a)

“I will be sure to wash my hands before and after bathroom use.”

b)

“I need to breast-feed, especially for the first 6 weeks postpartum.”

c)

“Support groups are available to assist me with understanding my diagnosis of HIV."

d)

“My newborn infant should be on antiviral medications for the first 6 weeks after delivery.”

25.

APGAR score is said to be normal if the baby is in this state

a)

d. Appearance :

extremities blue

Pulse : above 100

Grimace : vigorous cry

Activity : limp

Respiration : slow

b)

c. Appearance :extremities blue

Pulse : below 100

Grimace : grimace

Activity : limp

Respiration :slow

c)

b. Appearance :

pale

Pulse : absent

Grimace : absent

Activity : limp

Respiration : absent

d)

Appearance : extremities blue

Pulse : above 100

Grimace : vigorous cry

Activity : active motion

Respiration : crying

26.

What are included hormones that produced in

the placenta?

a)

HGH, HCL, HCG, progesterone

b)

Dopamine, adrenaline, insulin, HGH

c)

Progesterone, estrogen, testosterone

d)

Progesterone, estrogen, HCL, HCG

27.

A newborn’s one minute APGAR score is 8. Which of the following nursing interventions will you provide to this newborn?

a)

Some resuscitation assistance such as oxygen

b)

Continue to monitor and reassess the APGAR score in 10 minutes

c)

Full resuscitation assistance is needed and reassess APGAR score

d)

Routine post-delivery care

28.

What is the phase that starts with true labor starts up to 4 cm in cervical dilation?

a)

Labor phase

b)

Transition phase

c)

Active phase

d)

Latent phase

29.

A nurse is caring for a client in labor. The nurse determines that the client is beginning in the 2nd stage of labor when which of the following assessment is noted?

a)

The contractions are reguler

b)

The membrane have ruptured

c)

The cervix is dilated completely

d)

The client begins to expel clear vaginal fluid

30.

Downward movement of the fetal head into the birth canal is…

a)

Extension

b)

Flexion

c)

Descent

d)

Engagement

31.

If the fetal presentation is at -3, -2, -1 then the fetus is already in the mother's body in the ...

a)

At spines

b)

Above spines

c)

Below spines

d)

On perineum

32.

The nurse is performing an initial assessment on a newborn infant. When assessing the infant’s head, the nurse notes that the ears are low-set. Which nursing action is most appropriate?

a)

Document the findings.

b)

Arrange for hearing testing.

c)

Notify the health care provider.

d)

Cover the ears with gauze pads.

33.

The charge nurse evaluates the care provided by a new RN for a client receiving mechanical ventilation (MV). Which action by the new RN indicates the need for further education?

a)

Administers morphine to relieve anxiety and restlessness

b)

Applies suction when inserting the catheter into the airway

c)

Increases O2 concentration on the MV before suctioning

d)

Suctions when MV high-pressure alarm continues to sound and rhonchi are present

34.

A client admitted to the cardiac care unit with markedly elevated blood pressure and heart failure is receiving a continuous infusion of nitroprusside (vasodilator). Thirty minutes later, the client appears pale with cold, clammy skin and reports being lightheaded. Which is the PRIORITY nursing action?

a)

Auscultate the client's lungs

b)

Check the client's cap refill

c)

Measure the client's blood pressure

d)

Review the clients ECG

35.

A nurse is providing education to a client who is to undergo an electroencephalogram (EEG) the next. What information should the nurse include?

a)

Do not wash your hair the morning of the procedure

b)

Try to stay awake most of the night prior to the procedure

c)

The procedure will take approximately 15 minutes

d)

You will need to lie flat for 4 hours after the procedure

36.

A nurse is caring for a client who just experienced a generalized seizure. What action should the nurse preform first?

a)

Keep the client in a side-lying position

b)

Document the duration of the seizure

c)

Reorient the client to the environment

d)

Provide client hygiene

37.

What does RN stand for?

a)

Runny Nose

b)

Registered Nurse

c)

Registered Narwhal

d)

Random News

38.

Health Promotion and Maintenance 177

Which of the following substances is detected in a home pregnancy test giving a positive result?

a)

Estrogen

b)

Progesterone

c)

Human chorionic gonadotropin (hCG)

d)

Follicle-stimulating hormone (FSH)

39.

What structure in the kidneys filters the blood?

a)

Ureters

b)

Nephrons

c)

Bladder

d)

Urethra

40.

What are treatment options for someone with kidney failure?

a)

Hemodialysis

b)

Peritoneal dialysis

c)

Kidney transplant

d)

All of the answers are correct

41.

UTIs are most common in

a)

men

b)

women

42.

What is another word for stone?

a)

Calculus

b)

Geometry

c)

Algebra

d)

Calcium

43.

What is one way to prevent UTIs from occurring?

a)

Drink more coffee

b)

Wipe from back to front

c)

Wipe from front to back

d)

Wear rayon undergarments

44.

What term means scanty urine?

a)

anuria

b)

polyuria

c)

oliguria

d)

hematuria

45.

What can cause anuria?

a)

UTI

b)

KUB

c)

Kidney failure

d)

Diabetes insipidus

46.

If someone has hematuria, they are experiencing

a)

pus in the urine

b)

blood in the urine

c)

glucose in the urine

d)

urea in the urine

47.

What is a symptom of a UTI?

a)

dysuria

b)

dyspepsia

c)

dysphagia

d)

dyspnea

48.

What is the function of the kidneys?

a)

Filter blood to distribute proteins.

b)

Filter blood to remove waste.

c)

Help your urethra.

d)

All of them.