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Nursing Practice Test III – Set A

May 3, 2009 by Admin · 22 Comments  · Email This Post Email This Post · Print This Post Print This Post

Here is a 50 item quiz about Medical Surgical Nursing.

If you want to get more  nursing practice test to enhance your critical thinking skills in preparation for the Nursing Board Examination, get a copy of our Nursing Board Exam Reviewer v1.0 Ebook.

1.    Antonio is admitted for treatment of heart failure. The physician  orders an IV of 125 ml of normal saline per hour and central venous pressure (CVP) readings every 4 hours. Sixteen hours after admission, the client’s CVP reading is 3 cm/H2O. Which of the following evaluations of the client’s fluid status, if made by the nurse would be most accurate?





2.    Nurse Olivia performs teaching with a client undergoing a paracentesis for treatment of cirrhosis. The client asks what position he will be in for the procedure. Nurse Olivia’s reply would be based on understanding that the most appropriate position for the client is:





3.    Marco returns to his room following a transurethral resection of the prostate (TURP) for benign prostatic hypertrophy (BPH). Which of the following would cause the nurse in-charge to suspect postoperative hemorrhage?





4.    A female client recovering from a laparoscopic laser cholecystectomy says to the nurse, “I hate the thought of eating a low-fat diet for the rest of my life.” Which of the following responses by the nurse is most appropriate?





5.    Dervid returns from his room following a cardiac catheterization. Which of the following assessments, if made by the nurse would justify calling the physician?





6.    Nurse Dorothy prepares admission of a client with a perforated duodenal ulcer. Which of the following should the nurse expect to observe as the primary initial symptom?





7.    Nurse Amanda plans nursing care for a client hospitalized after a cerebrovascular accident (CVA) resulting in left-sided paralysis and homonymous hentianopia. During morning care, the nurse should:





8.    Francis, diagnosed with chronic lymphocytic leukemia, is admitted to the hospital for treatment of hemolytic anemia. Which of the following measures, if incorporated into the nursing care plan, would best address the client’s needs.





9.    Jose with lung cancer has developed an intractable, nonproductive cough that is unrelieved by non narcotic antitussive agents. The physician prescribes codeine, 10 mg P.O. every 4 hours. Which statement accurately describes codeine?





10.    Following coronary artery bypass grafting, Richard begins having chest  "fullness" and anxiety. The nurse suspects cardiac tamponade and prints a lead II electrocardiograph (ECG) strip for interpretation. In looking at the strip, the change in the QRS complex that would most support her suspicion is:





11.    Leo comes to the emergency department with an acute myocardial infarction. An electrocardiogram shows a heart rate of 116 beats/minute with frequent premature ventricular contractions. The client experiences ventricular tachycardia and becomes unresponsive. After resuscitation, the client moves to the intensive care unit. Which nursing diagnosis is top priority?





12.    After having several Stokes-Adams attacks over 4 months, a client reluctantly agrees to implantation of a permanent pacemaker. Before discharge, the nurse Sheen reviews pacemaker care and safety guidelines with the client and spouse. Which safety precaution is appropriate for a client with a pacemaker?





13.    Which signs and symptoms are present with a diagnosis of pericarditis?





14.    Ramon in the emergency department complains of squeezing substernal pain that radiates to the left shoulder and jaw. He also complains of nausea, diaphoresis, and shortness of breath. What should the nurse do?





15.    Dave with chest pain receives nitroglycerin on the way to the acute care facility. Based on an electrocardiogram obtained on admission, the physician suspects a myocardial infarction (MI) and prescribes I.V. morphine to relieve continuing pain. A primary goal of nursing care for this client is to recognize life-threatening complications of an MI. The major cause of death after an MI is:





16.    Tony is hospitalized with oat cell carcinoma of the lung. To manage severe pain, the physician prescribes a continuous I.V. infusion of morphine. Which formula should the nurse use to check that the morphine dose is appropriate for the client?





17.    Which nursing intervention is most appropriate for a client with multiple myeloma?





18.    To treat cervical cancer, Norma has had an applicator of radioactive material placed in the vagina. Which observation by the nurse indicates a radiation hazard?





19.    Malou is receiving chemotherapy has a nursing diagnosis of deficient diversional activity related to decreased energy. Which statement indicates an accurate understanding of appropriate ways to deal with this deficit?





20.    Andrew is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, the nurse should stress the importance of:





21.    A male client with liver and renal failure has severe ascites. On initial shift rounds, his primary nurse finds his indwelling urinary catheter collection bag too full to store more urine. The nurse empties more than 2,000 ml from the collection bag. One hour later, she finds the collection bag full again. The nurse notifies the physician, who suspects that a bladder rupture is allowing the drainage of peritoneal fluid. The physician orders a urinalysis to be obtained immediately. If the physician's suspicion is correct, the urine will abnormally contain:





22.    As a client recovers from gastric resection, nurse Zara monitors closely for complications. When the client resumes oral feedings, the nurse observes for early manifestations of dumping syndrome. The vasomotor disturbances associated with this syndrome usually occur how soon after eating?





