NP1 Exam 1 Review Questions
A 3 year old patient has an intramuscular medication ordered. What is the
most appropriate approach to gain the child's cooperation?
a. engage the help of a second nurse to hold the child
b. give a pretend injection to a toy animal
✅✅
c. restrain the patient's upper extremities
d. ask family member to leave the room - -B
A 50 year old woman weights 95 kg and has a history of tobacco use, high
blood pressure, high sodium intake, and sedentary lifestyle. When developing
an individualized care plan for her, the nurse determines that the most
important risk factors for peripheral artery disease (PAD) that must be modifies
are:
A. Weight and diet
B. Activity level and sodium intake
✅✅-C
C. Tobacco use and high blood pressure
D. Sententary lifestyle and exercise training -
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest
with deep breaths. She has smoked for 35 years and recently lost over 10 lbs.
Her vital signs on admission are: HR 112, BP 138/82, RR 22, tympanic
temperature 36.8 degrees C (98.2 degrees F), and oxygen saturation 94%. She
is receiving oxygen at 2 L via a nasal cannula. Which vital sign reflects a
positive outcome of the oxygen therapy?
a. temperature: 37 degrees C (98.6 degrees F)
b. Radial pulse: 112
c. respiratory rate: 24
✅✅
d. oxygenation saturation: 96%
e. blood pressure: 134/78 - -D
A 55-year old female patient was in a motor vehicle accident and is admitted to
a surgical unit after repair of a fractured left arm and left leg. She also has a
laceration on her forehead. An intravenous (IV) line is infusing in the right
antecubital fossa, and pneumonia compression stockings are on the right
lower leg. She is receiving oxygen via a simple face mask. Which sites do you
instruct the nursing assistant to use for obtaining the patient's blood pressure
and temperature?
a. right antecubital and tympanic membrane
b. right popliteal and rectal
, ✅✅-A
c. left antecubital and oral
d. left popliteal and temporal artery -
A 86-year old woman is admitted to the unit with chills and a fever of 104
degrees F. What physiological process explains why she is at risk for
dyspnea?
a. fever increases metabolic demands, requiring increased oxygen
b. blood glucose stores are depleted and the cells do not have energy to use
oxygen
✅✅
c. carbon dioxide production increases due to hyperventilation
d. carbon dioxide production decreases due to hypoventilation - -A
A child is taking albuterol through a pressurized metered-dose inhaler (pMDI)
✅✅
that contains a total of 64 puffs. The dose is 2 puffs every 6 hours. How many
days will the pMDI last? ___________ days. - -8
A child's immunization may cause discomfort during administration, but the
benefits, of protection of disease, both for the individual and society, outweigh
the temporary discomforts. Which principle is involved in this situation?
a. fidelity
b. beneficence
✅✅-B
c. nonmaleficence
d. respect for autonomy -
A community center is presenting a nurse-led program on the Patient
Protection and Affordable Care Act. Which statement made by a participate
indicates a need for the further teaching?
a. "my small company will now have to offer the 75 employees health
insurance or pay a penalty"
b. "as long as my son is a full-time student in college, I will be able to keep him
on my health insurance until he is 26 year olds"
c. "I signed up for the state health insurance exchange before the designated
deadline to make sure I had health insurance"
✅✅
d. "since I have now been diagnosed with diabetes, my health insurance plan
cannot charge me higher premiums" - -B
A compensatory mechanism involved in HF that leas to inappropriate fluid
retention and additional workload of the heart is:
A. Ventricular dilation
B. Ventricular hypertrophy
, ✅✅-C
C. Neurohormonal response
D. Sympathetic nervous system activation -
A couple who is caring for their aging parents are concerned about factors
that put them at risk for falls. Which factors are most likely to contribute to an
increase in falls in the elderly? (Select all that apply.)
a. Inadequate lighting
b. Throw rugs
c. Multiple medications
d. Doorway thresholds
✅✅-A, B, C, D, E
e. Cords covered by carpets
f. Staircases with handrails -
A critical care nurse is using a computerized decision support system to
correctly position her ventilated patients to reduce pneumonia caused by
accumulated respiratory secretions. This is an example of which Quality and
Safety in the Education of Nurses (QSEN) competency?
a. patient-centered care
b. safety
✅✅
c. teamwork and collaboration
d. informatics - -D
A family member is providing care to a loved one who has an infected leg
wound. What would you instruct the family member to do after providing care
and handling contaminated equipment or organic material?
a. Wear gloves before eating or handling food.
b. Place any soiled materials into a bag and double bag it.
c. Have the family member check with the doctor about need for immunization.
