NURS 4212|Nursing Informatics EXAM QUESTIONS
WITH ANSWERS
1 After an elderly female client receives treatment for drug toxicity, the
healthcare provider prescribes a 24 hour creatinine clearance test. Prior to
starting the urine collection, the nurse notes that the client's serum creatinine is
0.3 mg/dl (22.9 micromol/L). What action should the nurse implement?
A. Notify HCP of the results.
B. Assess the client for signs of hypokalemia.
C. Evaluate client’s serum BUN level.
D. Initiate the urine collection as prescribed.
2.A client is admitted with diagnosis of Wernicke’s syndrome. Which assessment
finding should the nurse….?
A. Confusion
B. Right lower abdominal
pain C. Peripheral
neuropathy
D. Depression
3. A client with leukemia undergoes a bone marrow biopsy. The client's laboratory
values indicate the client has thrombocytopenia. Based on this data, which nursing
assessment is most important following the procedure?
A. Measure urine output
B. Assess body temperature.
C. Monitor skin elasticity.
D. Observe the aspiration site.
4. A client who had a small bowel resection acquired methicillin resistant
staphylococcus aureus (MRSA) while hospitalized. He was treated and released but
is readmitted today because of diarrhea and dehydration. It is most important for
the nurse to implement which intervention.
A. Instruct visitors to gown and wash
hands. B. Maintain contact transmission
precaution. C. Review WBC count daily.
D. Collect serial stool specimens for culture
6 nurse is aware that intimate partner violence (IPV) screening should occur with
which situation?
A. As soon as the clinician suspects a problem.
B. As a routine part of each health care encounter
C. Once the clinician confirms a history of abuse
D. Only when the client presents with an unexpected injury.
7 Prior to insertion of an indwelling urinary catheter, what client information is
,NURS 4212|Nursing Informatics EXAM QUESTIONS
WITH ANSWERS
most important for the nurse to obtain?
A. Color, clarity, and odor of urine.
B. Client allergies to antiseptic solution.
C. Previous history of UTI
D. Client’s ability to increase fluid intake.
8 An adult is admitted to the emergency department following ingestion of a bottle
of antidepressants secondary to chronic pain. A nasogastric tube and a left
subclavian venous catheter are placed. The nurse auscultates audible breath
sounds on the right side, faint sounds procedure, and chest movement on the right
side of the thorax. Which procedure should the nurse prepare for first:
A. Insertion of a left- sided chest
tube B. Setup of PCA
C. Retraction of the nasogastric
tube D. Placement of
endotracheal tube
9. In assessing a client 48 hours following a fracture, the nurse observes
ecchymosis at the fracture site, and recognizes that hematoma formation at the
bone fragment site has occurred. What action should the nurse implement?
A. Assign UAP to take vitals every hour.
B. Advise the client that anticoagulant therapy may be needed.
C. Call the lab to obtain a stat APTT and prothrombin time.
D. Document the extent of the bruising in the medical record.
10.The nurse is planning care for a client who admits having suicidal thoughts.
Which client behavior indicates the highest risk for the client acting on these
suicidal thoughts?
A. Begin to show signs of improvement in affect.
B. Lacks interest in the activities of family and friends
C. Expresses feelings of sadness and loneliness.
D. Neglects personal hygiene and has no appetite.
11.A 3 year-old boy is brought to the emergency department after the mother
found the child in the backyard holding a piece of a toy in his hand and in
respiratory distress. The child is dusky with a loud, inspiratory stridor and weak
attempts to cough. Which actions should the nurse implement?
A. Obtain a pulse oximetry reading and arterial blood gases.
B. Determine if the child ingested a toxic substance and if vomiting occurred.
C. Request a stat chest x-ray and prepare medications for asthmatic episodes.
D. Auscultate all pulmonary lung fields and attempt a Heimlich maneuver.
12.While moving stables from the client's postoperative wound site, the nurse
observes that the client's eyes closed and his face and hands are clenched. The
client states, "I just hate having staples removed." Acknowledge the client’s
,NURS 4212|Nursing Informatics EXAM QUESTIONS
WITH ANSWERS
anxiety, which action should the nurse implement? A. Attempt to distract the
client with general conservation.
B. Reassure the client that this is a simple nursing procedure.
C. Explain the procedure in detail while removing stables.
D. Encourage the client to continue to verbalize anxiety.
13.HCP prescribes cephalexin 125mg/5ml oral suspension. Client weighs
77 lbs. The recommended safe dose 25 mg/kg/24hrs
35 mL
14.What is the primary purpose for initiating nursing interventions that promote
good nutrition, rest, exercise, and stress reduction for a client diagnosed with
HIV?
