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Fon Pastpaper Kmu
Fon Pastpaper Kmu
1. Which of the following nursing theorists developed a conceptual model based on the belief
that all persons strive to achieve self-care?
a. Martha Rogers
b. Dorothea Orem
c. Florence Nightingale
d
. Cister Callista Roy
2. Which of the following nursing theorists is credited with developing a conceptual model
specific to nursing, with man as the central focus?
a. Martha Rogers
b. Dorothea Orem
c. Florence Nightingale
d. Sister Callista Roy
a. 5 minutes
b. 3 minutes
c. 2 minutes
d. 10 minutes
a. oral
b. axillary
c. rectal
d. tympanic
5. If a person’s heart doesn’t always beat hard enough to produce a wave of blood, their
pulse would be
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a. irregular
b. regular
c. bounding
d. thread
a. quality
b. rate
c. volume
d. vital signs
7. On a Fahrenheit glass thermometer, how many degrees do the short lines indicate?
a. 1 degree
b. 2 degrees
c. 0.1 degree
d. 0.2 degree
a. is unconscious
10. If a person has a blue cast to their nail beds and feels cold to the touch, we say they
have
a. a pulse deficit
c. poor perfusion
d. a bounding pulse
a. true
b. false
13. The primary purpose for the regulation of nursing practice is to protect:
a. The public
b. Practicing nurses
d. Professional standards
15. In Basic Life Support what does the acronym D R A B C D stand for?
16. What do you look for when checking for “Absence of signs of life”?
a Unconscious.
b Unresponsive.
17. Which of the following clients is experiencing an abnormal change in vital signs? A client
whose
a. Blood pressure (BP) was 132/80 mm Hg sitting and is 120/60 mm Hg upon standing
b. Rectal temperature is 97.9°F in the morning and 99.2°F in the evening
c. Heart rate was 76 before eating and is 60 after eating
d. Respiratory rate was 14 when standing and is 22 after walking
18. The nurse assesses the client's pedal pulses as having a pulse volume of 1 on a scale of 0 to 3.
Based on this assessment finding, it would be important for the nurse to also assess the:
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a. Pulse deficit
b. Blood pressure
c. Apical pulse
d. Pulse pressure
19. A client who has experienced prolonged exposure to the cold is admitted to the hospital.
Which method of taking a temperature would be most appropriate for this client?
20. Which change in hygiene practices may be necessary as the patient ages?
21. In which step of the nursing process does the nurse analyze data and identify client
problems?
a. Assessment
b. Diagnosis
c. planning outcomes
d. Evaluation
22. In which phase of the nursing process does the nurse decide whether her actions
have successfully treated the client's health problem?
a. Assessment
b. Diagnosis
c. planning outcomes
d. Evaluation
23. Arrange the steps of the nursing process in the sequence in which they generally
occur.
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A. Assessment
B. Evaluation
C. Planning outcomes
D. Planning interventions
E. Diagnosis
a. E, B, A, D, C
b. A, B, C, D, E
c. A, E, C, D, B
d. D, A, B, E, C
24. The nurse wishes to identify nursing diagnoses for a patient. She can best do this by
using a data collection form organized according to.
a. silence
b. suggestion
c. advise
d. informing
a. silence
b. suggestion
c. listening
d. clarification
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a. silence
b. suggestion
c. listening
d. Failure to Listen
a. silence
b. Giving false reassurance
c. listening
d. Failure to Listen
29. The statement-I'm not sure what you mean, could you tell me about that again-
is what type of therapeutic communication technique?
a. closed questions
b. Giving false reassurance
c. listening
d. Clarification
a. closed questions
b. Giving false reassurance
c. opened question
d. Listening
31. Nurses must protect themselves and clients from dangerous shocks by keeping their hands
dry when manipulating machinery, mopping spilled fluid, ensuring that all plugs are grounded
and reporting any equipment damage is called?
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a. Radiation safety
b. Firearm safety
c. Electrical safety
d. Fire safety
32. A localized area of tissue destruction caused by compression of soft tissue over a bony
prominence and an external surface for a prolonged of time is called ?
a. pressure ulcer
b. ulcer
c. friction
d. shear
33. Intact skin with non-blanchable of a localized area, usually over a bony prominence , darkly
pigmented skin may not have visible blanching is called ?
a. stage 2
b. stage 3
c. stage 4
d. Stage 1
34. Replenishes the body, s oxygen supply and eliminates waste from the blood in the from of
carbon dioxide is called
a. respiratory system
b. cardiovascular system
c. Gas diffusion
d. G as Transport
35. If a client needs only a small amount of additional oxygen to maintain adequate oxygenation
he or she can use
a.Venturi-mask
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b. Nasal cannula
c. Reservoir –mask
36. A patient is agitated and continues to try to get out of bed. The nurse tries unsuccessfully
to reorient him. What should the nurse do next?
a. Apply a vest restraint.
b.Move the patient to a quieter room.
c. Ask another nurse to care for the patient.
d. Provide comfort measures.
