Edition 1
1. A second year nursing student has just suffered a needlestick whileworking with a patient that is positive for AIDS. Which of the following
is the most important action that nursing student should take?
A: Immediately see a social worker
B: Start prophylactic AZT treatment
C: Start prophylactic Pentamide treatment
D: Seek counseling
2. A nurse is reviewing a patient’s PMH. The history indicates
photosensitive reactions to medications. Which of the following drugs
has not been associated with photosensitive reactions? Note: More
than one answer may be correct.
A: Cipro
B: Sulfonamide
C: Noroxin
D: Bactrim
E: Accutane
F: Nitrodur
3. A patient tells you that her urine is starting to look discolored. If
you believe this change is due to medication, which of the following
patient’s medication does not cause urine discoloration?
A: Sulfasalazine
B: Levodopa
C: Phenolphthalein
D: Aspirin
4. You are responsible for reviewing the nursing unit’s refrigerator. If
you found the following drug in the refrigerator it should be removed
from the refrigerator’s contents?
A: Corgard
B: Humulin (injection)
C: Urokinase
D: Epogen (injection)
5. A 34 year old female has recently been diagnosed with an
autoimmune disease. She has also recently discovered that she is
pregnant. Which of the following is the only immunoglobulin that will
provide protection to the fetus in the womb?
A: IgA
B: IgD
C: IgE
D: IgG
6. A nurse is reviewing a patient’s medication during shift change.
Which of the following medication would be contraindicated if the
patient were pregnant? Note: More than one answer may be correct.
A: Coumadin
B: Finasteride
C: Celebrex
D: Catapress
E: Habitrol
F: Clofazimine
7. A thirty five year old male has been an insulin-dependent diabetic
for five years and now is unable to urinate. Which of the following
would you most likely suspect?
A: Atherosclerosis
B: Diabetic nephropathy
C: Autonomic neuropathy
D: Somatic neuropathy
8. You are taking the history of a 14 year old girl who has a (BMI) of
18. The girl reports inability to eat, induced vomiting and severe
constipation. Which of the following would you most likely suspect?
A: Multiple sclerosis
B: Anorexia nervosa
C: Bulimia
D: Systemic sclerosis
9. A 24 year old female is admitted to the ER for confusion. This
patient has a history of a myeloma diagnosis, constipation, intense
abdominal pain, and polyuria. Which of the following would you most
likely suspect?
A: Diverticulosis
B: Hypercalcaemia
C: Hypocalcaemia
D: Irritable bowel syndrome
10. Rho gam is most often used to treat____ mothers that have a
____ infant.
A: RH positive, RH positive
B: RH positive, RH negative
C: RH negative, RH positive
D: RH negative, RH negative
11. A new mother has some questions about (PKU). Which of the
following statements made by a nurse is not correct regarding PKU?
A: A Guthrie test can check the necessary lab values.
B: The urine has a high concentration of phenylpyruvic acid
C: Mental deficits are often present with PKU.
D: The effects of PKU are reversible.
12. A patient has taken an overdose of aspirin. Which of the following
should a nurse most closely monitor for during acute management of
this patient?
A: Onset of pulmonary edema
B: Metabolic alkalosis
C: Respiratory alkalosis
D: Parkinson’s disease type symptoms
13. A fifty-year-old blind and deaf patient has been admitted to your
floor. As the charge nurse your primary responsibility for this patient
is?
A: Let others know about the patient’s deficits
B: Communicate with your supervisor your concerns about the
patient’s deficits.
C: Continuously update the patient on the social environment.
D: Provide a secure environment for the patient.
14. A patient is getting discharged from a SNF facility. The patient
has a history of severe COPD and PVD. The patient is primarily
concerned about their ability to breath easily. Which of the following
would be the best instruction for this patient?
A: Deep breathing techniques to increase O2 levels.
B: Cough regularly and deeply to clear airway passages.
C: Cough following bronchodilator utilization
D: Decrease CO2 levels by increase oxygen take output during meals.
15. A nurse is caring for an infant that has recently been diagnosed
with a congenital heart defect. Which of the following clinical signs
would most likely be present?
A: Slow pulse rate
B: Weight gain
C: Decreased systolic pressure
D: Irregular WBC lab values
16. A mother has recently been informed that her child has Down’s
syndrome. You will be assigned to care for the child at shift change.
Which of the following characteristics is not associated with Down’s
syndrome?
A: Simian crease
B: Brachycephaly
C: Oily skin
D: Hypotonicity
17. A patient has recently experienced a (MI) within the last 4 hours.
Which of the following medications would most like be administered?
A: Streptokinase
B: Atropine
C: Acetaminophen
D: Coumadin
18. A patient asks a nurse, “My doctor recommended I increase my
intake of folic acid. What type of foods contain folic acids?”
A: Green vegetables and liver
B: Yellow vegetables and red meat
C: Carrots
D: Milk
19. A nurse is putting together a presentation on meningitis. Which
of the following microorganisms has noted been linked to meningitis in
humans?
A: S. pneumonia
B: H. influenza
C: N. meningitis
D: Cl. difficile
20. A nurse is administering blood to a patient who has a low
hemoglobin count. The patient asks how long to RBC’s last in my
body? The correct response is.
