Facebook Practice Questions

Question 1

Nursing Interventions associated with your clients taking Loop Diuretics such as Frusemide are:

A) blood sugar levels, dietary fibre
B) Monitoring of Weight and K+ levels
C) Blood pressure and urinary output
D) Make sure your client eats 1/2 hour following administration

Answer 1

B) Monitoring of weight and K+ levels

Question 2

At any given moment, the systemic circulation contains about _____ of the total blood volume?

A) 10%
B) 51%
C) 71%
D) 91%

Answer 2

C) 71%

Question 3

A client is admitted to ED following a car accident. He complains of abdominal discomfort. The nurse encourages the client to lie down. What is the reason for this action?

A) to decrease abdominal pain
B) to decrease the risk of dislodging an intra abdominal clot
C) to facilitate peristalsis
D) to decrease the risk of peritoneal infection

Answer 3

B) to decrease the risk of dislodging an intra abdominal clot

Question 4

Benzodiazepine’s most common side effect is?

A) become tolerant
B) become dependent
C) Both

Answer 4

C) Both

Question 5

Which of the following post operative complications may be avoided by pre operative teaching?

A) wound infection
B) wound dehiscence
C) Hypostatic pneumonia
D) Hypovolaemic shock

Answer 5

C) hypostatic pneumonia

Question 6

Diabetes affects the metabolism of:

A) Carbohydrates only
B) Protein and fats only
C) Carbohydrates and fats only
D) Carbohydrates, protein and fats

Answer 6

D) Carbohydrates, protein and fats

Question 7

Joan Murray, aged 40 years, discovers a lump in the upper and outer quadrant of her left breast when she is showering one morning. One week later, after being seen by a surgeon, she is admitted to the ward for a biopsy of the lump and possible left radical mastectomy. In establishing a relationship with Joan, what is the most important factor for the nurse to consider?

A) The diagnosis has not yet been established and the breast lump is not necessarily malignant
B) joan will have many question about the possible effects of a mastectomy on her sexual identity
C) At this time of uncertainty, Joan will need a lot of time to be alone to consider her choices
D) Joan will be full of fear about the mass and its possible effects on her being

Answer 7

D) Joan will be full of fear about the mass and its possible effects on her being

Question 8

List the 3 main causes of stroke

A) Cerebral haemorrhage, thrombosis, embolism
B) Cerebral thrombosis, infarction, aneurysm
C) Cerebral embolism, metastatic lesions, coagulopathy
D) Cerebral ischemia, vascular spasms, hypoxia

Answer 8

A) Cerebral haemorrhage, thrombosis, embolism

Question 9

Text messaging between nurse and a pt

a) never appropriate
b) only doctors can do it
c) it is appropriate as long as it’s prior to the pts health

Answer 9

A) never appropriate

UNLESS there is background context and is required.

Question 10

The most common cause of diabetic ketoacidosis is:

a. Emotional stress
b. Infection
c. Inadequate insulin intake
d. Inadequate food intake

Answer 10

C) inadequate insulin intake

Question 11

A nursing priority and assessment within the first 24 hours after admission following her CVA,

a) Risk factors for vascular disease
b) Pupil size and papillary response
c) Urinary elimination patterns
d) Health behaviours before the CVA

Answer 11

B) Pupil size and papillary response

Question 12

A client is experiencing mood swings after a stroke and often has episodes of tearfulness that are distressing to the family. Which is the best technique for the nurse to instruct family members to try when the client experiences a crying episode?

A) Sit quietly with the client until the episode is over.
B) Ignore the behavior.
C) Attempt to divert the client’s attention.
D) Tell the client that this behavior is unacceptable.

