Worksheetsprometric review 1.1
Total questions: 100
Worksheet time: 50mins
Which of the following statement best describe the term 'therapeutic communication'?
Interactive process of socialization.
Assessment component of nursing process
Communication with patient through words and language
Process to encourage the expression of feelings and needs
A 42 year-old patient went to clinic for an eye consult. Patient complained of blurred vision, ocular pain and head ache. During assessment tonometry was done Test result normal value Intraocular pressure 34 10-20 mm hg Which surgical procedure is the most appropriate?
Laminectomy
Laser Trabeculoplasty
Incision and drainage
Extra capsular cataract extraction
A 29 year-old married woman in the Gynaecology Ward is diagnosed of endometriosis. She has difficulty in urination and heavy menstrual flows. The patient wants more understanding of her diagnosis.
Bifurcation of uterine cavity
Thickening of intra-uterine cavity
Genetic disorder of uterine tissue
Extra Uterine tendency to implant Ova
A 22 year-old patient is admitted in the male Medical Ward with the diagnosis of tonsillar abscess. He has high fever and severe localized pain along with dysphagia, difficulty in talking and in opening his mouth. The patient is planned for needle aspiration of abscess and to start on intravenous antibiotics including penicillin. What expected outcome of nursing care should be prioritized?
Patient is comfortable and has minimum pain
Patient is able to communicate appropriately
Able to swallow fluids soft diet more easily
Normal body temperature and stable signs
A nurse manager evaluation her nurses and gave them their feedback on their performance. Which action most likely describes that the nurse manager is conducting effective feedback?
Conduct meeting with nurses when needed
Remind the nurses about the goals when she meets them
Inform the nurses on regular basis of their performance level
Discuss the nurses preferences during task delegation
A 10 years-old male child is admitted in the surgical ward for the correction of strabismus of his right eye under general anaesthesia. He is less communicative and is having slight difficulty in understanding the nurse. He is to be prepared for the surgery and the informed consent has to be signed by the mother. What should the nurse do?
Help child avoid eye rubbing for a week
Avoid direct contact with the tap water
Maintain hand hygiene to avoid eye infection
Meticulous following of the medication regimen
A community nurse started a campaign to stop a factory from disposing chemical waste in the river that is running directly to poor population housing area. What does the community nurse's action indicate?
Societal justice
Non-maleficence
Environmental justice
Critical code of conduct 072
A study was conducted to evaluate the benefits of an intensive exercise program in reducing subsequent mortality among persons who survive after initial myocardial infarction. Patients were randomized to receive either their usual care (control) or exercise program. Which type of design is this?
Cohort
Clinical trial
Case control
Cross sectional
A 19 year-old patient is admitted to the Male Surgical Ward after a road traffic accident in the car racing with his friends. He had fractured bones in his left sided extremities including fibula in his leg. His wrist. The cast is applied on his arm as well as on his leg. His physiotherapy sessions will be started according to the evaluation of his treating surgeon. What short term goal should be planned while considering the age of the patient?
Personal counselling for safe driving practice
Importance of body image for the patient
Respect patient privacy needs
Encourage activity and exercise
Five minutes post-birth a neonate has a heart rate of 98, irregular breathing, activity moves all extremities, but has bluish hands and feet, as well as a weak and timid cry. Which is the correct APGAR assessment score?
9
8
7
6
The nurse begins a morning shift with the following patients waiting to see the doctor in the waiting Room: 1. A first time mother shift delivered two days ago and is having difficulties breastfeeding 2. A 60 year-old man who has a history of deep vein thrombosis and taking daily heparin 3. A 76 year-old woman who was hospitalized three days previously with pneumonia 4. A 56 year-old man who has used all his diuretic and is coughing up sputum. Which patient should be seen first?
One
Two
Three
Four
A child is brought to Emergency Room due to breathing difficulties, audible wheezing, restlessness and apprehension. The patient is diagnosed with asthma. What are the two highest priority nursing diagnosis?
Knowledge deficit, disease process
Ineffective airway clearance
Activity intolerance
Imbalanced nutrition
Ineffective breathing pattern
A nurse is caring for a 30 year-old comatose patient who was admitted with subdural hematoma. Intravenous mannitol was given to the patient. What the nurse should notice if mannitol was used for a long term?