A: The life span of RBC is 45 days.
B: The life span of RBC is 60 days.
C: The life span of RBC is 90 days.
D: The life span of RBC is 120 days.
21. A 65 year old man has been admitted to the hospital for spinal
stenosis surgery. When does the discharge training and planning
begin for this patient?
A: Following surgery
B: Upon admit
C: Within 48 hours of discharge
D: Preoperative discussion
22. A child is 5 years old and has been recently admitted into the
hospital. According to Erickson which of the following stages is the
child in?
A: Trust vs. mistrust
B: Initiative vs. guilt
C: Autonomy vs. shame
D: Intimacy vs. isolation
23. A toddler is 16 months old and has been recently admitted into
the hospital. According to Erickson which of the following stages is the
toddler in?
A: Trust vs. mistrust
B: Initiative vs. guilt
C: Autonomy vs. shame
D: Intimacy vs. isolation
24. A young adult is 20 years old and has been recently admitted into
the hospital. According to Erickson which of the following stages is the
adult in?
A: Trust vs. mistrust
B: Initiative vs. guilt
C: Autonomy vs. shame
D: Intimacy vs. isolation
25. A nurse is making rounds taking vital signs. Which of the following
vital signs is abnormal?
A: 11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg
B: 13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg
C: 5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg
D: 6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg
26. When you are taking a patient’s history, she tells you she has
been depressed and is dealing with an anxiety disorder. Which of the
following medications would the patient most likely be taking?
A: Elavil
B: Calcitonin
C: Pergolide
D: Verapamil
27. Which of the following conditions would a nurse not administer
erythromycin?
A: Campylobacterial infection
B: Legionnaire’s disease
C: Pneumonia
D: Multiple Sclerosis
28. A patient’s chart indicates a history of hyperkalemia. Which of the
following would you not expect to see with this patient if this condition
were acute?
A: Decreased HR
B: Paresthesias
C: Muscle weakness of the extremities
D: Migranes
29. A patient’s chart indicates a history of ketoacidosis. Which of the
following would you not expect to see with this patient if this condition
were acute?
A: Vomiting
B: Extreme Thirst
C: Weight gain
D: Acetone breath smell
30. A patient’s chart indicates a history of meningitis. Which of the
following would you not expect to see with this patient if this condition
were acute?
A: Increased appetite
B: Vomiting
C: Fever
D: Poor tolerance of light
31. A nurse if reviewing a patient’s chart and notices that the patient
suffers from conjunctivitis. Which of the following microorganisms is
related to this condition?
A: Yersinia pestis
B: Helicobacter pyroli
C: Vibrio cholera
D: Hemophilus aegyptius
32. A nurse if reviewing a patient’s chart and notices that the patient
suffers from Lyme disease. Which of the following microorganisms is
related to this condition?
A: Borrelia burgdorferi
B: Streptococcus pyrogens
C: Bacilus anthracis
D: Enterococcus faecalis
33. A fragile 87 year-old female has recently been admitted to the
hospital with increased confusion and falls over last 2 weeks. She is
also noted to have a mild left hemiparesis. Which of the following
tests is most likely to be performed?
A: FBC (full blood count)
B: ECG (electrocardiogram)
C: Thyroid function tests
D: CT scan
34. A 84 year-old male has been loosing mobility and gaining weight
over the last 2 months. The patient also has the heater running in his
house 24 hours a day, even on warm days. Which of the following
tests is most likely to be performed?
A: FBC (full blood count)
B: ECG (electrocardiogram)
C: Thyroid function tests
D: CT scan
35. A 20 year-old female attending college is found unconscious in her
dorm room. She has a fever and a noticeable rash. She has just been
admitted to the hospital. Which of the following tests is most likely to
be performed first?
A: Blood sugar check
B: CT scan
C: Blood cultures
D: Arterial blood gases
36. A 28 year old male has been found wandering around in a
confused pattern. The male is sweaty and pale. Which of the
following tests is most likely to be performed first?
A: Blood sugar check
B: CT scan
C: Blood cultures
D: Arterial blood gases
37. A mother is inquiring about her child’s ability to potty train.
Which of the following factors is the most important aspect of toilet
training?
A: The age of the child
B: The child ability to understand instruction.
C: The overall mental and physical abilities of the child.
D: Frequent attempts with positive reinforcement.
38. A parent calls the pediatric clinic and is frantic about the bottle of
cleaning fluid her child drank 20 minutes. Which of the following is the
most important instruction the nurse can give the parent?
A: This too shall pass.
B: Take the child immediately to the ER
C: Contact the Poison Control Center quickly
D: Give the child syrup of ipecac
39. A nurse is administering a shot of Vitamin K to a 30 day-old
infant. Which of the following target areas is the most appropriate?
A: Gluteus maximus
B: Gluteus minimus
C: Vastus lateralis
D: Vastus medialis
40. A nurse has just started her rounds delivering medication. A new
patient on her rounds is a 4 year-old boy who is non-verbal. This child
does not have on any identification. What should the nurse do?
A: Contact the provider
B: Ask the child to write their name on paper.
C: Ask a co-worker about the identification of the child.
D: Ask the father who is in the room the child’s name.