Answer 12

C) Attempt to divert the clients attention

Question 13

After being bitten by an unknown insect, a patient allergic to wasp stings is brought to a clinic by a co worker. Upon arrival the patient is anxious and is having difficulty breathing. The first action by the nurse is to

a) Administer oxygen
b) Maintain the patients airway
c) Remove the stinger from the sited) Place the patient in recumbent position with his legs elevated

Answer 13

B) Maintain the patients airway

Question 14

The doctor calls you over the phone and informs that he would like to give a verbal order of a prescription. Your next action would be to:

a. Tell the doctor you cannot accept the verbal order until he has assess the patient himself
b. Ask the doctor to wait while you get a second nurse to receive the verbal order with you
c. Receive the verbal order and administer the medication as prescribed

Answer 14

b. Ask the doctor to wait while you get a second nurse to receive the verbal order with you

Question 15

Parents of a terminally ill Maori child would like to assist with the care of their child. You can best support them by:

a. Allowing them to stay by the bedside
b. Offer food and drinks during their stay while they care for their child
c. Teach them how to administer subcutaneous pain relief

Answer 15

b. Offer food and drinks during their stay while they care for their child

Question 16

A patient has been given a terminal diagnosis. They are struggling to cope and ask you “am I going to die?”. Your most appropriate nursing response would be:

a. Everything will be fine
b. Let me get the doctor for you to discuss your diagnosis
c. Acknowledge the concern and encourage to discuss their understanding of their diagnosis

Answer 16

c. Acknowledge the concern and encourage to discuss their understanding of their diagnosis

Question 17

A patient is prescribed 40mmol with 1L of fluid infused over 15minutes what is the hourly
rate of mmol?
A) 400mmol
B) 160mmol
C) 120mmol
D) 80mmol

Answer 17

B) 160mmol

Question 18

An elderly patient is refusing their nightly sedation medication, what is your best response?

A) Leave it on their table
B) Document on med chart that they have refused and reason why
C) Tell them they must have it as its prescribed
D) Reassurance that this is safe medication to take and you must take it as its prescribed

Answer 18

B) Document on med chart that they have refused and reason why

Question 19

What is your first response to an acute spinal injury?

A) Immobilise the patient
B) Catheterisation
C) Stabilise airway
D) Pain relief

Answer 19

C) Stabilise airway

Question 20

Patient recieved epidural, how to assess for sensation?

a) Use ice?
b) Use topical anaesthetic spray
c) Run fingers over site
d) Prick skin with a needle?

Answer 20

A) use ice

Question 21

A pt you are caring for is exhibiting signs of alcohol withdrawal 24hrs after admission. After completing your vital observations, your next most appropriate action would be to

a) inform the doctor
b) commence a bag of iv fluids
c) take an elettrocardiogram reading and monitor their fluid balance
d) commence alcohol withdrawal scale

Answer 21

d) commence alcohol withdrawal scale

Question 22

What is the best advise to give parents to avoid otitis media

a) encourage a smoke free home
b) use nasal decongestant regularly
c) place a toddler in supine position when feeding
d) avoid other children with otitis media

Answer 22

a) encourage a smoke free home

Question 23

If a child has Rotovirus, what type of PPE would you wear following current COVID guidelines?

A. Keep your mask but put on gloves
B. Put on gloves, gown and change to N95
C. Put on gloves and gown
D. Change mask to N95

Answer 23

B. Put on gloves, gown and change to N95

Question 24

A parent asks why it is recommended that the second dose of the measles, mumps, rubella (MMR) vaccine be given by 12 years of age. The nurse responds based on which of the following as the most important reason

a) The risks to a foetus are high if a girl receiving the vaccine becomes pregnant
b) The chance of contracting the disease is much lower after puberty than before it
c) The dangers associated with a strong reaction to the vaccine are increased after puberty
d) The changes that occur in the immunologic system may affect the rhythm of the menstrual cycle

Answer 24

a) The risks to a foetus are high if a girl receiving the vaccine becomes pregnant

Question 25

Which of the following has made the biggest impact on mortality from infectious diseases in the 20th century

a) Vaccination
b) Better housing and provision of clean water, sewerage systems
c) Antimicrobials
d) Infection control

Answer 25

b) Better housing and provision of clean water, sewerage systems

Question 26

You are the nurse caring for a patient with a new diagnosis of cancer. You observe the patient becoming angry with the nursing staff. The best approach to diffuse the emotionally charged discussion is to:

a) allow the patient and family members time to be alone.
b) arrange a time for the patient to speak with another patient with cancer.
c) direct the discussion and validation of emotion, without false reassurance
d) request a consultation from a social worker on the oncology unit.

