BNM 502 MCQ
Urinary retention is: - ANS-the marked accumulation of urine in the bladder
The patient is an 86-year-old male who is incontinent at night. An appropriate alternative to
catheterisation for this patient would be: - ANS-Applying a uridome at night
The mechanism of action of the oral laxative docusate sodium (coloxyl) is: - ANS-Docusate
sodium
The nurse begins to suspect faecal impaction in a patient who has not passed a stool in 10 days
when the patient - ANS-Abdo pain
Liquid stool - overflow
Malaise
Persistent urge
Bleeding
Absent bowel sounds in LLQ
Distended lower abdomen
Tenderness on palpation
Dull sound on percussion
An elderly patient states that she is worried because she has not had a bowel movement each
day. The nurse's best response concerning defecation patterns for elderly people would be: -
ANS-" the number of bowel movements per week varies greatly between people. What is your
usual bowel pattern?"
Ascites is defined as: - ANS-Abdominal swelling caused by accumulation of fluid, most often
related to liver disease.
What is a normal finding on palpation of the abdomen? - ANS-The abdomen is non-tender and
soft with no guarding, no palpable masses felt
When inspecting a client's abdominal contour, the nurse observes the abdomen to be sunken
with the lower edges of the ribs visible. The nurse describes and documents this as: -
ANS-scaphoid
A nurse asks a patient to turn their palm down with the elbows straight. The specific joint
movement the nurse is testing for is: - ANS-Pronation of elbow
A client who presents in the medical centre with lower limb pain following a motor vehicle
accident requires a musculoskeletal assessment. When completing the assessment, the nurse
, should apply all of the following principles except: - ANS-asking the client to move the joint
quickly whilst applying pressure.
You are inspecting your client's spinal symmetry and assessing their posture. You identify that
the client has kyphosis. This is: - ANS-Kyphosis is an exaggerated, forward rounding of the
back.
The nurse is examining the ROM of a client's shoulder. Which of the following is a normal
finding? - ANS-Full active and painless ROM with no crepitus
You are caring for Mr Smith who has been admitted following a mechanical fall. You are
reviewing his nursing care plan. Which component of the care plan indicates that the patient's
problems have been appropriately described? - ANS-Nursing diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule: - ANS-How many
assist
LITE assessment
The older person's tendency to take smaller steps with feet close together will mostly likely
result in: - ANS-falls risk
tripping hazard
A person with a normal gait should demonstrate all of the below actions, except: -
ANS-coordinated movements, able to maintain balance posture and body alignment during
moving
To ensure safe administration of medications the nurse must be aware of the seven rights of
medication administration. These are the right: - ANS-MPDTRDR
Medication
Patient
Dose
Time
Reason
Documentation
Route
What is the term given to an unexpected effect of a medication? - ANS-adverse effects
A nurse administers medication to a patient. Who has the ultimate responsibility for the
medication to be administered correctly? - ANS-The nurse
Urinary retention is: - ANS-the marked accumulation of urine in the bladder
The patient is an 86-year-old male who is incontinent at night. An appropriate alternative to
catheterisation for this patient would be: - ANS-Applying a uridome at night
The mechanism of action of the oral laxative docusate sodium (coloxyl) is: - ANS-Docusate
sodium
The nurse begins to suspect faecal impaction in a patient who has not passed a stool in 10 days
when the patient - ANS-Abdo pain
Liquid stool - overflow
Malaise
Persistent urge
Bleeding
Absent bowel sounds in LLQ
Distended lower abdomen
Tenderness on palpation
Dull sound on percussion
An elderly patient states that she is worried because she has not had a bowel movement each
day. The nurse's best response concerning defecation patterns for elderly people would be: -
ANS-" the number of bowel movements per week varies greatly between people. What is your
usual bowel pattern?"
Ascites is defined as: - ANS-Abdominal swelling caused by accumulation of fluid, most often
related to liver disease.
What is a normal finding on palpation of the abdomen? - ANS-The abdomen is non-tender and
soft with no guarding, no palpable masses felt
When inspecting a client's abdominal contour, the nurse observes the abdomen to be sunken
with the lower edges of the ribs visible. The nurse describes and documents this as: -
ANS-scaphoid
A nurse asks a patient to turn their palm down with the elbows straight. The specific joint
movement the nurse is testing for is: - ANS-Pronation of elbow
A client who presents in the medical centre with lower limb pain following a motor vehicle
accident requires a musculoskeletal assessment. When completing the assessment, the nurse
, should apply all of the following principles except: - ANS-asking the client to move the joint
quickly whilst applying pressure.
You are inspecting your client's spinal symmetry and assessing their posture. You identify that
the client has kyphosis. This is: - ANS-Kyphosis is an exaggerated, forward rounding of the
back.
The nurse is examining the ROM of a client's shoulder. Which of the following is a normal
finding? - ANS-Full active and painless ROM with no crepitus
You are caring for Mr Smith who has been admitted following a mechanical fall. You are
reviewing his nursing care plan. Which component of the care plan indicates that the patient's
problems have been appropriately described? - ANS-Nursing diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule: - ANS-How many
assist
LITE assessment
The older person's tendency to take smaller steps with feet close together will mostly likely
result in: - ANS-falls risk
tripping hazard
A person with a normal gait should demonstrate all of the below actions, except: -
ANS-coordinated movements, able to maintain balance posture and body alignment during
moving
To ensure safe administration of medications the nurse must be aware of the seven rights of
medication administration. These are the right: - ANS-MPDTRDR
Medication
Patient
Dose
Time
Reason
Documentation
Route
What is the term given to an unexpected effect of a medication? - ANS-adverse effects
A nurse administers medication to a patient. Who has the ultimate responsibility for the
medication to be administered correctly? - ANS-The nurse
