Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
1. The nurse is teaching a client about breast self-examination the client ask the nurse where masses are most often
found. Which response by the nurse are most appropriate? Select all that apply
A. In the axlla
B. Beneath the nipple
C. Lower inner quadrant
D. Upper outer quadrant
E. Lower outer quadrant
2. The nurse is assessing a client with herpes zoster. Which characteristic(s) does the nurse expect to note when assessing
the lesions of this infection? Select all that apply.
A. Clustered skin vesicles
B. A generalized body rash
C. Small blue-white spots with a red base
D. A fiery red edematous rash on the cheeks
E. Grouped vesicles on an erythematous base
3. A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of cerebral edema after
surgery, the nurse anticipates the use of:
A. Steroids
B. Diuretics
C. Anticonvulsants
D. Antihypertensives
4. A nurse driving along the scene of an accident and stops to assist a man with a deep laceration on his hand, a fractured
arm and leg, and abdominal pain. The nurse wraps the man's hand in a soiled cloth and drives him to the nearest
hospital. The nurse is:
A. Practicing her skills as a nurse
B. Negligent and can be sued for malpractice
C. Practicing under guidelines of the Nurse Practice Act
D. Protected for these actions, in most states, by Good Samaritan legislation
5. A visitor in the room adjacent to a client asks the nurse what disease the client has. The nurse responds, "I will not
discuss my client's illness. Are you worried about it?" This response is based on the nurse's knowledge that to discuss a
client's condition with someone not directly involved with that client is an example of:
A. Negligence
B. Breach of confidentiality
C. Libel
D. Defamation of character
6. When approaching homosexual clients with acquired immunodeficiency syndrome (AIDS), it is most important for
nurses to:
A. Establish a meaningful rapport with clients
B. Have a strong sense of their own sexual identity
C. Admit their own feelings of discomfort towards them
D. Become aware of their own attitude towards homosexuality
7. The client has a prescription for a calcium carbonate compound to neutralize stomach acid. The nurse should assess the
client for:
A. Constipation
B. Hyperphosphatemia
C. Hypomagnesemia
D. Diarrhea
8. Heparin has been ordered for a client with pulmonary embolis. Which of the following statement, made by the graduate
Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
, Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
nurse, indicates a lack of knowledge regarding the medication
A. “I will administer the medication 1- 2 inches away from the umbilicus.”
B. “I will administer the medication in the abdomen area.
C. “I will check the PTT before administering the medication.”
D. “I will need to aspirate when I give the Heparin.”
9. The nurse is preparing a client with an axillo-popliteal bypass graft for discharge. The client should be taught to avoid:
A. Using a recliner to rest
B. Resting in supine position
C. Sitting in a straight chair
D. Sleeping in right Sim’s position
10. The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?
A. The client with a history of a cerebral aneurysm with oxygen saturation
rate of 99%
B. The client three days post-coronary artery bypass graft with a temperature
of 100.3ºF
C. The client admitted 1 hour ago with shortness of breath
D. The client being prepared for discharge following a femoral popliteal bypass graft
11. The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would indicate
further teaching in required?
A. “I will have my blood drawn every month.”
B. “I will assess my skin for a rash.”
C. “I will take aspiring for my headache.”
D. “I will use an electric razor to shave.”
12. If an interpreter is not available when a patient speaks a language different from the nurse’s language, it is appropriate
for the nurse to
A. Use specific medical terms in the Latin form.
B. Talk slowly so that each word is clearly heard.
C. Repeat important words so that the patient recognizes their importance.
D. Use simple gestures to demonstrate meaning while talking to the patient.
13. Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient (select all that
apply)?
A. Assess for bradycardia.
B. Ask about epigastric pain.
C. Observe for increased appetite.
D. Check for elevated blood glucose levels.
e. Monitor for a decrease in respiratory rate.
14. A patient who has fibromyalgia tells the nurse, “My life feels very chaotic and out of my control. I will not be able to
manage if anything else happens.” Which response should the nurse make initially?
A. “Regular massages may help reduce muscle pain.”
B. “Guided imagery can be helpful in regaining control.”
Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
, Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
C. “Tell me more about how your life has been recently.”
D. “Your previous coping mechanism can help you now.”
15. The health care provider plans to titrate a patient-controlled analgesia (PCA. machine to provide pain relief for a patient
with acute surgical pain who has never received opioids in the past. Which of the following nursing actions regarding
opioid administration are appropriate at this time (select all that apply)?