A. Improve function of the immune system.
B. Promote a feeling of general well-being
C. Increase ability to carry out activities of daily living
D. Prevent spread of infection to others
15.A client with chronic obstructive lung disease who is receiving oxygen at
1.5 liters per minute by nasal cannula is currently short of breath. What
should the nurse do?
A. Instruct the client in pursed lip
breathing B. Increase oxygen to three
liters/ per minute
C. Ask client to take short rapid breaths
D. Have the client breathe into a paper bag
16.The nurse is caring for a child who takes methylphenidate extended release for
the treatment of attention deficit hyperactivity disorder (ADHD). Which
assessment finding is an expected side effect of this medication?
A. Flat affect
B. Decrease Focus
C. Weight loss of 5lbs in 1
month D. Muscle weakness
, NURS 4212|Nursing Informatics EXAM QUESTIONS
WITH ANSWERS
17.A client with purulent discharge from a venous ulcer that has been
unsuccessfully treated with intravenous vancomycin has just been admitted
with a possible vancomycin resistant staph infection. Which nursing
interventions should the nurse include in the plan of care? A. Explain purpose
of low bacteria diet
B. Monitor clients WBC’s
C. Institute contact precautions for staff and
visitors D. Use standard precautions and wear
a mask
E. Send wound drainage for culture and sensitivity
18.Which client should the charge nurse on the oncology unit assign to an RN
rather than a PN?
A. A middle aged male client who has just undergone an excisional biopsy
and has been told that his tumor appears to be benign.
B. An adult client in remission after a series of chemotherapy treatments who
is receiving intramuscular iron injections for anemia
C. A young adult experiencing fatigue while undergoing a series of external
beam radiation treatments for stage 1 cancer
D. An elderly female client with cancer whose children are trying to decide
whether to change the palliative care measures.
19.The nurse is assessing a client who is receiving enteral feedings. Which
clinical data indicate the client may not be tolerating the tube feedings.
A. Nausea and
vomiting B.
Abdominal tympany
C. Absent bowel
sounds D. Flatulence
E. Abdominal cramping
WITH ANSWERS
1 After an elderly female client receives treatment for drug toxicity, the
healthcare provider prescribes a 24 hour creatinine clearance test. Prior to
starting the urine collection, the nurse notes that the client's serum creatinine is
0.3 mg/dl (22.9 micromol/L). What action should the nurse implement?
A. Notify HCP of the results.
B. Assess the client for signs of hypokalemia.
C. Evaluate client’s serum BUN level.
D. Initiate the urine collection as prescribed.
2.A client is admitted with diagnosis of Wernicke’s syndrome. Which assessment
finding should the nurse….?
A. Confusion
B. Right lower abdominal
pain C. Peripheral
neuropathy
D. Depression
3. A client with leukemia undergoes a bone marrow biopsy. The client's laboratory
values indicate the client has thrombocytopenia. Based on this data, which nursing
assessment is most important following the procedure?
A. Measure urine output
B. Assess body temperature.
C. Monitor skin elasticity.
D. Observe the aspiration site.
4. A client who had a small bowel resection acquired methicillin resistant
staphylococcus aureus (MRSA) while hospitalized. He was treated and released but
is readmitted today because of diarrhea and dehydration. It is most important for
the nurse to implement which intervention.
A. Instruct visitors to gown and wash
hands. B. Maintain contact transmission
precaution. C. Review WBC count daily.
D. Collect serial stool specimens for culture
6 nurse is aware that intimate partner violence (IPV) screening should occur with
which situation?
A. As soon as the clinician suspects a problem.
B. As a routine part of each health care encounter
C. Once the clinician confirms a history of abuse
D. Only when the client presents with an unexpected injury.
7 Prior to insertion of an indwelling urinary catheter, what client information is
,NURS 4212|Nursing Informatics EXAM QUESTIONS
WITH ANSWERS
most important for the nurse to obtain?