Answer 26

c) direct the discussion and validation of emotion, without false reassurance

Question 27

A client has terminal cancer, is using opioid analgesics for pain relief, and is concerned about becoming addicted to the pain medication. The nurse allays this anxiety by:

a. Encouraging the client to hold off as long as possible between doses of pain medication
b. Telling the client to take lower doses of medication even though the pain is not well controlled
c. Explaining to the client that addiction rarely occurs in people who are taking medication to relive pain
d. Explaining to the client that his or her fears are justified but should be of no concern during the final stages of illness

Answer 27

d. Explaining to the client that his or her fears are justified but should be of no concern during the final stages of illness

Question 28

Which of the following best describes a therapeutic nurse-patient relationship.

a) A caring relationship that supports a patient’s wellbeing
b) A close friendship between a nurse and patient
c) Anintimaterelationshipthatalwaysincludestherapeutictouch
d) A relationship based only on reaching a positive physical outcome

Answer 28

a) A caring relationship that supports a patient’s wellbeing

Question 29

While making a home visit to a postpartum client on day 12, the nurse would anticipate that the client’s lochia would be which of the following colours?

a. dark red
b. pink
c. brown
d. white

Answer 29

c. brown

Question 30

Parents to be ask for advice on safety tips for home, what do you recommend?

A. Do not smoke in the baby’s room. Anywhere else is fine except the babys room
B. A tight fitted cot, and flat
C. A blanket in the cot with teddy bears to keep the baby warm

Answer 30

B. A tight fitted cot, and flat

Question 31

The criteria for determining the effectiveness of nursing actions are based on the

a) nursing diagnosis
b) expected outcome
c) client satisfaction
d) nursing interventions

Answer 31

b) expected outcome

Question 32

For a post op-pain assessment of a patient who just had a right hip replacement you:

A. Assess the pallor, warmth, and location of pain
B. Assess the effectiveness of the patient-controlled (self administered?) analgesia
C. Assess the location and severity of pain
D. Assess the movement

Answer 32

A. Assess the pallor, warmth, and location of pain

Question 33

You are caring for a post operative patient and notice red blanching skin. What should
the nurse do?

A. Assess colour, warmth, sensation and movement
B. Assess for pain severity and location
C. Assess for pressure areas and reposition the client

Answer 33

C. Assess for pressure areas and reposition the client

Question 34

How do you relate the treaty of Waitangi, to the importance of pepe being discharge to his whanau

a) The institution could no longer provide for his care
b) It ensures that pepes cultural heritage is protected
c) That pepe will be safer in a Māori community
d) That the principle of tino rangatiratanga is maintained

Answer 34

d) That the principle of tino rangatiratanga is maintained

Question 35

During the acute state of meningitis, a 3 year old child is restless and irritable. Which of the following would be most appropriate to institute

a) Haemorrhagic skin rash
b) Edema
c) Cyanosis
d) Dyspnea on exertion

Answer 35

a) Haemorrhagic skin rash

Question 36

Innate natural immunity is best defined as:

a. A passive inheritance against specific organisms
b. A built up resistance resulting from vaccination
c. A congenital inheritance that fights infection
d. An active production of antibodies against specific organisms

Answer 36

c. A congenital inheritance that fights infection

Question 37

What are the signs of an increase ICP

A. Shallow, irregular breaths
B. Rapid pulse, low blood pressure
C. Loss of consciousness, tachycardia

Answer 37

A. Shallow, irregular breaths

Question 38

A pt is getting discharged from the MH unit, the dad wants his son to stay at home but the pt wants to
go flatting. What is your best response?