41. A nurse is observing a child’s motor, sensory and speech
development. The child is 7 months old. Which of the following tasks
would generally not be observed?
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167
A: Child recognizes tone of voice.
B: Child exhibits fear of strangers.
C: Child pulls to stand and occasionally bounces.
D: Child plays patty-cake and imitates.
42. A nurse is observing a child’s motor, sensory and speech
development. The child is 5 months old. Which of the following tasks
would generally not be observed?
A: Child sits with support.
B: Child laughs out loud.
C: Child shifts weight side to side in prone.
D: Child transfers objects between hands.
43. A nurse is caring for an adult that has recently been diagnosed
with renal failure. Which of the following clinical signs would most
likely not be present?
A: Hypotension
B: Heart failure
C: Dizziness
D: Memory loss
44. A nurse is caring for an adult that has recently been diagnosed
with hypokalemia. Which of the following clinical signs would most
likely not be present?
A: Leg cramps
B: Respiratory distress
C: Confusion
D: Flaccid paralysis
45. A nurse is caring for an adult that has recently been diagnosed
with metabolic acidosis. Which of the following clinical signs would
most likely not be present?
A: Weakness
B: Dysrhythmias
C: Dry skin
D: Malaise
46. A nurse is caring for an adult that has recently been diagnosed
with metabolic alkalosis. Which of the following clinical signs would
most likely not be present?
A: Vomiting
B: Diarrhea
C: Agitation
D: Hyperventilation
47. A nurse is caring for an adult that has recently been diagnosed
with respiratory acidosis. Which of the following clinical signs would
most likely not be present?
A: CO
2
Retention
B: Dyspnea
C: Headaches
D: Tachypnea
48. A nurse is caring for an adult that has recently been diagnosed
with respiratory alkalosis. Which of the following clinical signs would
most likely not be present?
A: Anxiety attacks
B: Dizziness
C: Hyperventilation cyanosis
D: Blurred vision
49. A nurse is reviewing a patient’s medication list. The drug
Pentoxifylline is present on the list. Which of the following conditions
is commonly treated with this medication?
A: COPD
B: CAD
C: PVD
D: MS
50. A patient has been on long-term management for CHF. Which of
the following drugs is considered a loop dieuretic that could be used to
treat CHF symptoms?
A: Ciprofloxacin
B: Lepirudin
C: Naproxen
D: Bumex
51. A patient has recently been diagnosed with polio and has
questions about the diagnosis. Which of the following systems is most
affected by polio?
A: PNS
B: CNS
C: Urinary system
D: Cardiac system
52. A nurse is educating a patient about right-sided heart deficits.
Which of the following clinical signs is not associated with right-sided
heart deficits?
A: Orthopnea
B: Dependent edema
C: Ascites
D: Nocturia
53. A nurse is reviewing a patient’s medication. Which of the
following is considered a potassium sparing dieuretic?
A: Esidrix
B: Lasix
C: Aldactone
D: Edecrin
54. A nurse is reviewing a patient’s medication. The patient is taking
Digoxin. Which of the following is not an effect of Digoxin?
A: Depressed HR
B: Increased CO
C: Increased venous pressure
D: Increased contractility of cardiac muscle
55. A patient has been instructed by the doctor to reduce their intake
of Potassium. Which types of foods should not worry about avoiding?
A: Bananas
B: Tomatoes
C: Orange juice
D: Apples
56. A patient’s chart indicates the patient is suffering from Digoxin
toxicity. Which of the following clinical signs is not associated with
digoxin toxicity?
A: Ventricular bigeminy
B: Anorexia
C: Normal ventricular rhythm
D: Nausea
57. A fourteen year old male has just been admitted to your floor. He
has a history of central abdominal pain that has moved to the right
iliac fossa region. He also has tenderness over the region and a fever.
Which of the following would you most likely suspect?
A: Appendicitis
B: Acute pancreatitis
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172
C: Ulcerative colitis
D: Cholecystitis
58. A thirteen-year old male has a tender lump area in his left groin.
His abdomen is distended and he has been vomiting for the past 24
hours. Which of the following would you most like suspect?
A: Ulcerative colitis
B: Biliary colic
C: Acute gastroenteritis
D: Strangulated hernia
59. Which of the following is the key risk factor for development of
Parkinson’s disease dementia?
A: History of strokes
B: Acute headaches history
C: Edward’s syndrome
D: Use of phenothiazines
60. A father notifies your clinic that his son’s homeroom teacher has
just been diagnosed with meningitis and his son spent the day with the
teacher in detention yesterday. Which of the following would be the
most likely innervention?
A: Isolation of the son
B: Treatment of the son with Aciclovir
C: Treatment of the son with Rifampicin
D: Reassure the father
61. A patient has recently been diagnosed with hyponatremia. Which
of the following is not associated with hyponatremia?
A: Muscle twitching
B: Anxiety
C: Cyanosis
D: Sticky mucous membranes
62. A patient has recently been diagnosed with hypernatremia. Which
of the following is not associated with hypernatremia?
A: Hypotension
B: Tachycardia
C: Pitting edema
D: Weight gain
63. Which of the following normal blood therapeutic concentrations is
abnormal?
