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BSN First semester 2022 KMU Past Paper
HIMS COLLEGE OF NURSING PESHAWAR
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
3. A rectal glass temperature is taken for
a. 5 minutes
b. 3 minutes
c. 2 minutes
d. 10 minutes
4. The most accurate temperature is the
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
a. irregular
b. regular
c. bounding
d. thread
6. The number of pulse, heartbeats, or respirations per minute is
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
8. If you count nine respirations in 30 seconds, you would report
a. 27 respirations per minute
b. 9 respirations per minute
c. 18 respirations per minute
9. A rectal temperature is not taken when a person
a. is unconscious
b. needs a core body temperature measurement
c. has a nasogastric tube
d. has had rectal surgery

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
b. an irregular pulse rate
c. poor perfusion
d. a bounding pulse
11. Temperatures are not taken orally if a patient is receiving oxygen.
a. true
b. false
12. A nursing diagnosis represents the:
a. Proposed plan of care
b. Patient’s health problems
c. Assessment of patient’s data
d. Actual nursing intervention
13. The primary purpose for the regulation of nursing practice is to protect:
a. The public
b. Practicing nurses
c. The employing agency

d. Professional standards
14. The nurse is aware that the term bradycardia means:
a. a grossly irregular heartbeat
b. a heart rate of over 90 per minute
c. a heart rate of under 60 per minute
d. a heartbeat that has regular “skipped” beats
15. In Basic Life Support what does the acronym D R A B C D stand for?
a. Danger, Responsive, Airway, Breaths, Compressions, Defibrillation
b. Danger, Reaction, Airway, Breathing, Circulation, Defibrillation.
c. Defibrillation, Responsive, Airway, Compressions, Danger.
16. What do you look for when checking for “Absence of signs of life”?
a Unconscious.
b Unresponsive.
c Not breathing normally
. d All of the above.
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:
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?
a.Axillary with an electronic thermometer

b .Oral with a glass thermometer
c. Rectal with an electronic thermometer
d. Tympanic with an infrared thermometer
20. Which change in hygiene practices may be necessary as the patient ages?
a. Brushing teeth twice a day

b. Bathing every other day
c. Decreasing moisturizer use
d. Increasing soap use
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.
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. A body systems model

b. A head-to-toe framework
c. Maslow's hierarchy of needs
d. Gordon's functional health patterns
25. Lack of verbal communication for therapeutic use is which technique?
a. silence
b. suggestion
c. advise
d. informing
26. Presenting alternative ideas for clients consideration relative to problem

solving is what type of therapeutic communication?
a. silence
b. suggestion
c. listening
d. clarification
27. This statement is an example of what NON-therapeutic communication

technique? Yawning when the client is speaking, looking at watch frequently,
missing clients messages
a. silence
b. suggestion
c. listening
d. Failure to Listen
28. This statement is an example of what NON-therapeutic communication

technique? Client: I'll never get out of here; Caregiver: everything will turn out for
the best
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
c. listening
d. Clarification
30. Maintaining eye contact and receptive nonverbal communication describes

what therapeutic communication technique?
a. closed questions
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?
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
b. Nasal cannula
c. Reservoir –mask
d. simple oxygen 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
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
41.Which of the following is an example of appropriate behavior when conducting a

client interview?
a. Recording all the information on the agency-approved form during the interview
b. Asking the client, "Why did you think it was necessary to seek health care at this
time?"
c. Using precise medical terminology when asking the client questions
d. Sitting, facing the client in a chair at the client's bedside, using active
listening
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
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
d.Partial rebreathing mask
45. Constipation is a common problem for immobilized patients because of:
a. Decreased peristalsis and positional discomfort
b.An increased defecation reflex
c.Decreased tightening of the anal sphincter
d.Increased colon motility
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?
a.Administer a sedative at bedtime, as ordered by the physician
b.Ambulate the patient for 5 minutes before he retires

c.Give the patient a glass of warm milk before bedtime
d.Close the patient's door from 9pm to 7am.
47.Which of the following statements does the nurse most need to keep in mind when collecting
a sputum specimen?
a.Sputum is to be coughed up after a deep breath.

b.Healthy individuals can produce sputum.
c.Sputum is the same as saliva or "spit."
d.Mouth care is not to be given before collecting sputum.
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?
A. Impaired gas exchange related to increased blood flow

B. Fluid volume excess related to peripheral vascular disease
C. Risk for injury related to edema
D. Altered peripheral tissue perfusion related to venous congestion
51. . A female client who received general anesthesia returns from surgery. Postoperatively,
which nursing diagnosis takes highest priority for this client?
A. Acute pain R/T surgery

B. Deficient fluid volume R/T blood and fluid loss from surgery
C. Impaired physical mobility R/T surgery
D. Risk for aspiration R/T anesthesia
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:
A. Assess the client's airway

B. Provide pain relief
C. Encourage deep breathing and coughing
D. Splint the chest wall with a pillow
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?
A. Reassess the patient

B. Examine the related to factors
C. Analyze the secondary to factors
D. Review the defining characteristics
54 .The nurse performs an assessment of a newly admitted patient. The nurse understands that
this admission assessment is conducted primarily to:
A. Diagnose if the patient is at risk for falls.