A. Tell the pt he has the right to be independent
B. Encourage the pt to discuss with his dad about his living options.
C. Help the pt look for a flat

Answer 38

B. Encourage the pt to discuss with his dad about his living options.

Question 39

There is a fire in the unit, you are asked the evacuate, what is the correct procedure:

A. -Move all patients from the fire zone to the other
B. -Ask the mobile patients to help move the immobile patients to the other zone
C. -Move the immobile patients first then the mobile ones afterwards to the other zone
D. -Leave the immobile patients for the fire services to move them.

Answer 39

A. -Move all patients from the fire zone to the other

Question 40

A patient is almost ready for discharge and states that they are unsure of what
medications to take and what time

A) send off a referral to a community helper
B) Help the patient to make a proactive way to remember it
C) Don’t do anything and discharge the patient
D) Go into the pharmacodynamics of each medication

Answer 40

B) Help the patient to make a proactive way to remember it

Question 41

A box of controlled medications is missing what do you do

A) make a list of who has access to the medication
B) Ask every nurse if they have taken it
C) Report to a house officer immediately
D) Report to charge nurse immediately

Answer 41

D) Report to charge nurse immediately

Question 42

Bill does not drink alcohol because of his religious beliefs. When the physician persists in asking him about his alcohol intake, bill becomes annoyed. You explain the reasoning behind the questioning by telling bill that

a) There is a strong link between alcohol use and pancreatitis
b) Alcohol intake can interfere with some of the tests used to diagnose pancreatitis
c) Alcoholism is a major health problem and all hospitalised clients are asked about their alcohol intake
d) The physician must obtain the pertinent facts, and religious beliefs cannot be considered

Answer 42

c) Alcoholism is a major health problem and all hospitalised clients are asked about their alcohol intake

Question 43

How do you prevent deformities of the limbs in an unconscious patient

A) Put pillows behind their back
B) Put pillows behind their knees
C) Put the body in a natural alignment
D) Replace the mattress with some sort of other one I forgot what it was

Answer 43

C) Put the body in a natural alignment

Question 44

A patient diagnosed with ulcerative colitis is admitted to the medical unit. When assessing the patient, which of these findings would be of the most concern?

A. Borborygmi
B. Oral temperature of 99.0 F (37.2C)
C. Rebound tenderness
D. Bloody diarrhoea

Answer 44

D. Bloody diarrhoea

Question 45

A patient’s partner is worried that the patient is not getting enough to eat. They want to feed them. Your most appropriate response is

a) “I’m sure your partner would appreciate you doing this for them.”
b) “What makes you think they are not getting enough to eat?”
c) “We want to encourage your partner’s independence.”
d) “I will discuss your partner’s dietary needs with the dietician.”

Answer 45

b) “What makes you think they are not getting enough to eat?”

Question 46

To form a basis of trust in your professional relationship with a patient it is essential
for you to

a) show an interest in the patient’s problems.
b) be honest and authentic when interacting with the patient.
c) make a special time each day to meet with the patient.
d) be open to any activity that the patient wishes to be involved in.

Answer 46

b) be honest and authentic when interacting with the patient.

Question 47

For eight hours following surgery your patient has had an intravenous infusion
running but they are having difficulty passing urine. Your most appropriate action
would be to

a) Offer adequate analgesia so that they are able to use their abdominal muscles.
b) Assist the patient to stand and pass urine.
c) Increase oral fluids to counteract any dehydration.
d) Contact the house surgeon and prepare a tray for catheterisation.

Answer 47

b) Assist the patient to stand and pass urine.