A. Assessing for signs that the patient is becoming addicted to the opioid
B. Monitoring for therapeutic and adverse effects of opioid administration
C. Emphasizing that the risk of some opioid side effects increases over time
D. Educating the patient about how analgesics improve postoperative activity level
E. Teaching about the need to decrease opioid doses by the second postoperative day
16. A terminally ill patient is admitted to the hospital. Which action should the nurse include in the initial plan of care?
A. Determine the patient’s wishes regarding end-of-life care.
B. Emphasize the importance of addressing any family issues.
C. Discuss the normal grief process with the patient and family.
D. Encourage the patient to talk about any fears or unresolved issues.
17. A patient’s temperature has been 101° F (38.3° C. for several days. The patient’s normal caloric intake to meet
nutritional needs is 2000 calories per day. Knowing that the metabolic rate increases 7% for each Fahrenheit degree
above 100° in body temperature, calculate the total calories the patient should receive each day.
Ans: 2140
18. On the examination the following question will ask to put in order: A patient who has an infected abdominal wound
develops a temperature of 104° F (40° C.. All the following interventions are included in the patient’s plan of care. In
which order should the nurse perform the following actions?
A. Sponge patient with cool water. (3)
B. Administer intravenous antibiotics. (1)
C. Perform wet-to-dry dressing change. (4)
D. Administer acetaminophen (Tylenol). (2)
19. The nurse has administered 3% saline to a patient with hyponatremia. Which one of these assessment data will require
the most rapid response by the nurse?
A. The patient’s radial pulse is 105 beats/minute.
B. There is sediment and blood in the patient’s urine.
C. The blood pressure increases from 120/80 to 142/94.
D. There are crackles audible throughout both lung fields.
20. The following data are obtained by the nurse when assessing a pregnant patient with eclampsia who is receiving IV
magnesium sulfate. Which finding is most important to report to the health care provider immediately?
A. The bibasilar breath sounds are decreased.
B. The patellar and triceps reflexes are absent.
C. The patient has been sleeping most of the day.
D. The patient reports feeling “sick to my stomach.”
21. A patient with advanced lung cancer is admitted to the emergency department with urinary retention caused by renal
calculi. Which of these laboratory values will require the most immediate action by the nurse?
A. Arterial blood pH is 7.32.
B. Serum calcium is 18 mEq/L.
C. Serum potassium is 5.1 mEq/L.
Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
, Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
D. Arterial oxygen saturation is 91%.
22. A home care nurse is preparing to visit a client with a diagnosis of Meniere’s disease. The nurse review’s the
physician’s orders and expects to note that which of the following dietary measures will be prescribed?
A. Low fiber diet with decreased fluids
B. Low sodium diet and fluid restriction
C. Low carbohydrate diet and elimination of red meats
D. Low fat with restriction of citrus fruits
23. A nurse is assigned to care for a client who has just undergone eye surgery. The nurse plans to instruct the client that
which of the following activities is permitted in the postoperative period?
A. Reading
B. Watching television
C. Bending over
D. Lifting objects
24. A client has undergone surgery for glaucoma. The nurse provides which discharge instructions to the clients?
A. Wound healing usually takes 12 weeks
B. Expected the vision will be permanently impaired
C. A shield or eye patch should be worn to protect the eye
D. The sutures are removed after 1 week
25. When the nurse prepares the client or the myringotomy, the best explanation as to the purpose for the procedures is that
it will:
A. Prevent permanent hearing loss
B. Provide a pathway for drainage
C. Aid in administering medications
D. Maintain motion of the ear bones
26. A nurse is reviewing the record of the client with a disorder involving the inner ear. Which of the following would the
nurse expect to see documented as an assessment finding in this client?
A. Severe hearing loss
B. Complaints of severe pain in the affected ear
C. Complaints of burning in the ear
D. Complaints of tinnitus
27. The nurse cares for a toddler diagnosed with pneumonia caused by Haemophilus influenzae . The nurse should follow
which of the following transmission-based precautions?
A. Standard precautions.
B. Airborne precautions.
C. Droplet precautions.
D. Contact precautions.
28. The nurse expects the emotional responses of a client with a cerebral vascular accident (CVA. of the left hemisphere to
be MOST influenced by which of the following?
A. The client’s ability to understand the illness and treatment.
B. The client’s perception of the care received during his illness.
C. The client’s personality and general health prior to the CVA.
D. The type of lesion that caused the CVA.
29. The nurse determines that which of the following clients are at risk to develop pneumonia? Select all that apply:
A. 16-year-old male who has experimented with cigarettes.
B. A 25-year-old female diagnosed with cystic fibrosis.
C. A 36-year-old male diagnosed with Addison’s disease.
Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
COMPLETE SOLUTIONS GRADED A+
1. The nurse is teaching a client about breast self-examination the client ask the nurse where masses are most often
found. Which response by the nurse are most appropriate? Select all that apply
A. In the axlla
B. Beneath the nipple
C. Lower inner quadrant
D. Upper outer quadrant
E. Lower outer quadrant
2. The nurse is assessing a client with herpes zoster. Which characteristic(s) does the nurse expect to note when assessing
the lesions of this infection? Select all that apply.
