Name: Score:
195 Multiple choice questions
Term 1 of 195
A nurse is obtaining hx from a client who has pain. The nurse's guiding principle throughout this
process should be that:
some clients exaggerate their level of pain
pain must have an identifiable source to justify the use of opioids.
objective data are essential in assessing pain
pain is whatever the client says it is
Term 2 of 195
A nurse in an outpatient clinic is caring for a client who states she is trying to get pregnant. The
client currently takes a Category D pregnancy risk med for the control of seizures. Which of the
following statements by the nurse is appropriate?
"This med is prescribed if necessary but it is known to cause adverse effects to the fetus."
"This med has evidence indicating that it is safe to take during pregnancy & will not harm
the fetus."
"This med cannot be taken during pregnancy because the risk outweighs the potential
benefits."
"This med hasn't been studied in pregnant women but is believed to be safe for the fetus."
,Term 3 of 195
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A
client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff
member should the nurse assign to this client?
Charge nurse
RN
LPN
AP
Term 4 of 195
A nurse is preparing to administer lactated Ringer's (LR) IV 100 mL over 15min. The nurse should
set the infusion pump to deliver how many mL/hr? (round to nearest whole number)
150 ml/hr
400 mL/hr
600 ml/hr
250 ml/hr
Term 5 of 195
An adult client who is competent tells the nurse that he is thinking about leaving the hospital
against medical advice. The nurse believes that this is not in the client's best interest, so she
administers a PRN sedative med that the client has not requested along w/his usual meds. Which
of the following tort has the nurse committed?
Assault
False imprisonment
Negligence
Breach of confidentiality
,Term 6 of 195
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which of
the following information should the nurse include in her counseling?
Carbon monoxide has a distinct odor
Water heaters should be inspected every 5 years
The lungs are damaged from carbon monoxide inhalation
Carbon monoxide binds w/hemoglobin in the body
Term 7 of 195
A nurse is caring for a client who presents w/linear clusters of fluid-containing vesicles w/some
crustings. Which of the following should the nurse suspect?
Allergic reaction
Ringworm
Systemic lupus erythematosus
Herpes zoster
, Term 8 of 195
A nurse is performing an admission assessment on a client. When measuring her vital signs, the
nurse finds that her radial pulse rate 68/min & her simultaneous apical pulse rate is 84/min. What is
the client's pulse deficit?
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
400 mL/hr
A, E
B and D are healed w/primary intention
C is not a skin wound unless bone has pierced the skin
16/min
the pulse deficit is the difference between the apical & radial pulse rates.
84-68=16
Term 9 of 195
A nurse is teaching an adult client how to administer ear drops. Which of the following statements
by the client indicates understanding of the proper technique?
"I will straighten my ear canal by pulling my ear down & back."
"I will gently apply pressure w/my finger to the tragus of my ear after putting in the drops."
"I will insert the nozzle of the ear drop bottle snug into my ear before squeezing the drops
in."
"After the drops are in, I will place a cotton ball all the way into my ear canal."
195 Multiple choice questions
Term 1 of 195
A nurse is obtaining hx from a client who has pain. The nurse's guiding principle throughout this
process should be that:
some clients exaggerate their level of pain
pain must have an identifiable source to justify the use of opioids.
objective data are essential in assessing pain
pain is whatever the client says it is
Term 2 of 195
A nurse in an outpatient clinic is caring for a client who states she is trying to get pregnant. The
client currently takes a Category D pregnancy risk med for the control of seizures. Which of the
following statements by the nurse is appropriate?
"This med is prescribed if necessary but it is known to cause adverse effects to the fetus."
"This med has evidence indicating that it is safe to take during pregnancy & will not harm
the fetus."
"This med cannot be taken during pregnancy because the risk outweighs the potential
benefits."
"This med hasn't been studied in pregnant women but is believed to be safe for the fetus."
,Term 3 of 195
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A
client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff
member should the nurse assign to this client?
Charge nurse
RN
LPN
AP
Term 4 of 195
A nurse is preparing to administer lactated Ringer's (LR) IV 100 mL over 15min. The nurse should
set the infusion pump to deliver how many mL/hr? (round to nearest whole number)
150 ml/hr
400 mL/hr
600 ml/hr
250 ml/hr
Term 5 of 195
An adult client who is competent tells the nurse that he is thinking about leaving the hospital
against medical advice. The nurse believes that this is not in the client's best interest, so she
administers a PRN sedative med that the client has not requested along w/his usual meds. Which
of the following tort has the nurse committed?
Assault
False imprisonment
Negligence
Breach of confidentiality
,Term 6 of 195
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which of
the following information should the nurse include in her counseling?
Carbon monoxide has a distinct odor
Water heaters should be inspected every 5 years
The lungs are damaged from carbon monoxide inhalation
Carbon monoxide binds w/hemoglobin in the body
Term 7 of 195
A nurse is caring for a client who presents w/linear clusters of fluid-containing vesicles w/some
crustings. Which of the following should the nurse suspect?
Allergic reaction
Ringworm
Systemic lupus erythematosus
Herpes zoster
, Term 8 of 195
A nurse is performing an admission assessment on a client. When measuring her vital signs, the
nurse finds that her radial pulse rate 68/min & her simultaneous apical pulse rate is 84/min. What is
the client's pulse deficit?
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
400 mL/hr
A, E
B and D are healed w/primary intention
C is not a skin wound unless bone has pierced the skin
16/min
the pulse deficit is the difference between the apical & radial pulse rates.
84-68=16
Term 9 of 195
A nurse is teaching an adult client how to administer ear drops. Which of the following statements
by the client indicates understanding of the proper technique?
"I will straighten my ear canal by pulling my ear down & back."
"I will gently apply pressure w/my finger to the tragus of my ear after putting in the drops."
"I will insert the nozzle of the ear drop bottle snug into my ear before squeezing the drops
in."
"After the drops are in, I will place a cotton ball all the way into my ear canal."