B. Ensure that the patient's skin is intact
C. Establish a therapeutic relationship
D. Identify important data
55 .Once a nurse assesses a client’s condition and identifies appropriate nursing diagnoses, a:
A. Plan is developed for nursing care.
B. Physical assessment begins
C. List of priorities is determined.
D. Review of the assessment is conducted with other team members.

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
57 .The nursing process is utilized to:
a) Provide a systemic, organized and comprehensive approach to meeting the needs of clients.
b) Encourage the family to make decisions regarding patient's care.
c) Increase involvement of allied healthcare professionals in decision-making
d) None of the above
58 ..Objective data might include:
a) Chest pain
b) Complaint of dizziness.
C) An evaluation of blood pressure.
d) None of the above
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
b) Improper sharps and waste disposal
c) Personal protective equipment

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
b) Baccalaureate Degree Programs in Nursing
c) Master's Degree Programs in Nursing
d) Doctoral Programs in Nursing
61.All the following are Patient’s responsibilities, except
a) Providing information
b) Complying with instructions
c) Give different kind of care
d) Following hospital rules and regulations
62 ., To assessment of immobilized patient focus on the following except
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
c)sphygmomanometer
d)telescope
64 . Identify which situation does not contribute to a reduced body temperature :
A Exercise
B Anaesthesia
C Hibernation
D Hypothermia
65 .Identify the length of time a pulse should be taken over :
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
67 .Which pulse is measured on the left side of the chest directly over the heart?
a. brachial
b. carotid
c. apical
d. radial
68 .When measuring pulse, it is important to pay attention to:
a. the rhythm of the pulse

b. the force of the pulse
c. the number of beats per minute
d. all of these
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
70. Code of ethics of nursing profession prescribed by:
a. respect self dignity and right of client
b. No restriction for nationality race,
c. Service to individual family and community
d. Limitation to care male patient

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BSN First semester 2022 KMU Past Paper

HIMS COLLEGE OF NURSING PESHAWAR

3. A rectal glass temperature is taken for

4. The most accurate temperature is the

6. The number of pulse, heartbeats, or respirations per minute is

8. If you count nine respirations in 30 seconds, you would report

a. 27 respirations per minute

b. 9 respirations per minute

c. 18 respirations per minute

9. A rectal temperature is not taken when a person

b. needs a core body temperature measurement

c. has a nasogastric tube

d. has had rectal surgery

b. an irregular pulse rate

11. Temperatures are not taken orally if a patient is receiving oxygen.

12. A nursing diagnosis represents the:

a. Proposed plan of care

b. Patient’s health problems

c. Assessment of patient’s data

d. Actual nursing intervention

c. The employing agency

14. The nurse is aware that the term bradycardia means:

a. a grossly irregular heartbeat

b. a heart rate of over 90 per minute

c. a heart rate of under 60 per minute

d. a heartbeat that has regular “skipped” beats

a. Danger, Responsive, Airway, Breaths, Compressions, Defibrillation

b. Danger, Reaction, Airway, Breathing, Circulation, Defibrillation.

c. Defibrillation, Responsive, Airway, Compressions, Danger.

c Not breathing normally

. d All of the above.

a.Axillary with an electronic thermometer

a. Brushing teeth twice a day

a. A body systems model

25. Lack of verbal communication for therapeutic use is which technique?

26. Presenting alternative ideas for clients consideration relative to problem

27. This statement is an example of what NON-therapeutic communication

28. This statement is an example of what NON-therapeutic communication

30. Maintaining eye contact and receptive nonverbal communication describes

d. simple oxygen mask

41.Which of the following is an example of appropriate behavior when conducting a

d.Partial rebreathing mask

45. Constipation is a common problem for immobilized patients because of:

a. Decreased peristalsis and positional discomfort

b.An increased defecation reflex

c.Decreased tightening of the anal sphincter

d.Increased colon motility

a.Administer a sedative at bedtime, as ordered by the physician

b.Ambulate the patient for 5 minutes before he retires

c.Give the patient a glass of warm milk before bedtime

d.Close the patient's door from 9pm to 7am.

a.Sputum is to be coughed up after a deep breath.

A. Impaired gas exchange related to increased blood flow

A. Acute pain R/T surgery

A. Assess the client's airway

A. Reassess the patient

A. Diagnose if the patient is at risk for falls.

A. Plan is developed for nursing care.

B. Physical assessment begins

C. List of priorities is determined.

D. Review of the assessment is conducted with other team members.

57 .The nursing process is utilized to:

b) Encourage the family to make decisions regarding patient's care.