A: Phenobarbital 10-40 mcg/ml
B: Lithium .6 – 1.2 mEq/L
C: Digoxin .5 – 1.6 ng/ml
D: Valproic acid 40 – 100 mcg/ml
64. Which of the following normal blood therapeutic concentrations is
abnormal?
A: Digitoxin 09 – 25 mcg/ml
B: Vancomycin 05 – 15 mcg/ml
C: Primidone 02 – 14 mcg/ml
D: Theophylline 10 – 20 mcg/ml
65. Which of the following normal blood therapeutic concentrations is
abnormal?
A: Phenytoin 10 – 20 mcg/ml
B: Quinidine 02 – 06 mcg/ml
C: Haloperidol 05 – 20 ng/ml
D: Carbamazepine 5 – 25 mcg/ml
Answer Key
1. (B) AZT treatment is the most critical innervention.
2. (F) All of the others have can cause photosensitivity reactions.
3. (D) All of the others can cause urine discoloration.
4. (A) Corgard could be removed from the refigerator.
5. (D) IgG is the only immunoglobulin that can cross the placental
barrier.
6. (A) and (B) are both contraindicated with pregnancy.
7. (C) Autonomic neuropathy can cause inability to urinate.
8. (B) All of the clinical signs and systems point to a condition of
anorexia nervos
9. (B) Hypercalcaemia can cause polyuria, severe abdominal pain,
and confusion.
10. (C) Rho gam prevents the production of anti-RH
antibodies in the mother that has a Rh positive fetus.
11. (D) The effects of PKU stay with the infant throughout
their life.
12. (D) Aspirin overdose can lead to metabolic acidosis and
cause pulmonary edema development.
13. (D) This patient’s safety is your primary concern.
14. (C) The bronchodilator will allow a more productive cough.
15. (B) Weight gain is associated with CHF and congenital
heart deficits.
16. (C) The skin would be dry and not oily.
17. (A) Streptokinase is a clot busting drug and the best
choice in this situation.
18. (A) Green vegetables and liver are a great source of folic
acid.
19. (D) Cl. difficile has not been linked to meningitis.
20. (D) RBC’s last for 120 days in the body.
21. (B) Discharge education begins upon admit.
22. (B) Initiative vs. guilt- 3-6 years old
23. (A) Trust vs. Mistrust- 12-18 months old
24. (D) Intimacy vs. isolation- 18-35 years old
25. (B) HR and Respirations are slightly increased. BP is
down.
26. (A) Elavil is a tricyclic antidepressant.
27. (D) Erythromycin is used to treat conditions A-C.
28. (D) Answer choices A-C were symptoms of acute
hyperkalemia.
29. (C) Weight loss would be expected.
30. (A) Loss of appetite would be expected.
31. (D) Choice A is linked to Plague, Choice B is linked to
peptic ulcers, Choice C is linked to Cholera.
32. (A) Choice B is linked to Rheumatic fever, Choice C is
linked to Anthrax, Choice D is linked to Endocarditis.
33. (D) A CT scan would be performed for further investigation
of the hemiparesis.
34. (C) Weight gain and poor temperature tolerance indicate
something may be wrong with the thyroid function.
35. (C) Blood cultures would be performed to investigate the
fever and rash symptoms.
36. (A) With a history of diabetes, the first response should be
to check blood sugar levels.
37. (C) Age is not the greatest factor in potty training. The
overall mental and physical abilities of the child is the most
important factor.
38. (C) The poison control center will have an exact plan of
action for this child.
39. (C) Vastus lateralis is the most appropriate location.
40. (D) In this case you are able to determine the name of
the child by the father’s statement, moreover you should not
withhold the medication from the child following identification.
41. (D) These skills generally develop between 10-15 months.
42. (D) Transferring objects between hands is a 8-9 month
skill.
43. (A) Hypertension is often related renal failure.
44. (D) Flaccid paralysis is an indication of Hyperkalemia.
45. (B) Dysrhythmias are associated with metabolic alkalosis.
46. (D) Hyperventilation occurs with metabolic acidosis.
Hypoventilation occurs with metabolic alkalosis.
47. (D) Tachypnea is associated with respiratory alkalosis.
48. (C) Hyperventilation cyanosis is associated with respiratory
acidosis.
49. (C) This drug is a hemorheological agent that helps blood
viscosity.
50. (D) Bumex is considered a loop dieuretic.
51. (B) Polio is caused by a virus that attacks the CNS.
52. (A) Orthopnea is a left- sided heart failure clinical
symptom.
53. (C) Aldactone (Spironolactone) is considered a potassium
sparing diuretic.
54. (C) Digoxin decreases venous pressure.
55. (D) All the others are high in potassium.
56. (C) Ventricular rhythm may be premature with Digoxin
toxicity.
57. (A) Appendicitis is most likely indicated in this case.
58. (D) A hernia is the most likely indicated in this case.
59. (D) Penothiazines are considered a risk factor for
Parkinson’s disease dementia.
60. (C) Rifampicin would be used in this case.
61. (D) Stick mucuous membranes are associated with
hypernatremia.
62. (A) Hypotension would be associated with hyponatremia.
63. (C) The normal ranges for Digoxin is .7 – 1.4 ng/ml.
