1

Fundamentals of Nursing

1. Using the principles of standard
precautions, the nurse would wear gloves
in what nursing interventions?
A. Providing a back massage
B. Feeding a client
C. Providing hair care
D. Providing oral hygiene
2. The nurse is preparing to take vital sign
in an alert client admitted to the hospital
with dehydration secondary to vomiting
and diarrhea. What is the best method
used to assess the clients temperature?
A. Oral
B. Axillary
C. Radial
D. Heat sensitive tape
3. A nurse obtained a clients pulse and
found the rate to be above normal. The
nurse document this findings as:
A. Tachypnea
B. Hyper pyrexia
C. Arrythmia
D. Tachycardia
4. Which of the following actions should
the nurse take to use a wide base support
when assisting a client to get up in a chair?
A. Bend at the waist and place arms under the
clients arms and lift
B. Face the client, bend knees and place
hands on clients forearm and lift
C. Spread his or her feet apart
D. Tighten his or her pelvic muscles
5. A client had oral surgery following a
motor vehicle accident. The nurse
assessing the client finds the skin flushed
and warm. Which of the following would
be the best method to take the clients
body temperature?
A. Oral
B. Axillary
C. Arterial line
D. Rectal
6. A client who is unconscious needs
frequent mouth care. When performing a
mouth care, the best position of a client is:
A. Fowlers position
B. Side lying
C. Supine
D. Trendelenburg
7. A client is hospitalized for the first time,
which of the following actions ensure the
safety of the client?
A. Keep unnecessary furniture out of the way
B. Keep the lights on at all time
C. Keep side rails up at all time
D. Keep all equipment out of view
8. A walk-in client enters into the clinic
with a chief complaint of abdominal pain
and diarrhea. The nurse takes the clients
vital sign hereafter. What phrase of
nursing process is being implemented
here by the nurse?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
9. It is best describe as a systematic,
rational method of planning and
providing nursing care for individual,
families, group and community
A. Assessment
B. Nursing Process
C. Diagnosis
D. Implementation
10. Exchange of gases takes place in which
of the following organ?
A. Kidney
B. Lungs
C. Liver
D. Heart
11. The chamber of the heart that receives
oxygenated blood from the lungs is the:
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
12. A muscular enlarge pouch or sac that
lies slightly to the left which is used for
temporary storage of food
A. Gallbladder
B. Urinary bladder
C. Stomach
D. Lungs
13. The ability of the body to defend itself
against scientific invading agent such as
baceria, toxin, viruses and foreign body
A. Hormones
B. Secretion
C. Immunity
D. Glands
14. Hormones secreted by Islets of
Langerhans
A. Progesterone
B. Testosterone
C. Insulin
D. Hemoglobin
15. It is a transparent membrane that
focuses the light that enters the eyes to
the retina.
A. Lens
B. Sclera
C. Cornea
D. Pupils
16. Which of the following is included in
Orems theory?
A. Maintenance of a sufficient intake of air
B. Self perception
C. Love and belonging
D. Physiologic needs
17. Which of the following cluster of data
belong to Maslows hierarchy of needs
A. Love and belonging
B. Physiologic needs
C. Self actualization
D. All of the above
18. This is characterized by severe
symptoms relatively of short duration.
A. Chronic Illness
B. Acute Illness
C. Pain
D. Syndrome
19. Which of the following is the nurses
role in the health promotion
A. Health risk appraisal
B. Teach client to be effective health
consumer
C. Worksite wellness
D. None of the above
20. It is describe as a collection of people
who share some attributes of their lives.
A. Family
B. Illness
C. Community
D. Nursing
21. Five teaspoon is equivalent to how
many milliliters (ml)?
A. 30 ml
B. 25 ml
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C. 12 ml
D. 22 ml
22. 1800 ml is equal to how many liters?
A. 1.8
B. 18000
C. 180
D. 2800
23. Which of the following is the
abbreviation of drops?
A. Gtt.
B. Gtts.
C. Dp.
D. Dr.
24. The abbreviation for micro drop is
A. gtt
B. gtt
C. mdr
D. mgts
25. Which of the following is the meaning
of PRN?
A. When advice
B. Immediately
C. When necessary
D. Now
26. Which of the following is the
appropriate meaning of CBR?
A. Cardiac Board Room
B. Complete Bathroom
C. Complete Bed Rest
D. Complete Board Room
27. One (1) tsp is equals to how many
drops?
A. 15
B. 60
C. 10
D. 30
28. 20 cc is equal to how many ml?
A. 2
B. 20
C. 2000
D. 20000
29. 1 cup is equals to how many ounces?
A. 8
B. 80
C. 800
D. 8000
30. The nurse must verify the clients
identity before administration of
medication. Which of the following is the
safest way to identify the client?
A. Ask the client his name
B. Check the clients identification band
C. State the clients name aloud and have the
client repeat it
D. Check the room number
31. The nurse prepares to administer
buccal medication. The medicine should
be placed
A. On the clients skin
B. Between the clients cheeks and gums
C. Under the clients tongue
D. On the clients conjuctiva
32. The nurse administers cleansing
enema. The common position for this
procedure is
A. Sims left lateral
B. Dorsal Recumbent
C. Supine
D. Prone
33. A client complains of difficulty of
swallowing, when the nurse try to
administer capsule medication. Which of
the following measures the nurse should
do?
A. Dissolve the capsule in a glass of water
B. Break the capsule and give the content
with an applesauce
C. Check the availability of a liquid
preparation
D. Crash the capsule and place it under the
tongue
34. Which of the following is the
appropriate route of administration for
insulin?
A. Intramuscular
B. Intradermal
C. Subcutaneous
D. Intravenous
35. The nurse is ordered to administer
ampicillin capsule TID p.o. The
nurse should give the medication
A. Three times a day orally
B. Three times a day after meals
C. Two time a day by mouth
D. Two times a day before meals
36. Back Care is best describe as:
A. Caring for the back by means of massage
B. Washing of the back
C. Application of cold compress at the back
D. Application of hot compress at the back
37. It refers to the preparation of the bed
with a new set of linens
A. Bed bath
B. Bed making
C. Bed shampoo
D. Bed lining
38. Which of the following is the most
important purpose of handwashing
A. To promote hand circulation
B. To prevent the transfer of microorganism
C. To avoid touching the client with a dirty
hand
D. To provide comfort
39. What should be done in order to
prevent contaminating of the
environment in bed making?
A. Avoid funning soiled linens
B. Strip all linens at the same time
C. Finished both sides at the time
D. Embrace soiled linen
40. The most important purpose of
cleansing bed bath is:
A. To cleanse, refresh and give comfort to the
client who must remain in bed
B. To expose the necessary parts of the body
C. To develop skills in bed bath
D. To check the body temperature of the
client in bed
41. Which of the following technique
involves the sense of sight?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
42. The first techniques used examining
the abdomen of a client is:
A. Palpation
B. Auscultation
C. Percussion
D. Inspection
43. A technique in physical examination
that is use to assess the movement of air
through the tracheobronchial tree:
A. Palpation
B. Auscultation
C. Inspection
D. Percussion
44. An instrument used for auscultation is:
A. Percussion-hammer
B. Audiometer
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C. Stethoscope
D. Sphygmomanometer
45. Resonance is best describe as:
A. Sounds created by air filled lungs
B. Short, high pitch and thudding
C. Moderately loud with musical quality
D. Drum-like
46. The best position for examining the
rectum is:
A. Prone
B. Sims
C. Knee-chest
D. Lithotomy
47. It refers to the manner of walking
A. Gait
B. Range of motion
C. Flexion and extension
D. Hopping
48. The nurse asked the client to read the
Snellen chart. Which of the following is
tested:
A. Optic
B. Olfactory
C. Oculomotor
D. Troclear
49. Another name for knee-chest position
is:
A. Genu-dorsal
B. Genu-pectoral
C. Lithotomy
D. Sims
50. The nurse prepare IM injection that is
irritating to the subcutaneous tissue.
Which of the following is the best action in
order to prevent tracking of the
medication
A. Use a small gauge needle
B. Apply ice on the injection site
C. Administer at a 45 angle
D. Use the Z-track technique