✅✅
d. Perform hand hygiene after care and/or handling contaminated equipment
or material. - -D
A group of staff nurses notice an increased incidence of medication errors on
their unit. After further investigation it is determined that the nurses are not
consistently identifying the patient correctly. A change is needed quickly. What
type of quality improvement method would be most appropriate?
a. PDSA
b. Six Sigma
✅✅-C
c. Rapid-improvement event (RIE)
d. A randomized controlled trial -
, A health care provider ordered enalapril (Vasotec) 2 mg IV push for a patient
✅✅
with hypertension. The pharmacy sent vials marked 1.23 mg enalapril/mL. How
many mL does the nurse administer? - -1.6 mL
A healthy adult patient tells the nurse that he obtained his blood pressure in
"one of those quick machines in the mall" and was alarmed that it was 152/72
when his normal value ranges from 114/72 to 118/78. The nurse obtains a blood
pressure of 116/76. What would account for the blood pressure of 152/92?
(select all that apply)
a. cuff to small
b. arm positioned above heart level
c. slow inflation of the cuff by the machine
✅✅-A, E
d. patient did not remove his long-sleeved shirt
e. insufficient time between measurements -
A home health nurse notices significant bruising on a 2-year-old patient's
heard, arms, abdomen, and legs. The patient's mother describes the patient's
frequent falls. What is the best nursing action for the home health nurse to
take?
a. document her findings and treat the patient
b. instruct the mother on safe handling of a 2-year-old child
✅✅
c. contact a child abuse hotline
d. discuss this story with a colleague - -C
A homeless man enters the emergency department seeking health care. The
heath care provider indicates that the patient needs to be transferred to the
City Hospital for care. This action is most likely a violation of which of the
following laws?
a. Health Insurance Portability and Accountability Act (HIPAA)
b. Americans with Disabilities Act (ADA)
c. Patient Self-Determination Act (PSDA)
✅✅
d. Emergency Medical Treatment and Active Labor Act (EMTALA) without
triage completed - -D
A hospitalized patient with a history of chronic stable angina tells the nurse
that she is having chest pain. The nurse bases his actions on the knowledge
that ischemia
A. Will always progress to myocardial infarction
B. Will be relived by rest, nitroglycerin, or both
C. Indicates that irreversible myocardial damage is occurring
A 3 year old patient has an intramuscular medication ordered. What is the
most appropriate approach to gain the child's cooperation?
a. engage the help of a second nurse to hold the child
b. give a pretend injection to a toy animal
✅✅
c. restrain the patient's upper extremities
d. ask family member to leave the room - -B
A 50 year old woman weights 95 kg and has a history of tobacco use, high
blood pressure, high sodium intake, and sedentary lifestyle. When developing
an individualized care plan for her, the nurse determines that the most
important risk factors for peripheral artery disease (PAD) that must be modifies
are:
A. Weight and diet
B. Activity level and sodium intake
✅✅-C
C. Tobacco use and high blood pressure
D. Sententary lifestyle and exercise training -
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest
with deep breaths. She has smoked for 35 years and recently lost over 10 lbs.
Her vital signs on admission are: HR 112, BP 138/82, RR 22, tympanic
temperature 36.8 degrees C (98.2 degrees F), and oxygen saturation 94%. She
is receiving oxygen at 2 L via a nasal cannula. Which vital sign reflects a
positive outcome of the oxygen therapy?
a. temperature: 37 degrees C (98.6 degrees F)
b. Radial pulse: 112
c. respiratory rate: 24
✅✅
d. oxygenation saturation: 96%
e. blood pressure: 134/78 - -D
A 55-year old female patient was in a motor vehicle accident and is admitted to
a surgical unit after repair of a fractured left arm and left leg. She also has a
laceration on her forehead. An intravenous (IV) line is infusing in the right
antecubital fossa, and pneumonia compression stockings are on the right
lower leg. She is receiving oxygen via a simple face mask. Which sites do you
instruct the nursing assistant to use for obtaining the patient's blood pressure
and temperature?
a. right antecubital and tympanic membrane
b. right popliteal and rectal
, ✅✅-A
c. left antecubital and oral
d. left popliteal and temporal artery -
A 86-year old woman is admitted to the unit with chills and a fever of 104
degrees F. What physiological process explains why she is at risk for
dyspnea?