Hyperthermia
Pupils non-reactive
Urine output decrease
Increased blood pressure
Hypovolemic shock, which type of fluid to give?
PACKED RBCS
DEXTROSE 5% 1/4NSS
DEXTROSE 5%
DEXTROSE 10%
The community midwife has just finished an education session with a group of women regarding maternal health and annual gynaecological examination along with mammogram Pap smear testing. What outcome is the most desired?
Disease prevention
Increased healthy living
Early detection of related issues
A nurse is planning to teach a class about fulminant liver failure. What should the nurse include in the list of symptoms that need to be reported to the healthcare provider immediately?
Hallucination
Pruritus
Malaise and fatigue
Easy bruising and petechiae
A 78 years-old man presents to his care provider with persistent abdominal and back pain. He also occasionally has numbness and pain in the legs. Examination reveals a palpable mass at the lower abdominal midline. On auscultation a blowing sound is heard over this mass. The nurse is concerned about a possible rupture. BP 170/100mmHg HR 76/min RR 22/min TEM 37.1C What is the most appropriate initial nursing action?
Notify the Doctor
Administer oxygen
Obtain blood specimen sample
Gather ultrasound equipment
The school health nurse conducted nutritional educational program in her dietary practices. Which level of prevention does this reflect?
Primary prevention
Secondary prevention
Tertiary prevention
Rehabilitation
A seven year-old girl had been receiving antibiotics therapy through a peripherally inserted central catheter. Two days ago, the catheter had been replaced and inserted into the left antecubital region, with the tip resting in the basilica vein. She reports to the nurse that her arm has a stinging and burning pain. On examination, there is moderate swelling of 8 centimeters in diameter at the insertion site and redness.
Chemical
Bacterial
Mechanical
Purulent
A 49-years-old client admitted to medical ward with newly diagnosed Hodgkin disease. Which of the following symptoms would the nurse expect the client to report?
Headache
Weight gain
Night sweats
Lymph node pain
A 42 year-old patient was to be prepared for the upper gastrointestinal endoscopy. The patient anxiously asked the nurse about what will happen in the procedure. The nurse explained that the endoscopy tube will be inserted down his throat which will make him severely gag but he will have to swallow it. Which type of communication the endoscopy nurse has used here?
Assertive
Interactive
Therapeutic
Non therapeutic
A 50 year-old woman with a history of osteoporosis fell in the shower and was brought to the emergency department by the ambulance. She complains PAIN IN THE RIGHT hip and grimaces with movement. She was sent to radiology for x-ray examination which showed a fractured of the right hip. She is scheduled for an open reduction. Which type of pain is most likely?
Viscera
Ischemic
Neuropathic
Deep somatic
A 40 year-old man is admitted to the hospital following a motor vehicle accident in which he received a head injury. On admission, the patient is alert, active and oriented. He is on observation for potentially increasing intracranial pressure. Which clinical findings should the nurse initially monitor most carefully?
Decreased pulse and increased blood pressure
Irregular respiration patterns or cheyne-stokes
Bilaterally dilated and no-reactive pupils
Changes in level of consciousness
What is common medication used for anthrax treatment?
Ampicillin
Tetracycline
Vancomycin
Ciprofloxacin
A patient reports the onset of a vaginal discharge that is copious, foamy, foul smelling, and yellowish green colour. Which organism is most likely causing the symptoms?
Candida albicans
Human papillomavirus
Treponeme pallidum
Trichomonas
A 24 year-old man present to The Emergency Department with dilated and non-reactive. The patient has history of a major depressive order and began taking a prescription of sertraline two days prior. He is sweating profusely and appears highly agitated, confused and restless. Bowel sounds are hyperactive in all quadrants. BP 150/90, HR 130/MIN, RR 30/MIN. Which additional symptom is most likely?
Hyporeflexia
Hyper tonicity
Erythematous
Hypothermia
What is the primary mechanism for toddler to learn socialize?
Eating
Talking
Playing
Crying
A 66 year-old woman presents to the Emergency Department Triage Unit with laboured breathing. She appears anxious and is sweating profusely across the forehead. The symptoms had begun suddenly one hour before. The jugular veins appear distended and she has a productive cough. On auscultation the respirations are wet and do not clear with coughing. BP 148/88, HR 94/MIN, RR 26/MIN, TEM 37.0 C. Which triage acuity rating is most appropriate?
