Part 1 | Questions with Correct Answers | Latest Update
2026 | Exam Prep | Graded A+
1. A nurse must administer a medication into the ear of an adult patient. Which of
the following ensures appropriate administration?
Place the patient in a comfortable position
Pull the pinna down and backward
Pull the pinna of the ear upward and backward
Warm the solution to body temp.
2. In a clinical scenario where a patient presents with multiple symptoms
indicating a potential syndrome nursing diagnosis, how should a nurse
proceed with the care plan?
The nurse should focus only on the most severe symptom.
The nurse should develop a comprehensive care plan that
addresses the cluster of diagnoses and their interrelated factors.
The nurse should refer the patient to another healthcare provider
immediately.
The nurse should ignore the cluster and treat symptoms individually.
3. Which term describes a clinical judgment about individual, family, or
community responses to actual or potential health problems?
Patient assessment
Nursing diagnosis
Clinical procedure
Medical diagnosis
,4. If Pia's sodium level were to rise to 160 mEq/L, what dietary recommendation
should the nurse reinforce?
Increase intake of dairy products for calcium.
Avoid all carbohydrates to manage sodium levels.
Consume more fruits and vegetables for fiber.
Limit high-sodium foods like processed meats and canned goods.
5. What is the first action a nurse should take if they observe redness and
swelling at a venipuncture site during an infusion?
Slow the infusion to 20 ml/hr
Place a cold towel on the site
Call the attending physician
Stop the infusion
6. What is the defining characteristic of Kussmaul's breathing?
Increased rate and depth of respiration
Prolonged gasping inspiration followed by a very short expiration
Marked rhythmic waxing and waning of respirations
Shallow breaths interrupted by apnea
7. A nurse is preparing to measure an infant's vital signs. The nurse should use
which of the following sites to assess a heart rate?
Radial artery
Brachial artery
Carotid artery
, Apex of the heart
8. What nursing action is suggested for a patient who has difficulty sleeping due
to noise?
Close the patient's door from 9pm to 7am
Give the patient a glass of warm milk before bedtime
Ambulate the patient for 5 minutes before he retires
Administer a sedative at bedtime, as ordered by the physician
9. If a patient has a fever of 102 degrees F, what would be the equivalent
temperature in Celsius, and how would this affect the nursing care plan?
39.44 degrees C; it indicates the patient is stable.
37.78 degrees C; no changes to the care plan are needed.
40.56 degrees C; the patient requires immediate transfer to ICU.
38.89 degrees C; it may necessitate increased monitoring and
intervention.
10. Describe the collaborative nature of formulating a nursing diagnosis and its
significance in patient care.
Formulating a nursing diagnosis requires input only from the doctor
and family members.
Formulating a nursing diagnosis involves collaboration between the
nurse and the patient, ensuring that the patient's perspective and
needs are considered.
Formulating a nursing diagnosis is solely the responsibility of the
nurse based on clinical observations.
, Formulating a nursing diagnosis is a process that does not involve the
patient.
11. When is postural drainage recommended to relieve respiratory congestion?
After meals
At the nurse's convenience
At the patient's convenience
Before meals
12. The nurse knows that Bell's Palsy involves the paralysis of which CN?
VII- Facial
X- Vagus
II- Optic
VI- Abducens
13. What position should your patient be in for an abdominal exam?
supine, arms above head, knees bent
supine, arms above head, legs flat against the bed
supine, arms at sides, knees bent
supine, arms at sides, legs flat against the bed
14. If a nurse mistakenly places the NGT feeding 20 inches above the point of
insertion, what potential issue might arise?
Increased risk of aspiration
Decreased risk of nausea