A. Clustered skin vesicles
B. A generalized body rash
C. Small blue-white spots with a red base
D. A fiery red edematous rash on the cheeks
E. Grouped vesicles on an erythematous base
3. A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of cerebral edema after
surgery, the nurse anticipates the use of:
A. Steroids
B. Diuretics
C. Anticonvulsants
D. Antihypertensives
4. A nurse driving along the scene of an accident and stops to assist a man with a deep laceration on his hand, a fractured
arm and leg, and abdominal pain. The nurse wraps the man's hand in a soiled cloth and drives him to the nearest
hospital. The nurse is:
A. Practicing her skills as a nurse
B. Negligent and can be sued for malpractice
C. Practicing under guidelines of the Nurse Practice Act
D. Protected for these actions, in most states, by Good Samaritan legislation
5. A visitor in the room adjacent to a client asks the nurse what disease the client has. The nurse responds, "I will not
discuss my client's illness. Are you worried about it?" This response is based on the nurse's knowledge that to discuss a
client's condition with someone not directly involved with that client is an example of:
A. Negligence
B. Breach of confidentiality
C. Libel
D. Defamation of character
6. When approaching homosexual clients with acquired immunodeficiency syndrome (AIDS), it is most important for
nurses to:
A. Establish a meaningful rapport with clients
B. Have a strong sense of their own sexual identity
C. Admit their own feelings of discomfort towards them
D. Become aware of their own attitude towards homosexuality
7. The client has a prescription for a calcium carbonate compound to neutralize stomach acid. The nurse should assess the
client for:
A. Constipation
B. Hyperphosphatemia
C. Hypomagnesemia
D. Diarrhea
8. Heparin has been ordered for a client with pulmonary embolis. Which of the following statement, made by the graduate
Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
, Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
nurse, indicates a lack of knowledge regarding the medication
A. “I will administer the medication 1- 2 inches away from the umbilicus.”
B. “I will administer the medication in the abdomen area.
C. “I will check the PTT before administering the medication.”
D. “I will need to aspirate when I give the Heparin.”
9. The nurse is preparing a client with an axillo-popliteal bypass graft for discharge. The client should be taught to avoid:
A. Using a recliner to rest
B. Resting in supine position
C. Sitting in a straight chair
D. Sleeping in right Sim’s position
10. The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?
A. The client with a history of a cerebral aneurysm with oxygen saturation
rate of 99%
B. The client three days post-coronary artery bypass graft with a temperature
of 100.3ºF
C. The client admitted 1 hour ago with shortness of breath
D. The client being prepared for discharge following a femoral popliteal bypass graft
11. The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would indicate
further teaching in required?
A. “I will have my blood drawn every month.”
B. “I will assess my skin for a rash.”
C. “I will take aspiring for my headache.”
D. “I will use an electric razor to shave.”
12. If an interpreter is not available when a patient speaks a language different from the nurse’s language, it is appropriate
for the nurse to
A. Use specific medical terms in the Latin form.
B. Talk slowly so that each word is clearly heard.
C. Repeat important words so that the patient recognizes their importance.
D. Use simple gestures to demonstrate meaning while talking to the patient.
13. Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient (select all that
apply)?
A. Assess for bradycardia.
B. Ask about epigastric pain.
C. Observe for increased appetite.
D. Check for elevated blood glucose levels.
e. Monitor for a decrease in respiratory rate.
14. A patient who has fibromyalgia tells the nurse, “My life feels very chaotic and out of my control. I will not be able to
manage if anything else happens.” Which response should the nurse make initially?
A. “Regular massages may help reduce muscle pain.”
B. “Guided imagery can be helpful in regaining control.”
Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
, Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
C. “Tell me more about how your life has been recently.”
D. “Your previous coping mechanism can help you now.”
15. The health care provider plans to titrate a patient-controlled analgesia (PCA. machine to provide pain relief for a patient
with acute surgical pain who has never received opioids in the past. Which of the following nursing actions regarding
opioid administration are appropriate at this time (select all that apply)?