23.    Nurse Lhyzette must provide total parenteral nutrition (TPN) to a client through a triple-lumen central line. To prevent complications of TPN, the nurse should:





24.    A male client undergoes total gastrectomy. Several hours after surgery, nurse Charina notes that the client's nasogastric (NG) tube has stopped draining. How should the nurse respond?





25.    Troy is diagnosed with a hiatal hernia. Which statement indicates effective client teaching about hiatal hernia and its treatment?





26. What is the primary nursing diagnosis for a client with a bowel obstruction?





27. An adolescent girl is admitted to an acute care facility with severe malnutrition. After a thorough examination, the physician diagnoses anorexia nervosa. When developing the plan of care for this client, nurse Michelle is most likely to include which nursing diagnosis?





28.    Nurse Mariner is teaching an elderly client about good bowel habits. Which statement by the client would indicate to the nurse that additional teaching is required?





29.    Bea with atopic dermatitis is prescribed medication for photochemotherapy. The nurse teaches the client about the importance of protecting the skin from ultraviolet light before drug administration and for 8 hours afterward and stresses the need to protect the eyes. After administering medication for photochemotherapy, the client must protect the eyes for:





30. Nurse Ronald plans to administer dexamethasone cream to a client who has dermatitis over the anterior chest How should the nurse apply this topical agent?





31. A male client with a severe staphylococcal infection is receiving the aminoglycoside gentamicin sulfate (Garamycin) by the I.V. route. Nurse Marilyn should assess the client for which adverse reaction to this drug?





32. Trisha with a solar burn of the chest, back, face, and arms is seen in urgent care. The nurse's primary concern should be:





33. A female client with acquired immunodeficiency syndrome (AIDS) is admitted with Pneumocystis carinii pneumonia. During a bath, the client begins to cry and says that most friends and relatives have stopped visiting and calling. What should the nurse Leng do?





34. Which nursing diagnosis should the nurse Dianne expect to see in a plan of care for a client in sickle cell crisis?





35.    Juan who agreed to become an organ donor is pronounced dead. What is the most important factor in selecting a transplant recipient?





36.    Which of the following cells are involved in bone resorption?





37.    Mrs. Roda undergoes hip-pinning surgery to treat an intertrochanteric fracture of the right hip. The nurse should include which intervention in the postoperative plan of care?





38.    Which nursing diagnosis is most appropriate for lola Luisa an elderly client with osteoarthritis?





39.    A male client comes to the emergency department complaining of pain in the right leg. When obtaining the history, nurse Ron learns that the client was diagnosed with diabetes mellitus at age 12. The nurse knows that this disease predisposes the client to which musculoskeletal disorder?





40. A client who has just been diagnosed with mixed muscular dystrophy asks the nurse Cedric about the usual course of this disease. How should the nurse respond?





41. The Milwaukee brace is used often in the treatment of scoliosis. Which the following positions best describes the placement of the pressure rods?





42. The nurse is aware that congenital hip dislocation is most common found in which of the following groups?





43. Which of the following forms of muscular dystrophy is the most common?





44. The nurse is aware that the following defects involve the use of the Logan bow postoperatively?





45. Nurse Myrna is aware that which of the following ages would she observe a higher incidence of acute glomerulonephritis?





46. Nurse Oliver is aware that the following hormones is secreted by the anterior pituitary gland?





47. Which of the following condition is a common cause of prerenal acute renal failure?





48. When the nurse provides discharge teaching for a client with uric acid calculi, the nurse should include an instruction to avoid which type of diet?





49. The client with which of the following types of lung cancer has the best prognosis?





50. Which of the following conditions is an early symptom commonly seen in myasthenia gravis?







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Comments

22 Responses to “Nursing Practice Test III – Set A”
  1. rap says:
    August 30, 2010 at 3:35 pm

    hehe 40/50

    Reply
  2. humilidad says:
    June 14, 2010 at 6:53 pm

    define “menthor”.

    Reply
  3. rovie david says:
    June 11, 2010 at 11:33 pm

    hahahaha…nice one i got 49/50..bakit d ko xa naperfect?huhuhuhu..thanks to my menthor..Doc DACO..galing mo sir sau ko po to namana..next exam i will make 50/50 na hahaha..yabang..kaya pa kahit 2years n ako d nagbabasa,,long term memory tlga tinanim ng mga prof ko sa utak ko..hahahah..miss you ol of my prof..

    Reply
  4. chang says:
    March 19, 2010 at 7:25 pm

    how can i down load the practice test.. pls help

    Reply
  5. CALLORINA, CRIS BAUTISTA says:
    October 12, 2009 at 11:18 am

    my performance rated as “GOOD” i got 36/50

    Reply
  6. Abulianscry says:
    August 19, 2009 at 8:02 am

    Hey how can i ans those drills? Page is not loading..pls help

    Reply
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