Question 48

A mental health patient who is under the MHA with mania is disruptive and starting to annoy other patients. What is the best response?

a. Reestablish acceptable behaviour standards
b. Take them to a quiet, low-stimulus room and stay with them
c. Get them to express their feelings and thoughts
Leave them alone or give PRN medication

Answer 48

b. Take them to a quiet, low-stimulus room and stay with them

Question 49

An IV of 1000 ml 5% Dextrose in water to be infused at 125mls per hours is started on admission. The infusion set delivers 10 drops per ml. To regulate the flow so that the solution can be infused over an 8-hour period, the rate would be set at

a) 21 drops per min
b) 125 drops per min
c) 60 drops per min
d) 40 drops per min

Answer 49

a) 21 drops per min

Question 50

Prevention of anaphylactic shock includes the nurse having what

a) adrenaline
b) oxygen
c) a list of the pt known allergies

Answer 50

c) a list of the pt known allergies

Question 51

A psychiatric patient ask the nurse to post a letter he has written. The nurse should

A: Post it as requested
B: Say she cannot post it
C: Open it to check the content
D: Hand it unopened to the nurse manager

Answer 51

D: Hand it unopened to the nurse manager

Question 52

What is the role of insulin with metabolism in the body

a) uptake carbohydrates
b) uptake of protein, carbs, fats
c) uptake of fats, protein

Answer 52

b) uptake of protein, carbs, fats

Question 53

You are cleaning a wound post operative. What is the correct way?

a) from the middle outwards
b) from outwards to the middle
c) just the edges

Answer 53

a) from the middle outwards

Question 54

A prescribed drug of 400mg is to be infused at a rate of 100ml over 15 minutes. What is the amount that would be infused in an hour

a) 400mls
b) 4ml
c) 250ml
d) 125ml

Answer 54

a) 400mls

Question 55

In which position should a nurse place a pt during a seizure

a) prone
b) supine
c) lateral
d) fowlers

Answer 55

c) lateral

Question 56

A pts tells you they are worried about their surgery. You can most effectively help to relieve their concerns by

a) explaining what will happen before the surgery
b) explaining how pain will be controlled after the operation
c) encourage them to discuss their perception of the operation
d) explaining how post operative complications can be prevented

Answer 56

c) encourage them to discuss their perception of the operation

Question 57

A 9-year-old child is hospitalized for 2 months after a car accident. The best way to promote the psychosocial development of this child is to plan for:

a. A phone to call family and friends
b. A portable radio and MP3 player with headphones
c. Tutoring to keep the child up-to-date with schoolwork
d. Computer games, television, and videos at the bedside

Answer 57

c. Tutoring to keep the child up-to-date with schoolwork

Question 58

A pt is to have an urgent blood transfusion. You notice the initials of the blood type on the blood bag is different to what is given on the pts chart. What is the right action?

A. Give blood but watch for any reactions
B. Withhold the transfusion and document the error in notes
C. Withhold the transfusion and call the blood bank for another bag
D. Inform the charge nurse whether you should give it or withhold

Answer 58

C. Withhold the transfusion and call the blood bank for another bag

Question 59

Emphysema causes a failure in oxygen supply because of

a) Infectious obstructions
b) Respiratory muscle paralysis
c) Pleural effusion
d) Loss of aerating surface

Answer 59

d) Loss of aerating surface

Question 60

Tina, a midwife, tells an antenatal class that progesterone is considered the hormone most responsible for maintaining pregnancy. Where is the primary source of progesterone found throughout most of the pregnancy?

a) The placenta
b) The corpus luteum
c) The ovary

Answer 60

a) The placenta

Question 61

Retraction of uterine muscles during the first stage of labour causes:

A) reduction of the uterine capacity
B) Thinning of the uterine wall
C) Lengthening of the muscle fibres
D) Placental separation

Answer 61

B) Thinning of the uterine wall

Question 62

The most important factor in preventing post partum haemorrhage from the placental site is:

A) complete separation of the placenta and membranes
B) spasm of the muscular walls of the uterine arteries
C) Prevention of trauma of the uterus and brith canal
D) Contraction of the middle layer of the myometrium

Answer 62

A) complete separation of the placenta and membranes