Urgent
Emergent
Non-Urgent
Resuscitation
What the term bradycardia mean?
Slow heart beat
Grossly irregular heartbeat
A heart rate of over 90 per minute
A heart beat that has regular "skipped" beats
A 25 year-old women presented to Emergency Room. On abdominal exam, the nurse found she has right upper quadrant pain, fever, negative Murphy sign and WBC count is 7000.min3. She is diagnosed as cholecystitis. What is the best management in the case?
Oral analgesia and antibiotics
Admission and start IV antibiotic
Admission and start PO 2 antibiotics
A 28 year-old married woman is admitted in the Gynaecology Ward for the observation after miscarriage. She has not been able to sustain any pregnancy since she got married for the past three years and she had three miscarriage during the time. What intervention is the most appropriate?
Family history
Past medical history
Physical examination
Laboratory investigation
The following are the ages of eight children (A-H) who presented to paediatric emergency (see table): Child: A B C D E F G H Age(yrs): 8 11 10 8 9 6 5 7 Given that (the sum of the ages) (EX) of all the children is 64 years and the 'variance' (s2) is 4. What is the most appropriate numerical summary (in years) of the above data set?
A. 8 ± 2
B. 8 ± 4
C. 9 ± 2
D. 9 ± 4
A study was conducted to evaluate the benefits of an intensive exercise program in reducing subsequent mortality among persons who survive after initial myocardial infarction. Patients were randomized to receive either their usual care (control) or exercise program. Which type of design is this?
Cohort
Clinical trial
Case control
Cross sectional
A 55 year-old man presents to emergency Department with chest pain that began one hour before. An ECG is performed and reveals elevated S-T segment. The nurse is to administer an intravenous medication to relieve the pain and restore cardiac function. Which initial adverse reaction should be monitored most carefully?
Haemorrhage
Neurological changes
Decreased blood pressure
Bleeding at administration site
A nurse is assessing an infant diagnosed with failure to thrive, in addition to accurate anthropometric measurements, complete nutritional history, assessment that the nurse should assess. What is the best assessment?
Parent-to-child interaction
Number of sibling in the home
Current sleep patterns
Exposure to second hand smoke
The school health nurse conducted nutritional educational program in her dietary practices. The possible impact of this program is:
Improved dietary habits among students
Increased absenteeism in school
Reduced interest in healthy eating
Higher rates of malnutrition
Which level of prevention does this reflect?
Primary prevention
Secondary prevention
Tertiary prevention
Rehabilitation
A newly graduated nurse is inserting an intravenous cannula into the mid-cephalic vein of a patient who is being admitted to the unit. As she withdraws the needle, a nurse calls out for help from another patient’s room. The new nurse rushes to help. She secured the intravenous catheter and threw the needle into the waste basket instead of the sharp’s container. When asked who had thrown the needle into the bin, the new nurse admits that she had made that mistake. Which professional act best describes the newly graduated nurse’s response?
Responsibility
Accountability
Assertiveness
Leadership
A seven year-old girl had been receiving antibiotics therapy through a peripherally inserted central catheter. Two days ago, the catheter had been replaced and inserted into the left antecubital region, with the tip resting in the basilica vein. She reports to the nurse that her arm has a stinging and burning pain. On examination, there is moderate swelling of 8 centimetres in diameter at the insertion site and redness.
Chemical
Bacterial
Mechanical
Purulent
A home care nurse makes a follow-up visit to a patient who had shingles. A month since the onset, the patient’s pain level in six on a scale of one to ten, where one is no pain and ten is greatest pain. Two weeks ago, the pain level was at seven. The patient is treated with pain medication as needed, and skin vesicles are completely resolved without any scarring. The patient’s condition has which of the following?
Met the expected outcome
Partially met the expected outcome
Not improved
Worsened
A patient is admitted to the hospital with nausea, vomiting, & diarrhoea. The nursing diagnosis includes Deficient fluid volume related to vomiting. The example of which type of nursing?
