Nursing Board Practice Test Compilation

NURSING PRACTICE I: FOUNDATION OF NURSING PRACTICE 4 NURSING PRACTICE II 15 NURSING PRACTICE III 26 NURSING PRACTICE IV 36 NURSING PRACTICE V 46 TEST I - Foundation of Professional Nursing Practice 56 Answers and Rationale – Foundation of Professional Nursing Practice 66 TEST II - Community Health Nursing and Care of the Mother and Child 74 Answers and Rationale – Community Health Nursing and Care of the Mother and Child 84 TEST III - Care of Clients with Physiologic and Psychosocial Alterations 91 Answers and Rationale – Care of Clients with Physiologic and Psychosocial Alterations 102 TEST IV - Care of Clients with Physiologic and Psychosocial Alterations 111 Answers and Rationale – Care of Clients with Physiologic and Psychosocial Alterations 122 TEST V - Care of Clients with Physiologic and Psychosocial Alterations 133 Answers and Rationale – Care of Clients with Physiologic and Psychosocial Alterations 144 PART III PRACTICE TEST I FOUNDATION OF NURSING . 153 ANSWERS AND RATIONALE – FOUNDATION OF NURSING 158 PRACTICE TEST II Maternal and Child Health 162 ANSWERS AND RATIONALE – MATERNAL AND CHILD HEALTH 167 MEDICAL SURGICAL NURSING 173 ANSWERS AND RATIONALE – MEDICAL SURGICAL NURSING 178 PSYCHIATRIC NURSING 180 ANSWERS AND RATIONALE – PSYCHIATRIC NURSING ................................................................................. 185 FOUNDATION OF PROFESSIONAL NURSING PRACTICE188 ANSWER KEY - FOUNDATION OF PROFESSIONAL NURSING PRACTICE 199 COMMUNITY HEALTH NURSING AND CARE OF THE MOTHER AND CHILD 200 ANSWER KEY: COMMUNITY HEALTH NURSING AND CARE OF THE MOTHER AND CHILD 211 Comprehensive Exam 1 213 CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS 222 ANSWER KEY: CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS 234 Nursing Practice Test V 235 Nursing Practice Test V 245 TEST I - Foundation of Professional Nursing Practice 255 Answers and Rationale – Foundation of Professional Nursing Practice 265 TEST II - Community Health Nursing and Care of the Mother and Child 273 Answers and Rationale – Community Health Nursing and Care of the Mother and Child 283 TEST III - Care of Clients with Physiologic and Psychosocial Alterations 290 Answers and Rationale – Care of Clients with Physiologic and Psychosocial Alterations 301 TEST IV - Care of Clients with Physiologic and Psychosocial Alterations 310 Answers and Rationale – Care of Clients with Physiologic and Psychosocial Alterations 321 TEST V - Care of Clients with Physiologic and Psychosocial Alterations 332 Answers and Rationale – Care of Clients with Physiologic and Psychosocial Alterations 343 PART III 352 PRACTICE TEST I FOUNDATION OF NURSING 352 ANSWERS AND RATIONALE – FOUNDATION OF NURSING 357 PRACTICE TEST II Maternal and Child Health 361 ANSWERS AND RATIONALE – MATERNAL AND CHILD HEALTH 366 MEDICAL SURGICAL NURSING 372 ANSWERS AND RATIONALE – MEDICAL SURGICAL NURSING 377 PSYCHIATRIC NURSING 379 ANSWERS AND RATIONALE – PSYCHIATRIC NURSING ................................................................................. 384 FUNDAMENTALS OF NURSING PART 1 387 FUNDAMENTALS OF NURSING PART 2 392 ANSWERS and RATIONALES for FUNDAMENTALS OF NURSING PART 2 397 FUNDAMENTALS OF NURSING PART 3 401 ANSWERS and RATIONALES for FUNDAMENTALS OF NURSING PART 3 405 MATERNITY NURSING Part 1 409 ANSWERS and RATIONALES for MATERNITY NURSING Part 1 418 MATERNITY NURSING Part 2 428 Answer for maternity part 2 433 PEDIATRIC NURSING 434 ANSWERS and RATIONALES for PEDIATRIC NURSING ................................................................................. 439 COMMUNITY HEALTH NURSING Part 1 444 COMMUNITY HEALTH NURSING Part 2 454 MEDICAL SURGICAL NURSING Part 1 475 ANSWERS and RATIONALES for MEDICAL SURGICAL NURSING Part 1 479 MEDICAL SURGICAL NURSING Part 2 481 MEDICAL SURGICAL NURSING Part 2 485 ANSWERS and RATIONALES for MEDICAL SURGICAL NURSING Part 2 489 MEDICAL SURGICAL NURSING Part 3 491 ANSWERS and RATIONALES for MEDICAL SURGICAL NURSING Part 3 495 PSYCHIATRIC NURSING Part 1 497 ANSWERS and RATIONALES for PSYCHIATRIC NURSING Part 1 502 PSYCHIATRIC NURSING Part 2 504 ANSWERS and RATIONALES for PSYCHIATRIC NURSING Part 2 509 PSYCHIATRIC NURSING Part 3 512 ANSWERS and RATIONALES for PSYCHIATRIC NURSING Part 3 516 PROFESSIONAL ADJUSTMENT 519 LEADERSHIP and MANAGEMENT 522 NURSING RESEARCH Part 1 532 NURSING RESEARCH Part 2 542 Nursing Research Suggested Answer Key 546 2 3 NURSING PRACTICE I: FOUNDATION OF NURSING PRACTICE SITUATION: Nursing is a profession. The nurse should have a background on the theories and foundation of nursing as it influenced what is nursing today. 1. Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of the individuals, families, communities and the population. This is the most accepted definition of nursing as defined by the: a. PNA b. ANA c. Nightingale d. Henderson 2. Advancement in Nursing leads to the development of the Expanded Career Roles. Which of the following is NOT an expanded career role for nurses? a. Nurse practitioner b. Nurse Researcher c. Clinical nurse specialist d. Nurse anaesthesiologist 3. The Board of Nursing regulated the Nursing profession in the Philippines and is responsible for the maintenance of the quality of nursing in the country. Powers and duties of the board of nursing are the following, EXCEPT: a. Issue, suspend, revoke certificates of registration b. Issue subpoena duces tecum, ad testificandum c. Open and close colleges of nursing d. Supervise and regulate the practice of nursing 4. A nursing student or a beginning staff nurse who has not yet experienced enough real situations to make judgments about them is in what stage of Nursing Expertise? a. Novice b. Newbie c. Advanced Beginner d. Competent 5. Benner’s “Proficient” nurse level is different from the other levels in nursing expertise in the context of having: a. the ability to organize and plan activities b. having attained an advanced level of education c. a holistic understanding and perception of the client d. intuitive and analytic ability in new situations SITUATION: The nurse has been asked to administer an injection via Z TRACK technique. Questions 6 to 10 refer to this. 6. The nurse prepares an IM injection for an adult client using the Z track technique. 4 ml of medication is to be administered to the client. Which of the following site will you choose? a. Deltoid b. Rectus femoris c. Ventrogluteal d. Vastus lateralis 7. In infants 1 year old and below, which of the following is the site of choice for intramuscular Injection? a. Deltoid b. Rectus femoris c. Ventrogluteal d. Vastus lateralis 8. In order to decrease discomfort in Z track administration, which of the following is applicable? a. Pierce the skin quickly and smoothly at a 90 degree angle b. Inject the medication steadily at around 10 minutes per millilitre c. Pull back the plunger and aspirate for 1 minute to make sure that the needle did not hit a blood vessel d. Pierce the skin slowly and carefully at a 90 degree angle 9. After injection using the Z track technique, the nurse should know that she needs to wait for a few seconds before withdrawing the needle and this is to allow the medication to disperse into the muscle tissue, thus decreasing the client’s discomfort. How many seconds should the nurse wait before withdrawing the needle? a. 2 seconds 4 5 b. 5 seconds c. 10 seconds d. 15 seconds 10. The rationale in using the Z track technique in an intramuscular injection is: a. It decreases the leakage of discolouring and irritating medication into the subcutaneous tissues b. It will allow a faster absorption of the medication c. The Z track technique prevent irritation of the muscle d. It is much more convenient for the nurse SITUATION: A Client was rushed to the emergency room and you are his attending nurse. You are performing a vital sign assessment. 11. All of the following are correct methods in assessment of the blood pressure EXCEPT: a. Take the blood pressure reading on both arms for comparison b. Listen to and identify the phases of Korotkoff’s sound c. Pump the cuff to around 50 mmHg above the point where the pulse is obliterated d. Observe procedures for infection control 12. You attached a pulse oximeter to the client. You know that the purpose is to: a. Determine if the client’s hemoglobin level is low and if he needs blood transfusion b. Check level of client’s tissue perfusion c. Measure the efficacy of the client’s anti- hypertensive medications d. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops 13. After a few hours in the Emergency Room, The client is admitted to the ward with an order of hourly monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood pressure reading to be: a. inconsistent b. low systolic and high diastolic c. higher than what the reading should be d. lower than what the reading should be 14. Through the client’s health history, you gather that the patient smokes and drinks coffee. When taking the blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s blood pressure for accurate reading? a. 15 minutes b. 30 minutes c. 1 hour d. 5 minutes 15. While the client has pulse oximeter on his fingertip, you notice that the sunlight is shining on the area where the oximeter is. Your action will be to: a. Set and turn on the alarm of the oximeter b. Do nothing since there is no identified problem c. Cover the fingertip sensor with a towel or bedsheet d. Change the location of the sensor every four hours 16. The nurse finds it necessary to recheck the blood pressure reading. In case of such re assessment, the nurse should wait for a period of: a. 15 seconds b. 1 to 2 minutes c. 30 minutes d. 15 minutes 17. If the arm is said to be elevated when taking the blood pressure, it will create a: a. False high reading b. False low reading c. True false reading d. Indeterminate 18. You are to assessed the temperature of the client the next morning and found out that he ate ice cream. How many minutes should you wait before assessing the client’s oral temperature? a. 10 minutes b. 20 minutes c. 30 minutes d. 15 minutes 19. When auscultating the client’s blood pressure the nurse hears the following: From 150 mmHg to 130 mmHg: Silence, Then: a thumping sound continuing down to 100 mmHg; muffled sound continuing down to 80 mmHg and then silence.