64. (C) The normal ranges of Primidone is 04 –12 mcg/ml.
65. (C) The normal ranges of Carbamazepine is 10 – 20
mcg/ml
2. A nurse is reviewing a patient’s PMH. The history indicates
photosensitive reactions to medications. Which of the following drugs
has not been associated with photosensitive reactions? Note: More
than one answer may be correct.
A: Cipro
B: Sulfonamide
C: Noroxin
D: Bactrim
E: Accutane
F: Nitrodur
3. A patient tells you that her urine is starting to look discolored. If
you believe this change is due to medication, which of the following
patient’s medication does not cause urine discoloration?
A: Sulfasalazine
B: Levodopa
C: Phenolphthalein
D: Aspirin
4. You are responsible for reviewing the nursing unit’s refrigerator. If
you found the following drug in the refrigerator it should be removed
from the refrigerator’s contents?
A: Corgard
B: Humulin (injection)
C: Urokinase
D: Epogen (injection)
5. A 34 year old female has recently been diagnosed with an
autoimmune disease. She has also recently discovered that she is
pregnant. Which of the following is the only immunoglobulin that will
provide protection to the fetus in the womb?
A: IgA
B: IgD
C: IgE
D: IgG
6. A nurse is reviewing a patient’s medication during shift change.
Which of the following medication would be contraindicated if the
patient were pregnant? Note: More than one answer may be correct.
A: Coumadin
B: Finasteride
C: Celebrex
D: Catapress
E: Habitrol
F: Clofazimine
7. A thirty five year old male has been an insulin-dependent diabetic
for five years and now is unable to urinate. Which of the following
would you most likely suspect?
A: Atherosclerosis
B: Diabetic nephropathy
C: Autonomic neuropathy
D: Somatic neuropathy
8. You are taking the history of a 14 year old girl who has a (BMI) of
18. The girl reports inability to eat, induced vomiting and severe
constipation. Which of the following would you most likely suspect?
A: Multiple sclerosis
B: Anorexia nervosa
C: Bulimia
D: Systemic sclerosis
9. A 24 year old female is admitted to the ER for confusion. This
patient has a history of a myeloma diagnosis, constipation, intense
abdominal pain, and polyuria. Which of the following would you most
likely suspect?
A: Diverticulosis
B: Hypercalcaemia
C: Hypocalcaemia
D: Irritable bowel syndrome
10. Rho gam is most often used to treat____ mothers that have a
____ infant.
A: RH positive, RH positive
B: RH positive, RH negative
C: RH negative, RH positive
D: RH negative, RH negative
11. A new mother has some questions about (PKU). Which of the
following statements made by a nurse is not correct regarding PKU?
A: A Guthrie test can check the necessary lab values.
B: The urine has a high concentration of phenylpyruvic acid
C: Mental deficits are often present with PKU.
D: The effects of PKU are reversible.
12. A patient has taken an overdose of aspirin. Which of the following
should a nurse most closely monitor for during acute management of
this patient?
A: Onset of pulmonary edema
B: Metabolic alkalosis
C: Respiratory alkalosis
D: Parkinson’s disease type symptoms
13. A fifty-year-old blind and deaf patient has been admitted to your
floor. As the charge nurse your primary responsibility for this patient
is?
A: Let others know about the patient’s deficits
B: Communicate with your supervisor your concerns about the
patient’s deficits.
C: Continuously update the patient on the social environment.
D: Provide a secure environment for the patient.
14. A patient is getting discharged from a SNF facility. The patient
has a history of severe COPD and PVD. The patient is primarily
concerned about their ability to breath easily. Which of the following
would be the best instruction for this patient?
A: Deep breathing techniques to increase O2 levels.
B: Cough regularly and deeply to clear airway passages.
C: Cough following bronchodilator utilization
D: Decrease CO2 levels by increase oxygen take output during meals.
15. A nurse is caring for an infant that has recently been diagnosed
with a congenital heart defect. Which of the following clinical signs
would most likely be present?
A: Slow pulse rate
B: Weight gain
C: Decreased systolic pressure
D: Irregular WBC lab values
16. A mother has recently been informed that her child has Down’s
syndrome. You will be assigned to care for the child at shift change.
Which of the following characteristics is not associated with Down’s
syndrome?
A: Simian crease
B: Brachycephaly
C: Oily skin
D: Hypotonicity
17. A patient has recently experienced a (MI) within the last 4 hours.
Which of the following medications would most like be administered?
A: Streptokinase
B: Atropine
C: Acetaminophen
D: Coumadin
18. A patient asks a nurse, “My doctor recommended I increase my
intake of folic acid. What type of foods contain folic acids?”
A: Green vegetables and liver
B: Yellow vegetables and red meat
C: Carrots
D: Milk
19. A nurse is putting together a presentation on meningitis. Which
of the following microorganisms has noted been linked to meningitis in
humans?
A: S. pneumonia
B: H. influenza
C: N. meningitis
D: Cl. difficile
20. A nurse is administering blood to a patient who has a low
hemoglobin count. The patient asks how long to RBC’s last in my
body? The correct response is.
A: The life span of RBC is 45 days.
B: The life span of RBC is 60 days.
C: The life span of RBC is 90 days.