Actual
Wellness
Collaborative
Risk
A patient has moments in which she is able to speak clearly and appropriately and other moments in which she seems confused and disoriented. At times the patient is able to clearly follow commands and at other times responds inappropriately. Which condition is most likely?
Subdural hematoma
Epidural hematoma
Skull fracture
Stroke
A nurse administers albuterol nebulizer to a child with asthma exacerbation. The nurse measures pulse oximetry and auscultator the lungs to determine whether the goal of clear respiratory status has been met. What is this step of the nursing process called?
Assessment
Diagnosis
Implementation
Evaluation
A patient comes to the Emergency Department complaining of severe crushing substernal pain that radiates to the left arm and jaw. The patient is diaphoretic and pale with cool clammy skin. The patient is diagnosed with acute myocardial infarction. The nurse’s diagnoses would be decreased cardiac output related to which of the following?
Structural factors (incompetent valves)?
Impaired ventricular expansion
Impaired contractility
Fluid volume deficit
A home care nurse makes a follow-up visit to a patient who recently suffered a cerebrovascular accident. The nurse notices that the patient has not bathed in two weeks and has had bad breath due to lack of oral hygiene. Furthermore, the patient wears robes and avoids any clothes with buttons or zippers. The patient is mobile and is able to move large muscles, but has difficulty with fine motor skills. The nurse should anticipate a referral to which of the following?
Social worker
Occupational therapist
Physical therapist
Neurologist
A patient is three weeks postoperative from a left-below-the-knee amputation. Which of the following is an expected outcome for the patient?
Verbalizes relief of incisional; has intense phantom sensations
Participates in care plan; expresses concerns about independence
Full passive range of motion; requires assistance with transfers
Low grade temperature; dressing reinforced every hour
A community nurse visited a 60-year-old female diabetic patient at her house. During the visit, the patient's daughter informed the nurse that she has to go to work. What should the community nurse do?
Arrange for the next visit
Convince the daughter
Insist on the visit to safe cost
Emphasize the important points only
A five year-old child was brought to the Emergency Room with a fractured right forearm. He had several bruises on his body but showed no signs of pain while palpating them. He seemed scared and did not answer any questions asked. Why should the nurse discuss this case with the nurse manager?
Continuity of care
Rule out child abuse
Psychological support
Fracture management
A female patient has been advised that the laboratory tests confirms herpes simplex virus (HSV), type 2. The nurse should teach the patient that a Papanicolau test (Pap Smear) is recommended. When is the recommended Pap smear?
Whenever symptoms occur
Every year even if asymptomatic
Every three years if other Pap Smears has been negative
Every six months if symptoms persist despite treatment Papanicolau Test
The following are weights (in kilograms) of a group of nine children: 21, 13, 13, 12, 14, 14, 14, 5, 6. Which of the following best describes the distribution?
Multimodal
Unimodal
No mode
Bimodal
51. A nurse educates a patient about the use of incentive spirometry to prevent atelectasis after a surgery.
The nurse educates a patient about incentive spirometry to prevent atelectasis after surgery.
The nurse educates a patient about incentive spirometry to reduce pain after surgery.
The nurse educates a patient about incentive spirometry to increase appetite after surgery.
The nurse educates a patient about incentive spirometry to prevent infection after surgery.
The nurse is performing what step of the nursing process?
Diagnosis
Assessment
Implementation
Evaluation
Eight hundred islanders who were exposed to an atomic bomb in the Pacific were studied for 20 years for the occurrence of thyroid cancer in the general population. What type of study design is this?
Cohort
Case series
Case control
Cross sectional
A woman at her 39 weeks of gestations is admitted for caesarean section. The day prior to surgery, the assigned nurse is preparing her for surgery. What is the best nursing action for the woman?
Description of operating room
Provision therapeutic touch
Participation in the selection of aesthetic
Explaining sensations she might be experienced
A study conducted to determine if there is a difference between smoker and non-smoker in the systolic blood pressure. A total 100 person were asked about their smoking status their blood pressure was measured. Which statistical test of significance is most appropriate?