A. Assessing for signs that the patient is becoming addicted to the opioid
B. Monitoring for therapeutic and adverse effects of opioid administration
C. Emphasizing that the risk of some opioid side effects increases over time
D. Educating the patient about how analgesics improve postoperative activity level
E. Teaching about the need to decrease opioid doses by the second postoperative day
16. A terminally ill patient is admitted to the hospital. Which action should the nurse include in the initial plan of care?
A. Determine the patient’s wishes regarding end-of-life care.
B. Emphasize the importance of addressing any family issues.
C. Discuss the normal grief process with the patient and family.
D. Encourage the patient to talk about any fears or unresolved issues.
17. A patient’s temperature has been 101° F (38.3° C. for several days. The patient’s normal caloric intake to meet
nutritional needs is 2000 calories per day. Knowing that the metabolic rate increases 7% for each Fahrenheit degree
above 100° in body temperature, calculate the total calories the patient should receive each day.
Ans: 2140
18. On the examination the following question will ask to put in order: A patient who has an infected abdominal wound
develops a temperature of 104° F (40° C.. All the following interventions are included in the patient’s plan of care. In
which order should the nurse perform the following actions?
A. Sponge patient with cool water. (3)
B. Administer intravenous antibiotics. (1)
C. Perform wet-to-dry dressing change. (4)
D. Administer acetaminophen (Tylenol). (2)
19. The nurse has administered 3% saline to a patient with hyponatremia. Which one of these assessment data will require
the most rapid response by the nurse?
A. The patient’s radial pulse is 105 beats/minute.
B. There is sediment and blood in the patient’s urine.
C. The blood pressure increases from 120/80 to 142/94.
D. There are crackles audible throughout both lung fields.
20. The following data are obtained by the nurse when assessing a pregnant patient with eclampsia who is receiving IV
magnesium sulfate. Which finding is most important to report to the health care provider immediately?
A. The bibasilar breath sounds are decreased.
B. The patellar and triceps reflexes are absent.
C. The patient has been sleeping most of the day.
D. The patient reports feeling “sick to my stomach.”
21. A patient with advanced lung cancer is admitted to the emergency department with urinary retention caused by renal
calculi. Which of these laboratory values will require the most immediate action by the nurse?
A. Arterial blood pH is 7.32.
B. Serum calcium is 18 mEq/L.
C. Serum potassium is 5.1 mEq/L.
Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
, Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
D. Arterial oxygen saturation is 91%.
22. A home care nurse is preparing to visit a client with a diagnosis of Meniere’s disease. The nurse review’s the
physician’s orders and expects to note that which of the following dietary measures will be prescribed?
A. Low fiber diet with decreased fluids
B. Low sodium diet and fluid restriction
C. Low carbohydrate diet and elimination of red meats
D. Low fat with restriction of citrus fruits
23. A nurse is assigned to care for a client who has just undergone eye surgery. The nurse plans to instruct the client that
which of the following activities is permitted in the postoperative period?
A. Reading
B. Watching television
C. Bending over
D. Lifting objects
24. A client has undergone surgery for glaucoma. The nurse provides which discharge instructions to the clients?
A. Wound healing usually takes 12 weeks
B. Expected the vision will be permanently impaired
C. A shield or eye patch should be worn to protect the eye
D. The sutures are removed after 1 week
25. When the nurse prepares the client or the myringotomy, the best explanation as to the purpose for the procedures is that
it will:
A. Prevent permanent hearing loss
B. Provide a pathway for drainage
C. Aid in administering medications
D. Maintain motion of the ear bones
26. A nurse is reviewing the record of the client with a disorder involving the inner ear. Which of the following would the
nurse expect to see documented as an assessment finding in this client?
A. Severe hearing loss
B. Complaints of severe pain in the affected ear
C. Complaints of burning in the ear
D. Complaints of tinnitus
27. The nurse cares for a toddler diagnosed with pneumonia caused by Haemophilus influenzae . The nurse should follow
which of the following transmission-based precautions?
A. Standard precautions.
B. Airborne precautions.
C. Droplet precautions.
D. Contact precautions.
28. The nurse expects the emotional responses of a client with a cerebral vascular accident (CVA. of the left hemisphere to
be MOST influenced by which of the following?
A. The client’s ability to understand the illness and treatment.
B. The client’s perception of the care received during his illness.
C. The client’s personality and general health prior to the CVA.
D. The type of lesion that caused the CVA.
29. The nurse determines that which of the following clients are at risk to develop pneumonia? Select all that apply:
A. 16-year-old male who has experimented with cigarettes.
B. A 25-year-old female diagnosed with cystic fibrosis.
C. A 36-year-old male diagnosed with Addison’s disease.
Practice questions - Anslem Pharm WITH
COMPLETE SOLUTIONS GRADED A+