D: The life span of RBC is 120 days.
21. A 65 year old man has been admitted to the hospital for spinal
stenosis surgery. When does the discharge training and planning
begin for this patient?
A: Following surgery
B: Upon admit
C: Within 48 hours of discharge
D: Preoperative discussion
22. A child is 5 years old and has been recently admitted into the
hospital. According to Erickson which of the following stages is the
child in?
A: Trust vs. mistrust
B: Initiative vs. guilt
C: Autonomy vs. shame
D: Intimacy vs. isolation
23. A toddler is 16 months old and has been recently admitted into
the hospital. According to Erickson which of the following stages is the
toddler in?
A: Trust vs. mistrust
B: Initiative vs. guilt
C: Autonomy vs. shame
D: Intimacy vs. isolation
24. A young adult is 20 years old and has been recently admitted into
the hospital. According to Erickson which of the following stages is the
adult in?
A: Trust vs. mistrust
B: Initiative vs. guilt
C: Autonomy vs. shame
D: Intimacy vs. isolation
25. A nurse is making rounds taking vital signs. Which of the following
vital signs is abnormal?
A: 11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg
B: 13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg
C: 5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg
D: 6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg
26. When you are taking a patient’s history, she tells you she has
been depressed and is dealing with an anxiety disorder. Which of the
following medications would the patient most likely be taking?
A: Elavil
B: Calcitonin
C: Pergolide
D: Verapamil
27. Which of the following conditions would a nurse not administer
erythromycin?
A: Campylobacterial infection
B: Legionnaire’s disease
C: Pneumonia
D: Multiple Sclerosis
28. A patient’s chart indicates a history of hyperkalemia. Which of the
following would you not expect to see with this patient if this condition
were acute?
A: Decreased HR
B: Paresthesias
C: Muscle weakness of the extremities
D: Migranes
29. A patient’s chart indicates a history of ketoacidosis. Which of the
following would you not expect to see with this patient if this condition
were acute?
A: Vomiting
B: Extreme Thirst
C: Weight gain
D: Acetone breath smell
30. A patient’s chart indicates a history of meningitis. Which of the
following would you not expect to see with this patient if this condition
were acute?
A: Increased appetite
B: Vomiting
C: Fever
D: Poor tolerance of light
31. A nurse if reviewing a patient’s chart and notices that the patient
suffers from conjunctivitis. Which of the following microorganisms is
related to this condition?
A: Yersinia pestis
B: Helicobacter pyroli
C: Vibrio cholera
D: Hemophilus aegyptius
32. A nurse if reviewing a patient’s chart and notices that the patient
suffers from Lyme disease. Which of the following microorganisms is
related to this condition?
A: Borrelia burgdorferi
B: Streptococcus pyrogens
C: Bacilus anthracis
D: Enterococcus faecalis
33. A fragile 87 year-old female has recently been admitted to the
hospital with increased confusion and falls over last 2 weeks. She is
also noted to have a mild left hemiparesis. Which of the following
tests is most likely to be performed?
A: FBC (full blood count)
B: ECG (electrocardiogram)
C: Thyroid function tests
D: CT scan
34. A 84 year-old male has been loosing mobility and gaining weight
over the last 2 months. The patient also has the heater running in his
house 24 hours a day, even on warm days. Which of the following
tests is most likely to be performed?
A: FBC (full blood count)
B: ECG (electrocardiogram)
C: Thyroid function tests
D: CT scan
35. A 20 year-old female attending college is found unconscious in her
dorm room. She has a fever and a noticeable rash. She has just been
admitted to the hospital. Which of the following tests is most likely to
be performed first?
A: Blood sugar check
B: CT scan
C: Blood cultures
D: Arterial blood gases
36. A 28 year old male has been found wandering around in a
confused pattern. The male is sweaty and pale. Which of the
following tests is most likely to be performed first?
A: Blood sugar check
B: CT scan
C: Blood cultures
D: Arterial blood gases
37. A mother is inquiring about her child’s ability to potty train.
Which of the following factors is the most important aspect of toilet
training?
A: The age of the child
B: The child ability to understand instruction.
C: The overall mental and physical abilities of the child.
D: Frequent attempts with positive reinforcement.
38. A parent calls the pediatric clinic and is frantic about the bottle of
cleaning fluid her child drank 20 minutes. Which of the following is the
most important instruction the nurse can give the parent?
A: This too shall pass.
B: Take the child immediately to the ER
C: Contact the Poison Control Center quickly
D: Give the child syrup of ipecac
39. A nurse is administering a shot of Vitamin K to a 30 day-old
infant. Which of the following target areas is the most appropriate?
A: Gluteus maximus
B: Gluteus minimus
C: Vastus lateralis
D: Vastus medialis
40. A nurse has just started her rounds delivering medication. A new
patient on her rounds is a 4 year-old boy who is non-verbal. This child
does not have on any identification. What should the nurse do?
A: Contact the provider
B: Ask the child to write their name on paper.
C: Ask a co-worker about the identification of the child.
D: Ask the father who is in the room the child’s name.
41. A nurse is observing a child’s motor, sensory and speech
development. The child is 7 months old. Which of the following tasks
would generally not be observed?
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167
A: Child recognizes tone of voice.
