1.

The term “pink puffer” refers to the client with which of the following
conditions?
A. ARDS
B. Asthma
C. Chronic obstructive bronchitis
D. Emphysema

2. In a patient undergoing surgery, it was vital to aspirate the contents of the

upper gastrointestinal tract. After the operation, the following values were
acquired from an arterial blood sample: pH 7.55, and HCO3- 40 mmol/l. What
is the underlying disorder?
A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic Alkalosis

3. While helping a patient with a chest tube reposition in the bed, the chest tube
becomes dislodged. What is your immediate nursing intervention?
A. Place the end of the chest tube in a container of sterile saline.
B. Apply an occlusive dressing and notify the physician.
C. Clamp the chest tube immediately.
D. Secure the chest tube with tape

4. An alarm beeps notifying you that one of your patient’s oxygen saturation is
reading 89%. You arrive to the patient’s room, and see the patient comfortably
resting in bed watching television. The patient is already on 2 L of oxygen via
nasal cannula. The patient is admitted for COPD exacerbation. Your next
nursing action would be:
A. Continue to monitor the patient
B. Increase the patient’s oxygen level to 3 L
C. Notify the doctor for further orders
D. Turn off the alarm settings
5. A patient with angina pectoris is being discharged home with nitroglycerine
tablets. Which of the following instructions does the nurse include in the
teaching?
A. “When your chest pain begins, lie down, and place one tablet under
your tongue. If the pain continues, take another tablet in 5 minutes.”
B. “Place one tablet under your tongue. If the pain is not relieved in 15
minutes, go to the hospital.”
C. “Continue your activity, and if the pain does not go away in 10 minutes,
begin taking the nitro tablets one every 5 minutes for 15 minutes, then
go lie down.”
D. “Place one Nitroglycerine tablet under the tongue every five minutes for
three doses. Go to the hospital if the pain is unrelieved.

6. The nurse is preparing a client who will undergo a myelogram. Which of the
following statements by the client indicates a contraindication for this test?
A. “I can’t lie in one position for more than thirty minutes.”
B. “I am allergic to shrimp.”
C. “I suffer from claustrophobia.”
D. “I developed a severe headache after a spinal tap.”

7. During a home health visit, you are assessing how a patient takes the
prescribed pancreatic enzyme. The patient is unable to swallow the capsule
whole, so they open the capsule and mix the beads inside the capsule with
food/drink. Which food or drink is safe for the patient to mix the beads with?
A. Pudding
B. Milk
C. Ice cream
D. Applesauce

8. Which patient below with acute kidney injury is in the oliguric stage of AKI:
A. A 56 year old male who has metabolic acidosis, decreased GFR,
increased BUN/Creatinine, hyperkalemia, edema, and urinary output
350 mL/day.
B. A 45 year old female with metabolic alkalosis, hypokalemia, normal
GFR, increased BUN/creatinine, edema, and urinary output 600
mL/day.
C. A 39 year old male with metabolic acidosis, hyperkalemia, improving
GFR, resolving edema, and urinary output 4 L/day.
D. A 78 year old female with respiratory acidosis, increased GFR,
decreased BUN/creatinine, hypokalemia, and urinary output 550
mL/day.
9. Which statement by a diabetic patient taking sulfonylureas causes concern?
A. "I will monitor my blood glucose regularly because I know this
medication can cause a low blood sugar."
B. "I will consume no more than 8 oz. of alcohol per week."
C. "I will continue monitoring my diet and participating in exercise while
taking this medication."
D. "This medication works by stimulating the beta cells in the pancreas to
make insulin." 

10. Your patient who had a stroke has issues with understanding speech.
What type of aphasia is this patient experiencing and what area of the brain is
affected?
A. Expressive; Wernicke’s area
B. Receptive, Broca’s area
C. Expressive; hippocampus
D. Receptive; Wernicke’s area

11. While taking care of a patient who has diabetic ketoacidosis, the doctor
ordered intravenous administration of insulin. Which of the following insulin
will you administer?
A. Rapid Acting
B. NPH
C. Long acting
D. Regular

12. You are providing care to a patient experiencing diabetic ketoacidosis. The
patient is on an insulin drip and their current glucose level is 300. In addition,
to the insulin drip the patient also has 5% Dextrose 0.45% NS infusing in the
right antecubital vein. Which of the following patient signs/symptoms causes
concern?
A. Patient has a potassium level of 2.3
B. Patient complains of thirst.
C. Patient is nauseous.
D. Patient’s skin and mucous membranes are dry.