a. fever increases metabolic demands, requiring increased oxygen
b. blood glucose stores are depleted and the cells do not have energy to use
oxygen
✅✅
c. carbon dioxide production increases due to hyperventilation
d. carbon dioxide production decreases due to hypoventilation - -A
A child is taking albuterol through a pressurized metered-dose inhaler (pMDI)
✅✅
that contains a total of 64 puffs. The dose is 2 puffs every 6 hours. How many
days will the pMDI last? ___________ days. - -8
A child's immunization may cause discomfort during administration, but the
benefits, of protection of disease, both for the individual and society, outweigh
the temporary discomforts. Which principle is involved in this situation?
a. fidelity
b. beneficence
✅✅-B
c. nonmaleficence
d. respect for autonomy -
A community center is presenting a nurse-led program on the Patient
Protection and Affordable Care Act. Which statement made by a participate
indicates a need for the further teaching?
a. "my small company will now have to offer the 75 employees health
insurance or pay a penalty"
b. "as long as my son is a full-time student in college, I will be able to keep him
on my health insurance until he is 26 year olds"
c. "I signed up for the state health insurance exchange before the designated
deadline to make sure I had health insurance"
✅✅
d. "since I have now been diagnosed with diabetes, my health insurance plan
cannot charge me higher premiums" - -B
A compensatory mechanism involved in HF that leas to inappropriate fluid
retention and additional workload of the heart is:
A. Ventricular dilation
B. Ventricular hypertrophy
, ✅✅-C
C. Neurohormonal response
D. Sympathetic nervous system activation -
A couple who is caring for their aging parents are concerned about factors
that put them at risk for falls. Which factors are most likely to contribute to an
increase in falls in the elderly? (Select all that apply.)
a. Inadequate lighting
b. Throw rugs
c. Multiple medications
d. Doorway thresholds
✅✅-A, B, C, D, E
e. Cords covered by carpets
f. Staircases with handrails -
A critical care nurse is using a computerized decision support system to
correctly position her ventilated patients to reduce pneumonia caused by
accumulated respiratory secretions. This is an example of which Quality and
Safety in the Education of Nurses (QSEN) competency?
a. patient-centered care
b. safety
✅✅
c. teamwork and collaboration
d. informatics - -D
A family member is providing care to a loved one who has an infected leg
wound. What would you instruct the family member to do after providing care
and handling contaminated equipment or organic material?
a. Wear gloves before eating or handling food.
b. Place any soiled materials into a bag and double bag it.
c. Have the family member check with the doctor about need for immunization.
✅✅
d. Perform hand hygiene after care and/or handling contaminated equipment
or material. - -D
A group of staff nurses notice an increased incidence of medication errors on
their unit. After further investigation it is determined that the nurses are not
consistently identifying the patient correctly. A change is needed quickly. What
type of quality improvement method would be most appropriate?
a. PDSA
b. Six Sigma
✅✅-C
c. Rapid-improvement event (RIE)
d. A randomized controlled trial -
, A health care provider ordered enalapril (Vasotec) 2 mg IV push for a patient
✅✅
with hypertension. The pharmacy sent vials marked 1.23 mg enalapril/mL. How
many mL does the nurse administer? - -1.6 mL
A healthy adult patient tells the nurse that he obtained his blood pressure in
"one of those quick machines in the mall" and was alarmed that it was 152/72
when his normal value ranges from 114/72 to 118/78. The nurse obtains a blood
pressure of 116/76. What would account for the blood pressure of 152/92?
(select all that apply)
a. cuff to small
b. arm positioned above heart level
c. slow inflation of the cuff by the machine
✅✅-A, E
d. patient did not remove his long-sleeved shirt
e. insufficient time between measurements -
A home health nurse notices significant bruising on a 2-year-old patient's
heard, arms, abdomen, and legs. The patient's mother describes the patient's
frequent falls. What is the best nursing action for the home health nurse to
take?
a. document her findings and treat the patient
b. instruct the mother on safe handling of a 2-year-old child
✅✅
c. contact a child abuse hotline
d. discuss this story with a colleague - -C
A homeless man enters the emergency department seeking health care. The
heath care provider indicates that the patient needs to be transferred to the
City Hospital for care. This action is most likely a violation of which of the
following laws?
a. Health Insurance Portability and Accountability Act (HIPAA)
b. Americans with Disabilities Act (ADA)
c. Patient Self-Determination Act (PSDA)
✅✅
d. Emergency Medical Treatment and Active Labor Act (EMTALA) without
triage completed - -D
A hospitalized patient with a history of chronic stable angina tells the nurse
that she is having chest pain. The nurse bases his actions on the knowledge
that ischemia
A. Will always progress to myocardial infarction
B. Will be relived by rest, nitroglycerin, or both
C. Indicates that irreversible myocardial damage is occurring