B: Child exhibits fear of strangers.
C: Child pulls to stand and occasionally bounces.
D: Child plays patty-cake and imitates.
42. A nurse is observing a child’s motor, sensory and speech
development. The child is 5 months old. Which of the following tasks
would generally not be observed?
A: Child sits with support.
B: Child laughs out loud.
C: Child shifts weight side to side in prone.
D: Child transfers objects between hands.
43. A nurse is caring for an adult that has recently been diagnosed
with renal failure. Which of the following clinical signs would most
likely not be present?
A: Hypotension
B: Heart failure
C: Dizziness
D: Memory loss
44. A nurse is caring for an adult that has recently been diagnosed
with hypokalemia. Which of the following clinical signs would most
likely not be present?
A: Leg cramps
B: Respiratory distress
C: Confusion
D: Flaccid paralysis
45. A nurse is caring for an adult that has recently been diagnosed
with metabolic acidosis. Which of the following clinical signs would
most likely not be present?
A: Weakness
B: Dysrhythmias
C: Dry skin
D: Malaise
46. A nurse is caring for an adult that has recently been diagnosed
with metabolic alkalosis. Which of the following clinical signs would
most likely not be present?
A: Vomiting
B: Diarrhea
C: Agitation
D: Hyperventilation
47. A nurse is caring for an adult that has recently been diagnosed
with respiratory acidosis. Which of the following clinical signs would
most likely not be present?
A: CO
2
Retention
B: Dyspnea
C: Headaches
D: Tachypnea
48. A nurse is caring for an adult that has recently been diagnosed
with respiratory alkalosis. Which of the following clinical signs would
most likely not be present?
A: Anxiety attacks
B: Dizziness
C: Hyperventilation cyanosis
D: Blurred vision
49. A nurse is reviewing a patient’s medication list. The drug
Pentoxifylline is present on the list. Which of the following conditions
is commonly treated with this medication?
A: COPD
B: CAD
C: PVD
D: MS
50. A patient has been on long-term management for CHF. Which of
the following drugs is considered a loop dieuretic that could be used to
treat CHF symptoms?
A: Ciprofloxacin
B: Lepirudin
C: Naproxen
D: Bumex
51. A patient has recently been diagnosed with polio and has
questions about the diagnosis. Which of the following systems is most
affected by polio?
A: PNS
B: CNS
C: Urinary system
D: Cardiac system
52. A nurse is educating a patient about right-sided heart deficits.
Which of the following clinical signs is not associated with right-sided
heart deficits?
A: Orthopnea
B: Dependent edema
C: Ascites
D: Nocturia
53. A nurse is reviewing a patient’s medication. Which of the
following is considered a potassium sparing dieuretic?
A: Esidrix
B: Lasix
C: Aldactone
D: Edecrin
54. A nurse is reviewing a patient’s medication. The patient is taking
Digoxin. Which of the following is not an effect of Digoxin?
A: Depressed HR
B: Increased CO
C: Increased venous pressure
D: Increased contractility of cardiac muscle
55. A patient has been instructed by the doctor to reduce their intake
of Potassium. Which types of foods should not worry about avoiding?
A: Bananas
B: Tomatoes
C: Orange juice
D: Apples
56. A patient’s chart indicates the patient is suffering from Digoxin
toxicity. Which of the following clinical signs is not associated with
digoxin toxicity?
A: Ventricular bigeminy
B: Anorexia
C: Normal ventricular rhythm
D: Nausea
57. A fourteen year old male has just been admitted to your floor. He
has a history of central abdominal pain that has moved to the right
iliac fossa region. He also has tenderness over the region and a fever.
Which of the following would you most likely suspect?
A: Appendicitis
B: Acute pancreatitis
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172
C: Ulcerative colitis
D: Cholecystitis
58. A thirteen-year old male has a tender lump area in his left groin.
His abdomen is distended and he has been vomiting for the past 24
hours. Which of the following would you most like suspect?
A: Ulcerative colitis
B: Biliary colic
C: Acute gastroenteritis
D: Strangulated hernia
59. Which of the following is the key risk factor for development of
Parkinson’s disease dementia?
A: History of strokes
B: Acute headaches history
C: Edward’s syndrome
D: Use of phenothiazines
60. A father notifies your clinic that his son’s homeroom teacher has
just been diagnosed with meningitis and his son spent the day with the
teacher in detention yesterday. Which of the following would be the
most likely innervention?
A: Isolation of the son
B: Treatment of the son with Aciclovir
C: Treatment of the son with Rifampicin
D: Reassure the father
61. A patient has recently been diagnosed with hyponatremia. Which
of the following is not associated with hyponatremia?
A: Muscle twitching
B: Anxiety
C: Cyanosis
D: Sticky mucous membranes
62. A patient has recently been diagnosed with hypernatremia. Which
of the following is not associated with hypernatremia?
A: Hypotension
B: Tachycardia
C: Pitting edema
D: Weight gain
63. Which of the following normal blood therapeutic concentrations is
abnormal?
A: Phenobarbital 10-40 mcg/ml
B: Lithium .6 – 1.2 mEq/L
C: Digoxin .5 – 1.6 ng/ml
D: Valproic acid 40 – 100 mcg/ml
64. Which of the following normal blood therapeutic concentrations is
abnormal?
