wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Exam #2

Total questions: 50

Worksheet time: 27mins

Name
Class
Date
1.

A nurse is caring for a patient who has been diagnosed with asthma. The patient has labored breathing, nasal flaring, and an oxygen saturation of 89% on RA. The nurse administers oxygen therapy and a nebulizer treatment. Which of the following reassessment findings would have the nurse notify the provider immediately?

a)

Increased RR and worsening wheezing noted

b)

Increased oxygen saturation and decreased nasal flaring

c)

Decreased respiratory rate and labored breathing noted

d)

Increased oxygen saturation and decreased labored breathing noted

2.

The nurse is getting ready to administer the influenza vaccination to a 34-year-old patient. Which of the following is an appropriate place to administer this vaccine for this patient?

a)

Deltoid muscle

b)

Ventrogluteal

c)

Vastus Lateralis

d)

Dorsal gluteal

3.

A nurse is getting ready to administer a medication from an ampule. Which of the following should the nurse perform first?

a)

Ensure that there is not medication sitting in the neck of the ampule

b)

Use a filter needle when drawing up the medication

c)

Break the constricted neck of the vial away from you

d)

Wipe the neck of the ampule before breaking

4.

Which of the following are considered the five rights of medication administration? Select all that apply.

a)

Right Patient

b)

Right Time

c)

Right Route

d)

Right Room Number

e)

Right Medication Number

5.

The nurse is caring for a group of patients. Which of the following patient's would the nurse question the route of the medication administration?

a)

A patient who had a small bowel surgery receiving IV medications

b)

Crushed medications with applesauce for a patient with dysphagia

c)

Oral medications for a patient who is vomiting

d)

Suspension medications for a 18 month old

6.

A patient has a temperature of 101.5 degrees F. The nurse is getting ready to document this in a nursing note. Which of the following terms is appropriate for the nurse to use?

a)

Febrile

b)

Hypoxic

c)

Hypothermic

d)

Hypoxemia

7.

A patient has a high temperature. Which of the following are signs and symptoms of this? Select all that apply.

a)

Diaphoresis

b)

Flushed cheeks

c)

Cool to touch

d)

Shivering

e)

Malaise

8.

The nurse is caring for a patient who is suspected of having hypertension. The nurse is getting ready to take the patient's blood pressure again. Which of the following findings would give the nurse a falsely high reading?

a)

The patient's legs are crossed

b)

The bladder of the cuff is too big

c)

The cuff is too high on the patient's arm

d)

The cuff still has air in it prior to pumping it up

9.

The nurse is performing a physical assessment on a patient. Her stethoscope is currently sitting at the midclavicular 5th intercostal space. What is the nurse listening to?

a)

Apical Pulse

b)

Lung Sounds

c)

Bowel Sounds

d)

Tricuspid valve

10.

The nurse is listening to the lung sounds of a patient with asthma before administering an albuterol treatment. Which of the following describes the wheezing the nurse is hearing?

a)
Rapid clicking noise during breathing
b)
No sound heard during breathing
c)

High-pitched whistling sound during expiration

d)

Low-pitched humming sound during inspiration

11.

A new graduate nurse is preparing to perform an abdominal assessment on a patient. Which of the following is the correct pattern to listen to the patient's abdomen?

a)

RLQ, LLQ, LUQ, RUQ

b)

RLQ, RUQ, LUQ, LLQ

c)

LLQ, LUQ, RUQ, RLQ

d)

LLQ, RLQ, RUQ, LUQ

12.

A nurse is caring for a patient who has been diagnosed with chronic pain. The nurse should specially look for which effect that chronic pain can have on patients?

a)

Depression

b)

Increased outings

c)

Decreased isolation

d)

Better communication with family and friends

13.

A patient came into the ER with acute pain. Which of the following descriptions would indicate to the nurse that the patient is experiencing referral pain?

a)
If the patient describes the pain as constant and unchanging.
b)

If the patient describes the pain as starting at one spot and going towards another

c)
If the patient describes the pain as being in a different area than where the actual issue is.
d)
If the patient describes the pain as improving with rest.
14.

A patient has been diagnosed with hypertension. Which statement made by the patient indicates that the patient understands what this disease process is?

a)

"Hypertension is high blood pressure that can lead to serious health issues."

b)

"Hypertension is caused by low blood pressure."

c)

"Hypertension is a temporary condition that does not require treatment."

d)

"Hypertension is a condition that only affects the elderly population."

15.