37. A 75-year-old patient who is 5 feet 7 inches tall and weighs 170 pounds is
admitted with dehydration. A nursing diagnosis of Risk for Impaired Skin Integrity is
identified for this patient. Which factor places the client at Risk for Impaired Skin
Integrity?
a. Pressure ulcer
b. Frication
c. dehydration
d.Age
38. The nurse notes a lesion that appears to be caused by tissue compression on
the right hip of a patient who suffered a stroke 5 days ago. How should the nurse
document this finding?
a. Maceration
b. Abrasion
c. Excoriation
d. Pressure ulcer
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39. For a morbidly obese patient, which intervention should the nurse choose to counteract the
pressure created by the skin folds?
a. Cover the mattress with a sheepskin.
b. Keep the linens wrinkle free.
c. Separate the skin folds with towels.
d. Apply petrolatum barrier creams.
40. The nurse is preparing to admit a patient from the emergency department. The
transferring nurse reports that the patient with chronic lung disease has a 30+ year
history of tobacco use. The nurse used to smoke a pack of cigarettes a day at one
time and worked very hard to quit smoking. She immediately thinks to herself, "I
know I tend to feel negatively about people who use tobacco, especially when they
have a serious lung condition; I figure if I can stop smoking, they should be able to. I
must remember how physically and psychologically difficult that is, and be very
careful not to let be judgmental of this patient." This best illustrate
a.Theoreticalknowledge
b.Self-knowledge
c.Usingreliableresources
d.Use of the nursing process
42. A patient is admitted with shortness of breath, so the nurse immediately listens to his breath
sounds. Which type of assessment is the nurse performing?
a. Ongoing assessment
b. Comprehensive physical assessment
c. Focused physical assessment
d. Psychosocial assessment
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43. The nurse calculates a body mass index (BMI) of 16 for a young adult woman
who comes to the physician's office for a college physical. This patient is considered:
a. Obese
b. Overweight
c. Average
d. Underweight
44. Mr. Jose is admitted to the hospitalwith a diagnosis of pneumonia and COPD. The physician
orders an oxygen therapy for him. The most comfortable method of delivering oxygen to Mr.
Jose is by:
a.Croupette
b.Nasal Cannula
c.Nasal mask
46.A patient states that he has difficulty sleeping in the hospital because of noise. Which of the
following would be an appropriate nursing action?
47.Which of the following statements does the nurse most need to keep in mind when collecting
a sputum specimen?
48. When the nurse gathers baseline information on a client, the nurse will check the blood
pressure in both arms to detect deficits. There should be no more than how many mmHg
differences between the two?
a.25
b.18
c.15
d.10
49. You are working with a client who has a respiratory disease. You find that this client is able
to breathe only in an upright or standing position. In charting, you could describe the difficulty
breathing in any position other than an upright or standing position, or you could use the medical
term for this condition, which is:
a.orthopnea.
b.tachypnea.
c.bradypnea.
50. A female patient is diagnosed with deep-vein thrombosis. Which nursing diagnosis should
receive the highest priority at this time?
51. . A female client who received general anesthesia returns from surgery. Postoperatively,
which nursing diagnosis takes highest priority for this client?
52 .A male client is admitted to the hospital with blunt chest trauma after a motor vehicle
accident. The first nursing priority for this client would be to:
53. When two nursing diagnoses appear closely related, what should the nurse do first to
determine which diagnosis most accurately reflects the needs of a patient?
54 .The nurse performs an assessment of a newly admitted patient. The nurse understands that
this admission assessment is conducted primarily to:
55 .Once a nurse assesses a client’s condition and identifies appropriate nursing diagnoses, a:
56. 1The following statements appear on a nursing care plan for a client after a mastectomy:
Incision site approximated; absence of drainage or prolonged erythema at incision site; and client
remains afebrile. These statements are examples of:
A. Nursing interventions
B. Short-term goals
C. Long-term goals
D. Expected outcomes
a) Provide a systemic, organized and comprehensive approach to meeting the needs of clients.
a) Chest pain
b) Complaint of dizziness.
59 .All the flowing are essential standard precautions used in the care of all patients irrespective of
whether they are diagnosed infectious or not ,except one
a) Hand hygiene
d) Aseptic techniques
60 .There are many different nursing education programs throughout the world that prepares nurses
which of these program is type of basic Nursing Programs
a) Diploma/Certificate Programs
a) Providing information
a) range of motion
b)activity tolerance
c ) body alignment
d )Psychological condition
63 .An instrument placed against a patient's chest to hear both lung and heart sounds.
a) stethoscope
b)otoscope
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c)sphygmomanometer
d)telescope
A Exercise
B Anaesthesia
C Hibernation
D Hypothermia
A 30 seconds
B 15 seconds
C 120 seconds
D 60 seconds
66. If the nurse is taking a rectal temperature on an infant, how far should the thermometer be
inserted into the rectum?
a. ½ inch
b. 1 inch
c. 1 ½ inches
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67 .Which pulse is measured on the left side of the chest directly over the heart?
a. brachial
b. carotid
c. apical
d. radial
69 .Which of the following diastolic blood pressure readings is abnormal and should be reported
to the doctor?
a. 67 mm Hg
b. 77 mm Hg
c. 87 mm Hg
d. 97 mm Hg