a) When advice
b)When necessary
b) Immediately
d)Now
12- The following is the most important purpose of documentation?except
a) To Communication
b)To Reimbursement
b) To Quality assurance
d)To provide comfort
13- 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 client’s temperature?
a) Oral
b) Axillary
c) Radial
d) Heat sensitive tape
14- A patient asks you what vitamin is best for eye sight. Your response is:
a) Vitamin C
b) Vitamin A
c) Vitamin B6
d) Vitamin B12
15- At the end of the shift, the nurse realizes that she forgot to document a dressing
change that she performed for a patient. Which action should the nurse
take?
a) Complete an occurrence report before leaving.
b) Do nothing; the next nurse will document it was done.
c) Write the note of the dressing change into an earlier note.
d) Make a late entry as an addition to the narrative notes.
16- The nurse is to administer an iron injection to an adult. How should this be
administered?
a) Subcutaneous in the arm
b) Intradermal in the forearm
c) Intramuscular in the deltoid
d) Z track intramuscular in the gluteal
17. A client has been admitted to a nursing home, and the nurse completes an
assessment. Which finding might lead the nurse to suspect a nutritional alteration?
a) Eye clear
b) Shiny hair
b) Ridged nails
d) Moist conjunctiva
18. According to Maslow’s hierarchy of human needs, the highest level is
a) Physiologic needs
b) Safety and security
c) Belongingness and affection and esteem and self-respect
d) Self-actualization
19- The nurse prepares 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
20- Mr. Ahmed has just been admitted to your floor with onset of disruptive
behavior due to unknown cause. He is prescribed haloperidol 2.5 mg
intramuscularly now. The pharmacy dispenses haloperidol for injection in the form
of 5 mg/mL. How much medication do you draw up to give to Mr. Ahmed?
a) 2 mL.
b) 5 mL.
c) 0.5 mL.
d)12.5mL.
21-To assessment of immobilized patient focus on the following except
a) range of motion
b)activity tolerance
c ) body alignment
d )Psychological condition
22-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
23-Non verbal massage is a mode of communication that include the following except
a) Tone& pitch of voice
b) Facial expression
c) Gesture d) Touch
24. Independent nursing intervention commonly used for immobilized patients include all of the following except:
a. Active or passive ROM exercises, body repositioning, and activities of daily living (ADLs) as tolerated
b. Deep-breathing and coughing exercises with change of position every 2 hours
c. Diaphragmatic and abdominal breathing exercises and increased hydration
d. Weight bearing on a tilt table, total parenteral nutrition, and vitamin therapy
25. An instrument placed against a patient’s chest to hear both lung and heart sounds.
a) stethoscope
b)otoscope
c) sphygmomanometer