A nurse is caring for a patient who is taking Labetalol for high blood pressure. Prior to giving the medication, the nurse performs an assessment with these findings:

VS: 98.6 F, RR 18, HR 58, BP 115/76, 98% on room air, clear lung sounds, regular heart rhythm. Which of the following actions is the most appropriate for the nurse to take next?

a)
Increase the Labetalol dosage
b)
Administer the Labetalol as scheduled
c)
Hold the Labetalol and notify the healthcare provider
d)
Switch the patient to a different blood pressure medication
16.

A patient has been newly diagnosed with hypertension. Which of the following are considered risk factors that are modifiable for this disease process?

a)

Age

b)

Genetics

c)

High cholesterol

d)

Smoking

e)

Excessive alcohol consumption

17.

A patient presents to the ER with shortness of breath. The patient is diagnosed with acute hypoxia. The patient asks what that means. Which of the following is an appropriate response by the nurse?

a)

"Chronic hypoxia leading to improved lung function."

b)

"Hypoxia is gradual increase in oxygen levels causing difficulty breathing."

c)

"Hypoxia is low oxygen in the blood."

d)

"Hypoxia is low oxygen levels to the tissues and cells."

18.

Which of the following are late signs and symptoms of hypoxia? Select all that apply.

a)

Bradycardia

b)

Bradypnea

c)

Central cyanosis

d)

Tachycardia

e)

Tachypnea

19.

A nurse is preparing to document the care provided to a patient. Which of the following is important for the nurse to ensure regarding documentation?

a)
Documentation should be illegible and incomplete
b)
Documentation should be delayed and inaccurate
c)
Documentation should be inconsistent and vague
d)
Documentation should be accurate, timely, complete, and follow facility policies.
20.

A nurse is receiving shift report from the outgoing nurse. Which of the following should the nurse ensure is provided in the shift change report? Select all that apply

a)

Recent Vital signs

b)

Last assessment data completed

c)

Pertinent past medical history of the patient

d)

Patient's name and DOB

e)

Patient's code status

21.

A nurse is assessing a patient who is prescribed Metoprolol for hypertension. The patient's vital signs are: Temp 98.7°F, RR 16, HR 54, BP 110/70, SpO2 97% on room air. What should the nurse do before administering the medication?

a)

Administer the Metoprolol as ordered

b)

Hold the Metoprolol and notify the healthcare provider

c)

Switch to a different antihypertensive medication

d)

Increase the Metoprolol dose

22.

A patient has a body temperature of 95.2°F. Which term should the nurse use when documenting this finding?

a)

Normothermic

b)

Febrile

c)

Hypothermic

d)

Hyperthermic

23.

A nurse is caring for a patient who is experiencing chronic pain. Which of the following should the nurse monitor for as a potential psychological effect of chronic pain?

a)

Enhanced appetite

b)

Improved sleep patterns

c)

Depression and anxiety

d)

Increased socialization

24.

A patient describes pain that is felt in the left shoulder but originates from the spleen. What type of pain is the patient experiencing?

a)

Referred pain

b)

Chronic pain

c)

Radiating pain

d)

Localized pain

25.

A nurse is assessing a patient with suspected hypoxia. Which of the following clinical signs would most likely indicate hypoxia?

a)

Hypertension and flushed skin

b)

Decreased respiratory rate and cyanosis

c)

Tachycardia and restlessness

d)

Bradycardia and pale skin

26.

The nurse hears a high-pitched musical sound during inspiration while auscultating a patient's lungs. What is the most appropriate term to document this finding?

a)

Pleural friction rub

b)

Rhonchi

c)

Crackles

d)

Wheezing

27.

During a physical assessment, the nurse places the stethoscope at the left midclavicular line, 5th intercostal space. Which heart sound is best heard at this location?

a)

Mitral valve closure

b)

Pulmonic valve opening

c)

Aortic valve closure

d)

Tricuspid valve opening

28.

A patient reports pain in the right shoulder after a gallbladder attack. What is this type of pain called?

a)

Radiating pain

b)

Phantom pain

c)

Localized pain

d)

Referred pain

29.

A nurse is assessing a patient with asthma who is receiving oxygen therapy. Which finding would indicate the patient's respiratory status is deteriorating?

a)

Decreased respiratory rate and improved breath sounds

b)

Stable oxygen saturation and regular breathing pattern

c)

Increased use of accessory muscles and decreased oxygen saturation

d)

Decreased nasal flaring and normal skin color

30.

A patient asks the nurse to explain what hypoxia means. Which response by the nurse is most accurate?

a)

"Hypoxia is when there is too much oxygen in the blood."

b)

"Hypoxia is a lack of oxygen reaching the body's tissues."

c)

"Hypoxia is a condition where breathing becomes easier."

d)

"Hypoxia is a temporary increase in oxygen levels."

