Durham College Consolidation Exam
Questions and Answers
Question 1
Which of the following statement indicating to the nurse of a postpartum visit that
the patient understands the sign of postpartum hemorrhage?
Correct Answer
My discharge wound change red after being pink or white.
Question 2
Teaching kids how to be safe during school recess
Correct Answer
Playing safely during competitive sports
Question 3
Home health nursing involves acute, chronic, and palliative care of clients and families
to enhance their capacity for which activity?
a. Nursing care that promotes autonomy in decision making
b. Improving their health care and self-care
c. Self-care and autonomy in decision making
d. Learning about their illnesses
Correct Answer
c. Self-care and autonomy in decision making
Question 4
A client is vomiting profusely and had diarrhea. What is the nurse most concerned
about?
Correct Answer
Fluid and electrolyte imbalance
Page 1 of 63
,Question 5
Priority for Congestive Heart failure (CHF)?
Correct Answer
Hand washing compliance
Question 6
Which of the following by the nurse is most important when a client is experiencing a
panic attack?
Correct Answer
Staying with patient
Question 7
While the RPN was caring for a client, the client asked the RPN to speak to a another
RPN, Candy, as he feels more comfortable with her. What should the RPN do next?
Correct Answer
Talk to nurse and tell her that her behaviour might be perceived as inappropriate.
Question 8
A client admitted into a mental health group therapy experiences sudden feeling of
doom, SOB and chest pain for the 1st time. What is the best course action by the
nurse?
Correct Answer
Put him in a private room until he feels better.
Question 9
A nurse is administering an antibiotic to a competent elderly client at mid night. The
client refuses to take meds stating "I already took my pills before I went to sleep"?
what is the PRN best action?
Correct Answer
Check with previous documentation to be certain that the time of administration
was not change by previous shift
Page 2 of 63
,Question 10
The parents of 7-year-old child with asthma. Which statement by the parents
indicates further teaching is needed?
Correct Answer
"I will never let my child do any exercise."
Question 11
Mrs. Orie 24 years old has undergone a C section and had an epidural. She has just
entered the post op room. What is the nurse initial action?
Correct Answer
Access level of consciousness
Question 12
A client admitted to the hospital with depression refuses to participate in activities. A
highly enthusiastic approach by a nurse may produce which of the following affect?
Correct Answer
Irritated him and block therapeutic communication
Question 13
Mrs. Jones is a 82 year old woman in the community. Becoming physically weak
having trouble washing and dressing herself is a continuous risk for fall, has little
family support near by and is becoming increasingly forgetful. Up until this point she
has been managing her own medication and getting her meals. Her family comes in
from out of town and is appalled to see the condition she is living in the arrange for a
PSW to take care of her meals and help her bathe and dress daily. They ask the
community nurse when she is no longer able to stay in her home? What is the best
response?
Correct Answer
She or her representative can apply through community care access center and be
place on a waiting list for a long-term care bed
Page 3 of 63
, Question 14
A 81 year old female patient has been admitted to the rehabilitation center after
having knee replacement, she is very anxious and refuse to get out of bed and stated
its too painful. What is the best course of action for the nurse?
Correct Answer
Offer pain meds administer meds and check back in 20 minutes.
Question 15
The RPN is suctioning a client diagnose with active TB what precaution is necessary?
Correct Answer
N95 respirator, gown, gloves, and goggles. Airborne precaution
Question 16
After a family conference with a client's family and the healthcare practitioners had
concluded, the nurse realized she did not advocate properly for her client. How
should the nurse proceed?
Correct Answer
Reflect
Question 17
A client is admitted for a C-section. She seems to have a good relationship with her
husband. She tells the nurse that she wishes to have both her tubes tied during the
surgery but does not want her husband to know. What should the nurse do?
Correct Answer
Proceed as pt. wants and document.
Question 18
A client is a Jehovah's witness and has made it clear he does not want any blood or
blood product transfused. What should the nurse do?
Correct Answer
Respect clients wishes.