A. ANOVA
B. chi square
C. correlation
D. students test
A 45 year old man who is hospitalized feeling constant need to keep things in order, particularly while eating the nurse observe him arranging the food on his plate into symmetrical and equal bite sized pieces. He constantly worries that the food served could be outdate and potentially causes illness
ineffective verbal communication
self-esteem disturbance
impaired social interaction
anxiety
A conscious victim of motor vehicle accident arrives at the emergency department. The patient gasping of air, is extremely anxious, and has a deviated trachea. What diagnosis should the nurse anticipate?
Pleural effusion
Tension pneumothorax
Pneumothorax
Which of the following best describes the rule of case manager:
Promotes a healthy lifestyle
Provides coordination of care to ensure continuity
Possesses highly skilled communication methods
Promotes the comfort of the patient
The nurse provides genetic counseling to the parents of a newborn infant girl who has an X-linked recessive disorder in which there is a disruption of the normal intrinsic coagulation. The nurse advises the parents of the chances of this infant giving birth to a child with this disorder when she becomes an adult. If the husband is not a carrier, what are the chances of the boys having disorder?
0%
25%
75%
100%
A five-year-old child is brought into the emergency department complaining of pain in the right hip area. The patient is not able to bear weight on the right leg. Which pain scale should the nurse use for this patient?
Faces pain rating scale
Verbal rating scale
Numeric rating scale
Pain rating diary
Client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for
Trendelenburg position
Ice to the entire extremity
Buck's traction
An abduction pillow.
A 41-year-old patient in the male psychiatric ward aggressively complained of the negligence of the hospital staff, low quality of the food and discomforts during hospitalization. The charged nurse patiently listened to him and discussed with him how each of his complaints could be handled. What is the best description of the nurse’s action?
Promoting patient’s autonomy
Demonstrating sympathy to
Ensuring patient support
Showing concerns
A 78-year-old man with a diagnosis of Alzheimer's disease had been wandering outside the home and made an attempt to escape the compound of the long-term care facility where he lived. When the male nurses approached him during such an escape, he became aggressive and combative. Once back inside, he would not calm down and after several attempts reason with him, he is placed in restraints on his bed. A nurse is assigned to provide one-to-one care in the immediate period afterwards. What is the next most important step?
Administer a PRN1 sedative
Monitor fluid and hydration status.
Check policies restraint duration
Ensure correct placement of restraints
Mother brought her six month-old healthy infant to the well-baby clinic. Which immunization should the nurse anticipate to administer as per World Health Organization recommendation?
Varicella (Chicken pox)
Rotavirus and hepatitis
Diphtheria, Tetanus and Polio
Measles, Mumps, Rubella (MMR)
Child 8 months with vomiting and diarrhoea since 3 days the doctor order for oral hydration salt how many ml oral ORS per kg you will give
25
50
75
100
A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:
Platelet count
White blood cell count
Potassium levels
Partial prothrombin time (PTT)
There study community assess random sample of resident by telephone questioner, obesity is strongly associated with diagnoses diabetic?
cross sectional study
cohort study
correlation study
case control study
Comparison between smoker and non-smoker who have cancer?
case control
study cohort study
correlation study
cross sectional study
There are studies about cardiac disease between 1992 and 1996? Which is that study?
case control
cohort study
correlation study
cross sectional study
On a home visit, you notice some dust on a vent in your client's room and on the windowsill. Which of the following methods would you teach the family to use for removing dust?
Use a wet towel to remove the dust.
Use a feather duster to remove dust.
Vacuum machine.
Use dry towel.
Mother has a labor pain and contentei every 5 to 10 contraction during 60 Second. What is the frequency during 70 second?
70
90
Study for 100 internal students weights that recorded 75+-10 how much proportion between 65 kg and 85 kg?
34%
50%
95%
68%
During surgery requiring general anesthesia, the patient heart’s stops and a carotid pulse is not palpated. How many compressions per minute should be administered?
50
60
80
100
patient came to ER with snake bite in his left ankle. The nurse will tie the tourniquet....bite site
below
above
over
below and above
patient after delivery Blood group A+ and her baby o- at which time must be taken antagin?
24h
72h
48h.
A client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is the nurse most likely to administer to reduce the symptoms of alcohol withdrawal?
naloxone (Narcan)
haloperidol (Haldol)
magnesium sulphate
chlordiazepoxide (Librium)
Stacy has beginning stomatitis. To promote oral hygiene and comfort, the nurse-in-charge should:
Provide frequent mouthwash with normal saline.