A: Digitoxin 09 – 25 mcg/ml
B: Vancomycin 05 – 15 mcg/ml
C: Primidone 02 – 14 mcg/ml
D: Theophylline 10 – 20 mcg/ml
65. Which of the following normal blood therapeutic concentrations is
abnormal?
A: Phenytoin 10 – 20 mcg/ml
B: Quinidine 02 – 06 mcg/ml
C: Haloperidol 05 – 20 ng/ml
D: Carbamazepine 5 – 25 mcg/ml
Answer Key
1. (B) AZT treatment is the most critical innervention.
2. (F) All of the others have can cause photosensitivity reactions.
3. (D) All of the others can cause urine discoloration.
4. (A) Corgard could be removed from the refigerator.
5. (D) IgG is the only immunoglobulin that can cross the placental
barrier.
6. (A) and (B) are both contraindicated with pregnancy.
7. (C) Autonomic neuropathy can cause inability to urinate.
8. (B) All of the clinical signs and systems point to a condition of
anorexia nervos
9. (B) Hypercalcaemia can cause polyuria, severe abdominal pain,
and confusion.
10. (C) Rho gam prevents the production of anti-RH
antibodies in the mother that has a Rh positive fetus.
11. (D) The effects of PKU stay with the infant throughout
their life.
12. (D) Aspirin overdose can lead to metabolic acidosis and
cause pulmonary edema development.
13. (D) This patient’s safety is your primary concern.
14. (C) The bronchodilator will allow a more productive cough.
15. (B) Weight gain is associated with CHF and congenital
heart deficits.
16. (C) The skin would be dry and not oily.
17. (A) Streptokinase is a clot busting drug and the best
choice in this situation.
18. (A) Green vegetables and liver are a great source of folic
acid.
19. (D) Cl. difficile has not been linked to meningitis.
20. (D) RBC’s last for 120 days in the body.
21. (B) Discharge education begins upon admit.
22. (B) Initiative vs. guilt- 3-6 years old
23. (A) Trust vs. Mistrust- 12-18 months old
24. (D) Intimacy vs. isolation- 18-35 years old
25. (B) HR and Respirations are slightly increased. BP is
down.
26. (A) Elavil is a tricyclic antidepressant.
27. (D) Erythromycin is used to treat conditions A-C.
28. (D) Answer choices A-C were symptoms of acute
hyperkalemia.
29. (C) Weight loss would be expected.
30. (A) Loss of appetite would be expected.
31. (D) Choice A is linked to Plague, Choice B is linked to
peptic ulcers, Choice C is linked to Cholera.
32. (A) Choice B is linked to Rheumatic fever, Choice C is
linked to Anthrax, Choice D is linked to Endocarditis.
33. (D) A CT scan would be performed for further investigation
of the hemiparesis.
34. (C) Weight gain and poor temperature tolerance indicate
something may be wrong with the thyroid function.
35. (C) Blood cultures would be performed to investigate the
fever and rash symptoms.
36. (A) With a history of diabetes, the first response should be
to check blood sugar levels.
37. (C) Age is not the greatest factor in potty training. The
overall mental and physical abilities of the child is the most
important factor.
38. (C) The poison control center will have an exact plan of
action for this child.
39. (C) Vastus lateralis is the most appropriate location.
40. (D) In this case you are able to determine the name of
the child by the father’s statement, moreover you should not
withhold the medication from the child following identification.
41. (D) These skills generally develop between 10-15 months.
42. (D) Transferring objects between hands is a 8-9 month
skill.
43. (A) Hypertension is often related renal failure.
44. (D) Flaccid paralysis is an indication of Hyperkalemia.
45. (B) Dysrhythmias are associated with metabolic alkalosis.
46. (D) Hyperventilation occurs with metabolic acidosis.
Hypoventilation occurs with metabolic alkalosis.
47. (D) Tachypnea is associated with respiratory alkalosis.
48. (C) Hyperventilation cyanosis is associated with respiratory
acidosis.
49. (C) This drug is a hemorheological agent that helps blood
viscosity.
50. (D) Bumex is considered a loop dieuretic.
51. (B) Polio is caused by a virus that attacks the CNS.
52. (A) Orthopnea is a left- sided heart failure clinical
symptom.
53. (C) Aldactone (Spironolactone) is considered a potassium
sparing diuretic.
54. (C) Digoxin decreases venous pressure.
55. (D) All the others are high in potassium.
56. (C) Ventricular rhythm may be premature with Digoxin
toxicity.
57. (A) Appendicitis is most likely indicated in this case.
58. (D) A hernia is the most likely indicated in this case.
59. (D) Penothiazines are considered a risk factor for
Parkinson’s disease dementia.
60. (C) Rifampicin would be used in this case.
61. (D) Stick mucuous membranes are associated with
hypernatremia.
62. (A) Hypotension would be associated with hyponatremia.
63. (C) The normal ranges for Digoxin is .7 – 1.4 ng/ml.
64. (C) The normal ranges of Primidone is 04 –12 mcg/ml.
65. (C) The normal ranges of Carbamazepine is 10 – 20
mcg/ml
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very good test
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