13. Which of the following describes decorticate posturing?

A. Internal rotation and adduction of arms with flexion of elbows, wrists,
and fingers
B. Back hunched over, rigid flexion of all four extremities with supination of
arms and plantar flexion of the feet
C. Supination of arms, dorsiflexion of feet
D. Back arched; rigid extension of all four extremities.
14. Which of the following indicates positive Homan sign?
A. carpopedal spasm
B. twitching of the facial muscles
C. calf pain at dorsiflexion of the foot
D. bluish discoloration on flank area

15. Which of the following activities should the nurse complete in preparing a
patient for paracentesis?
A. Ask the patient to empty his bladder
B. Prepare the client’s abdomen with Betadine solution.
C. Position the client supine.
D. Put the client on nothing-by-mouth (NPO) status 4 hours before the
procedure.

16. You are making a room assignment for a newly arrived client whose
laboratory testing indicates pancytopenia. All of these clients are already on
the nursing unit. Which one will be the best roommate for the new client?
A. The client with measles
B. The client with meningococcemia
C. The client with positional vertigo
D. The client with cellulitis

17. The client is being discharged from the ambulatory care unit following
cataract removal. The nurse provides instructions regarding home care.
Which of the following, if stated by the client, indicates an understanding of
the instructions?
A. “I will take Aspirin if I have any discomfort.”
B. “I will sleep on the side that I was operated on.”
C. “I will wear my eye shield at night and my glasses during the day.”
D. “I will not lift anything if it weighs more that 10 pounds.”

18. What is the primary reason for administering morphine to a client with
myocardial infarction?
A. To sedate the client
B. To decrease oxygen demand on the client’s heart
C. To decrease the client’s pain
D. To decrease the client’s anxiety
19. A client with iron deficiency anemia is scheduled for discharge. Which
instruction about prescribed ferrous gluconate therapy should the nurse
include in the teaching plan?
A. “Take the medication with an antacid.”
B. “Take the medication with cereal.”
C. “Take the medication 1 hour before meals.”
D. “Take the medication with pudding”

20. While caring for a client with a newly applied plaster of Paris cast, the
nurse makes note of all the following conditions. Which assessment finding
requires immedite notification of the physician?
A. Onset of paralysis in the toes of the casted foot
B. Moderate pain, as reported by the client
C. Report, by client, the heat is being felt under the cast
D. Presence of slight edema of the toes of the casted foot

During your case presentations, normal values of laboratory tests are

usually presented, write the specific lab test that correspond with the
normal values provided.

Example: 36-165 mg/dL------------ TRIGLYCERIDE

31. 3.5-5.3 mmol/L ______________________________

32. 150-450 x 10^9/L _____________________________
33. 70-105 mg/dl _____________________________
34. 0.42- 0.53g/L _____________________________
35. 11 to 13.5 seconds ______________________________

Based on your rotation on the OR/DR complex, answer the following

questions.
36. To prevent headache after spinal anesthesia, the patient should be
positioned in:
A. semi- Fowler’s
B. prone
C. modified Trendelenburg
D. flat on bed (6-8 hrs)

37. As the nurse you are getting the patient ready for surgery. You are
completing the preoperative checklist. Which of the following is not part of the
preoperative checklist?
A. Assess for allergies
B. Conducting the Time Out
C. Informed consent is signed
D. Ensuring that the history and physical examination has been completed

38. Which of the following is the primary purpose of maintaining NPO for 6 to 8
hours before surgery?
A. To prevent malnutrition.
B. To prevent electrolyte imbalance.
C. To prevent aspiration pneumonia.
D. To prevent intestinal obstruction.

39. Which of the following is experienced by the patient who is under general
anesthesia?
A. The patient is unconscious
B. The patient is awake
C. The patient experiences slight pain.
D. The patient experiences loss of sensation in the lower half of the body.

40. The nurse is caring for a patient who has undergone exploratory
laparotomy. Which of the following postop findings should the nurse report to
the physician?
A. The patient pushes out the oral airway with his tongue.
B. The patient’s urine output has been 20 ml/hr for the past 2 hours.
C. The patient’s vital signs are as follows: BP = 100/70 mmHg; PR = 95
bpm; RR = 9 minute; T = 36.8°C.
D. The patient’s wound drainage.