A. Color, clarity, and odor of urine.
B. Client allergies to antiseptic solution.
C. Previous history of UTI
D. Client’s ability to increase fluid intake.
8 An adult is admitted to the emergency department following ingestion of a bottle
of antidepressants secondary to chronic pain. A nasogastric tube and a left
subclavian venous catheter are placed. The nurse auscultates audible breath
sounds on the right side, faint sounds procedure, and chest movement on the right
side of the thorax. Which procedure should the nurse prepare for first:
A. Insertion of a left- sided chest
tube B. Setup of PCA
C. Retraction of the nasogastric
tube D. Placement of
endotracheal tube
9. In assessing a client 48 hours following a fracture, the nurse observes
ecchymosis at the fracture site, and recognizes that hematoma formation at the
bone fragment site has occurred. What action should the nurse implement?
A. Assign UAP to take vitals every hour.
B. Advise the client that anticoagulant therapy may be needed.
C. Call the lab to obtain a stat APTT and prothrombin time.
D. Document the extent of the bruising in the medical record.
10.The nurse is planning care for a client who admits having suicidal thoughts.
Which client behavior indicates the highest risk for the client acting on these
suicidal thoughts?
A. Begin to show signs of improvement in affect.
B. Lacks interest in the activities of family and friends
C. Expresses feelings of sadness and loneliness.
D. Neglects personal hygiene and has no appetite.
11.A 3 year-old boy is brought to the emergency department after the mother
found the child in the backyard holding a piece of a toy in his hand and in
respiratory distress. The child is dusky with a loud, inspiratory stridor and weak
attempts to cough. Which actions should the nurse implement?
A. Obtain a pulse oximetry reading and arterial blood gases.
B. Determine if the child ingested a toxic substance and if vomiting occurred.
C. Request a stat chest x-ray and prepare medications for asthmatic episodes.
D. Auscultate all pulmonary lung fields and attempt a Heimlich maneuver.
12.While moving stables from the client's postoperative wound site, the nurse
observes that the client's eyes closed and his face and hands are clenched. The
client states, "I just hate having staples removed." Acknowledge the client’s
,NURS 4212|Nursing Informatics EXAM QUESTIONS
WITH ANSWERS
anxiety, which action should the nurse implement? A. Attempt to distract the
client with general conservation.
B. Reassure the client that this is a simple nursing procedure.
C. Explain the procedure in detail while removing stables.
D. Encourage the client to continue to verbalize anxiety.
13.HCP prescribes cephalexin 125mg/5ml oral suspension. Client weighs
77 lbs. The recommended safe dose 25 mg/kg/24hrs
35 mL
14.What is the primary purpose for initiating nursing interventions that promote
good nutrition, rest, exercise, and stress reduction for a client diagnosed with
HIV?
A. Improve function of the immune system.
B. Promote a feeling of general well-being
C. Increase ability to carry out activities of daily living
D. Prevent spread of infection to others
15.A client with chronic obstructive lung disease who is receiving oxygen at
1.5 liters per minute by nasal cannula is currently short of breath. What
should the nurse do?
A. Instruct the client in pursed lip
breathing B. Increase oxygen to three
liters/ per minute
C. Ask client to take short rapid breaths
D. Have the client breathe into a paper bag
16.The nurse is caring for a child who takes methylphenidate extended release for
the treatment of attention deficit hyperactivity disorder (ADHD). Which
assessment finding is an expected side effect of this medication?
A. Flat affect
B. Decrease Focus
C. Weight loss of 5lbs in 1
month D. Muscle weakness
, NURS 4212|Nursing Informatics EXAM QUESTIONS
WITH ANSWERS
17.A client with purulent discharge from a venous ulcer that has been
unsuccessfully treated with intravenous vancomycin has just been admitted
with a possible vancomycin resistant staph infection. Which nursing
interventions should the nurse include in the plan of care? A. Explain purpose
of low bacteria diet
B. Monitor clients WBC’s
C. Institute contact precautions for staff and
visitors D. Use standard precautions and wear
a mask
E. Send wound drainage for culture and sensitivity
18.Which client should the charge nurse on the oncology unit assign to an RN
rather than a PN?
A. A middle aged male client who has just undergone an excisional biopsy
and has been told that his tumor appears to be benign.
B. An adult client in remission after a series of chemotherapy treatments who
is receiving intramuscular iron injections for anemia
C. A young adult experiencing fatigue while undergoing a series of external
beam radiation treatments for stage 1 cancer
D. An elderly female client with cancer whose children are trying to decide
whether to change the palliative care measures.
19.The nurse is assessing a client who is receiving enteral feedings. Which
clinical data indicate the client may not be tolerating the tube feedings.
A. Nausea and
vomiting B.
Abdominal tympany
C. Absent bowel
sounds D. Flatulence
E. Abdominal cramping