31.

While auscultating a patient's lungs, the nurse hears low-pitched, coarse sounds during expiration. What is the correct term to document this finding?

a)

Rhonchi

b)

Crackles

c)

Pleural friction rub

d)

Wheezing

32.

A nurse is assessing a patient who is experiencing shortness of breath and confusion. Which of the following findings would most likely support a diagnosis of hypoxia?

a)

Tachypnea and cyanosis

b)

Bradycardia and normal skin color

c)

Hypotension and flushed skin

d)

Decreased respiratory rate and restlessness

33.

Which of the following is a benefit of getting good, quality sleep?

a)

Increased risk of heart disease

b)

Improved concentration and productivity

c)

Higher levels of stress

d)

Weakened immune system

34.

Which of the following is NOT a good sleep habit?

a)

Going to bed at the same time every night

b)

Using electronic devices right before bed

c)

Creating a relaxing bedtime routine

d)

Keeping the bedroom dark and quiet

35.

Which of the following is a potential effect of sleep deprivation?

a)

Enhanced memory

b)

Improved mood

c)

Increased risk of accidents

d)

Better decision-making skills

36.

What hormone is primarily responsible for regulating sleep-wake cycles?

a)

Insulin

b)

Melatonin

c)

Adrenaline

d)

Cortisol

37.

How does good sleep affect the immune system?

a)

It weakens the immune response

b)

It has no effect on the immune system

c)

It strengthens the immune response

d)

It causes allergies

38.

Which of the following is a recommended practice for improving sleep quality?

a)

Drinking caffeine before bed

b)

Exercising right before sleeping

c)

Keeping a consistent sleep schedule

d)

Eating a large meal before bed

39.

A sleep disorder called sleep apnea can prevent a person from getting the rest they need. Sleep apnea also has been linked to which of these serious health risks?

a)

Hypertension

b)

Heart attack

c)

Obesity

d)

All of the above

40.

Which of the following is a common sign of worsening hypoxia in a patient with respiratory distress?

a)

Normal breath sounds and regular pulse

b)

Decreased respiratory rate and pink skin

c)

Increased restlessness and cyanosis

d)

Improved oxygen saturation and calm demeanor

41.

Which statement by a patient best demonstrates understanding of the importance of accurate blood pressure monitoring?

a)

"I should always use the same arm and position when checking my blood pressure."

b)

"It doesn't matter if I talk during the measurement."

c)

"Crossing my legs will not affect the reading."

d)

"I can use any size cuff for my arm."

42.

what physical manifestations would you see in a malnourished person?

a)

dry, brittle hair

b)

quick wound healing

c)

lack of subcutaneous fat

d)

large BMI

e)

enlarged spleen of liver

43.

Which of the following are risk factors for inadequate nutrition?

a)

age

b)

excessive stress

c)

neighborhood and built environment

d)

unstable living situation

e)

economic stability

44.

A nurse is caring for a patient recovering from a surgical wound. Which meal selection indicates the patient understands the importance of protein in healing?

a)
Pasta with marinara sauce and garlic bread.
b)
Salad with croutons and ranch dressing.
c)
Fruit smoothie with yogurt and granola.
d)
Grilled chicken with vegetables and quinoa.
45.

Which action is the nurse’s priority when assessing a patient’s nutritional status?

a)
Measure the patient's weight only.
b)
Ask about the patient's favorite foods.
c)
Review the patient's medication list.
d)

Obtain a weight and watching trends.

46.

Which patient is at highest risk for malnutrition?

a)

A 25-year-old athlete

b)

A 40-year-old with hypertension

c)

A 30-year-old following a vegetarian diet

d)

An 82-year-old living alone with poor dentition

47.

The nurse is teaching a patient about daily fluid intake. Which statement indicates a need for further teaching?

a)

“Milk counts toward my fluid intake.”

b)

“Soup is included in fluid intake.”

c)

“Only water counts toward daily fluids.”

d)

“Juice contributes to my daily fluid intake.”

48.

Which food choice by a patient on a low-sodium diet indicates understanding of dietary restrictions?

a)

Canned soup

b)

Processed deli turkey

c)

Frozen dinner entrée

d)

Fresh grilled chicken with herbs

49.

Which item is appropriate for a clear liquid diet?

a)

Milk

b)

Orange juice with pulp

c)

Broth and plain gelatin

d)

Cream soup

50.

Which patient would most benefit from a high-protein diet?

a)

Patient with hypertension

b)

Patient recovering from surgery with a large wound

c)

Patient with hyperlipidemia

d)

Patient with lactose intolerance