Answers for the questions are
in bold
1. D. Providing oral hygiene
2. B. Axillary
3. D. Tachycardia
4B. Face the client, bend knees
and place hands on clients
forearm and lift
5. B. Axillary
6. B. Side lying
7. C. Keep side rails up at all time
8. A. Assessment
9. B. Nursing Process
10B. Lungs
11. A. Left atrium
12. C. Stomach
13. C. Immunity
14. C. Insulin
15. C. Cornea
16A. Maintenance of a sufficient
intake of
17. D. All of the above
18 B. Acute Illness
19. B. Teach client to be effective
health consumer
20C. Community
21. B. 25 ml
22. A. 1.8
23. B. Gtts.
24. A. gtt
25. C. When necessary
26. C. Complete Bed Rest
27. B. 60
28. B. 20
29. A. 8
30. A. Ask the client his name
31. B. Between the clients cheeks
and gums
32. A. Sims left lateral
33C. Check the availability of a
liquid preparation
34C. Subcutaneous
35. A. Three times a day orally
36. A. Caring for the back by
means of massage
37. B. Bed making
38. B. To prevent the transfer of
microorganism
39.A. Avoid funning soiled linens
40. A. To cleanse, refresh and give
comfort to the client who must
remain in bed
D. To check the body temperature
of the client in bed
41. A. Inspection
42. D. Inspection
43. B. Auscultation
44. C. Stethoscope
45. A. Sounds created by air filled
lungs
46.C. Knee-chest
47. A. Gait
48. A. Optic
49.B. Genu-pectoral
50. D. Use the Z-track technique