Apply viscous Lidocaine to oral ulcers as needed.
Use lemon glycerine swabs every 2 hours.
Rinse mouth with Hydrogen Peróxido.
Diagnostic test for pulmonary embolism
CT Scan
MRI
pulmonary angiography
pulmonary function test
During the administration of chemotherapy agents, Nurse Oliver observed that the IV site is red and swollen when the IV is touched Stacy shouts in pain. The first nursing action to take is:
Notify the physician
Flush the IV line with saline solution
Immediately discontinue the infusion
Apply an ice pack to the site, followed by warm compress.
As part of a neurological assessment, which of the following is associated with the highest score on the Glasgow Coma Scale?
Eye opening to pain, no verbalization
Confused, obey commands
Localizes pain, abnormal extension
Eye opening to speech, confused
The nurse is caring for a client receiving chemotherapy for lung cancer. Laboratory results show a platelet count of 18,000/mm³ and WBC of 5,000/mm³. Which of the following measures should the nurse implement based on these results?
Respiratory isolation
Bleeding precautions
Reverse isolation
Contact isolation
The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:
Within 72 hours of delivery
Within 1 week of delivery
Within 2 weeks of delivery
Within 1 month of delivery
A male client has active tuberculosis (TB). Which of the following symptoms will be exhibited?
Chest and lower back pain
Chills, fever, night sweats, and haemoptysis
Fever of more than 104°F (40°C) and nausea
Headache and photophobia
71 years old male patient in CCU department, with left heart failure, he complain severe dyspnoea at night, which of the following cause of dyspnoea:
pulmonary oedema.
accumulation of fluid in the lung.
Pulmonary embolism.
Asthma.
Which of the following is performed by the nurse with an agitated psychiatric patient:
Calm down and play music.
Patient restrain.
Leave the patient half an hour.
Give the patient a cigarette.
A nurse is instructing parents to perform chest Physiotherapy (CPT) on their son with pneumonia the nurse has the parents place their son in a prone position with the body tilted downward before performing CPT. Based on this information, the nurse is instructing the parents to remove drainage from which of the following lung lobe segment?
Upper posterior
Lower anterior
Randy has undergone kidney transplant, what assessment would prompt Nurse Katrina to suspect organ rejection?
Sudden weight loss
Polyuria
Hypertension
Shock
Woman postpartum cesarean section which type of diet high recommended
Vitamins
Protein
Fat
A 49-years-old client admitted to medical ward with newly diagnosed Hodgkin disease. Which of the following symptoms would the nurse expect the client to report?
Headache
Weight gain
Night sweats
Lymph node pain
Staphylococcus in which precaution isolation :-
DROPLET
CONTACT
AIRBORNE
Patient with cystic fibrosis his mother doing CPT in home. Patient on this position in his abdomen mother will do clap for which lobe:
lower posterior
upper anterior
lower anterior
Woman postpartum cesarean section which type of diet high recommended
Vitamins
Protein
Fat
Patient for surgery and he is on Aspirin 81mg and unknown herbal. Which investigation need to be checked?
Blood sugar
CPK
Prothrombin time
Patient after major abdominal surgery which equipment should be ready beside patient?
Incentive spirometer
Blood glucose monitor
Nebulizer
Defibrillator
Child 8 month with vomiting and diarrhea since 3 days. The doctor order for oral hydrating salt. How many ml ORS per kg you will give?
25
50
75
100
Doctor order for patient sedative ICU Digitalis. When the nurse checks the vital signs, she withholds order in which status the nurse will withhold the digoxin? When the heart rate is:
56
72
88
100
what is the mode?
83
78
90
None
patient 21 has years came to ER with pneumonia patient said has two sisters and one brother not educated. They live in home is two rooms and on e the bathroom only father earned bread for them, which type of information:
Personal information
Demographic
Economic
Patient history
Based upon the legal guidelines for documentation, which of following corrective action is incorrect?
Never erase entries do line and write error
Erase the incorrect notes then write the correct
Patient after tonsillectomy surgery need to check with frequent swallowing?
Bleeding
Infection
Dehydration
Pain