Page 4 of 63
Questions and Answers
Question 1
Which of the following statement indicating to the nurse of a postpartum visit that
the patient understands the sign of postpartum hemorrhage?
Correct Answer
My discharge wound change red after being pink or white.
Question 2
Teaching kids how to be safe during school recess
Correct Answer
Playing safely during competitive sports
Question 3
Home health nursing involves acute, chronic, and palliative care of clients and families
to enhance their capacity for which activity?
a. Nursing care that promotes autonomy in decision making
b. Improving their health care and self-care
c. Self-care and autonomy in decision making
d. Learning about their illnesses
Correct Answer
c. Self-care and autonomy in decision making
Question 4
A client is vomiting profusely and had diarrhea. What is the nurse most concerned
about?
Correct Answer
Fluid and electrolyte imbalance
Page 1 of 63
,Question 5
Priority for Congestive Heart failure (CHF)?
Correct Answer
Hand washing compliance
Question 6
Which of the following by the nurse is most important when a client is experiencing a
panic attack?
Correct Answer
Staying with patient
Question 7
While the RPN was caring for a client, the client asked the RPN to speak to a another
RPN, Candy, as he feels more comfortable with her. What should the RPN do next?
Correct Answer
Talk to nurse and tell her that her behaviour might be perceived as inappropriate.
Question 8
A client admitted into a mental health group therapy experiences sudden feeling of
doom, SOB and chest pain for the 1st time. What is the best course action by the
nurse?
Correct Answer
Put him in a private room until he feels better.
Question 9
A nurse is administering an antibiotic to a competent elderly client at mid night. The
client refuses to take meds stating "I already took my pills before I went to sleep"?
what is the PRN best action?
Correct Answer
Check with previous documentation to be certain that the time of administration
was not change by previous shift
Page 2 of 63
,Question 10
The parents of 7-year-old child with asthma. Which statement by the parents
indicates further teaching is needed?
Correct Answer
"I will never let my child do any exercise."
Question 11
Mrs. Orie 24 years old has undergone a C section and had an epidural. She has just
entered the post op room. What is the nurse initial action?
Correct Answer
Access level of consciousness
Question 12
A client admitted to the hospital with depression refuses to participate in activities. A
highly enthusiastic approach by a nurse may produce which of the following affect?
Correct Answer
Irritated him and block therapeutic communication
Question 13
Mrs. Jones is a 82 year old woman in the community. Becoming physically weak
having trouble washing and dressing herself is a continuous risk for fall, has little
family support near by and is becoming increasingly forgetful. Up until this point she
has been managing her own medication and getting her meals. Her family comes in
from out of town and is appalled to see the condition she is living in the arrange for a
PSW to take care of her meals and help her bathe and dress daily. They ask the
community nurse when she is no longer able to stay in her home? What is the best
response?
Correct Answer
She or her representative can apply through community care access center and be
place on a waiting list for a long-term care bed
Page 3 of 63
, Question 14
A 81 year old female patient has been admitted to the rehabilitation center after
having knee replacement, she is very anxious and refuse to get out of bed and stated
its too painful. What is the best course of action for the nurse?
Correct Answer
Offer pain meds administer meds and check back in 20 minutes.
Question 15
The RPN is suctioning a client diagnose with active TB what precaution is necessary?
Correct Answer
N95 respirator, gown, gloves, and goggles. Airborne precaution
Question 16
After a family conference with a client's family and the healthcare practitioners had
concluded, the nurse realized she did not advocate properly for her client. How
should the nurse proceed?
Correct Answer
Reflect
Question 17
A client is admitted for a C-section. She seems to have a good relationship with her
husband. She tells the nurse that she wishes to have both her tubes tied during the
surgery but does not want her husband to know. What should the nurse do?
Correct Answer
Proceed as pt. wants and document.
Question 18
A client is a Jehovah's witness and has made it clear he does not want any blood or
blood product transfused. What should the nurse do?
Correct Answer
Respect clients wishes.
Page 4 of 63
