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Home NCLEX Practice Questions Fundamentals of Nursing NCLEX Practice Quiz 2 (30 Items)

 NCLEX Practice Questions

Fundamentals of Nursing NCLEX Practice Quiz 2 (30 Items)

By

Matt Vera, BSN, R.N.

July 8, 2014

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Get your calculators ready. Because other than common board exam questions about
Fundamentals of Nursing, this quiz includes sample questions about drug dosage
calculations.

Nursing is not just an ART, it has a heART. Nursing is not just a SCIENCE, but it has a conSCIENCE
– Anonymous
Topics

Topics or concepts included in this exam are:

 Dosage calculations (yey, Maths!)

 Various questions about Fundamentals of Nursing

Guidelines

To make the most out of this exam, follow the guidelines below:

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 Read each question carefully and choose the best answer.

 You are given one minute per question. Spend your time wisely!
 Answers and rationales (if any) are given below. Be sure to read them.
 If you need more clarifications, please direct them to the comments section.

Questions

 EXAM MODE
 PRACTICE MODE
 TEXT MODE

In Text Mode: All questions and answers are given for reading and answering at your
own pace. You can also copy this exam and make a print out.

1. Nurse Clarisse is teaching a patient about a newly prescribed drug. What could
cause a geriatric patient to have difficulty retaining knowledge about prescribed
medications?

A. Decreased plasma drug levels

B. Sensory deficits
C. Lack of family support
D. History of Tourette syndrome

2. When examining a patient with abdominal painthe nurse in charge should

assess:

A. Any quadrant first

B. The symptomatic quadrant first
C. The symptomatic quadrant last
D. The symptomatic quadrant either second or third

3. The nurse is assessing a postoperative adult patient. Which of the following

should the nurse document as subjective data?

A. Vital signs
B. Laboratory test result
C. Patient’s description of pain
D. Electrocardiographic (ECG) waveforms

4. A male patient has a soft wrist-safety device. Which assessment finding should
the nurse consider abnormal?

A. A palpable radial pulse

B. A palpable ulnar pulse
C. Cool, pale fingers
D. Pink nail beds

5. Which of the following planes divides the body longitudinally into anterior and
posterior regions?

A. Frontal plane
B. Sagittal plane
C. Midsagittal plane
D. Transverse plane

6. A female patient with a terminal illness is in denial. Indicators of denial include:

A. Shock dismay
B. Numbness
C. Stoicism
D. Preparatory grief

7. The nurse in charge is transferring a patient from the bed to a chair. Which
action does the nurse take during this patient transfer?

A. Position the head of the bed flat

B. Helps the patient dangle the legs
C. Stands behind the patient
D. Places the chair facing away from the bed

8. A female patient who speaks a little English has emergency gallbladder surgery,
during discharge preparation, which nursing action would best help this patient
understand wound care instruction?

A. Asking frequently if the patient understands the instruction

B. Asking an interpreter to replay the instructions to the patient.
C. Writing out the instructions and having a family member read them to the patient
D. Demonstrating the procedure and having the patient return the demonstration

9. Before administering the evening dose of a prescribed medication, the nurse on

the evening shift finds an unlabeled, filled syringe in the patient’s medication
drawer. What should the nurse in charge do?
A. Discard the syringe to avoid a medication error
B. Obtain a label for the syringe from the pharmacy
C. Use the syringe because it looks like it contains the same medication the nurse was
prepared to give
D. Call the day nurse to verify the contents of the syringe

10. When administering drug therapy to a male geriatric patient, the nurse must
stay especially alert for adverse effects. Which factor makes geriatric patients to
adverse drug effects?

A. Faster drug clearance

B. Aging-related physiological changes
C. Increased amount of neurons
D. Enhanced blood flow to the GI tract

11. A female patient is being discharged after cataract surgery. After providing
medication teaching, the nurse asks the patient to repeat the instructions. The
nurse is performing which professional role?

A. Manager
B. Educator
C. Caregiver
D. Patient advocate

12. A female patient exhibits signs of heightened anxiety. Which response by the
nurse is most likely to reduce the patient’s anxiety?

A. “Everything will be fine. Don’t worry.”

B. “Read this manual and then ask me any questions you may have.”
C. “Why don’t you listen to the radio?”
D. “Let’s talk about what’s bothering you.”
13. A scrub nurse in the operating room has which responsibility?

A. Positioning the patient

B. Assisting with gowning and gloving
C. Handling surgical instruments to the surgeon
D. Applying surgical drapes

14. A patient is in the bathroom when the nurse enters to give a prescribed
medication. What should the nurse in charge do?

A. Leave the medication at the patient’s bedside

B. Tell the patient to be sure to take the medication. And then leave it at the bedside
C. Return shortly to the patient’s room and remain there until the patient takes the
medication
D. Wait for the patient to return to bed, and then leave the medication at the bedside

15. The physician orders heparin, 7,500 units, to be administered subcutaneously

every 6 hours. The vial reads 10,000 units per milliliter. The nurse
should anticipate giving how much heparin for each dose?

A. ¼ ml
B. ½ ml
C. ¾ ml
D. 1 ¼ ml

16. The nurse in charge measures a patient’s temperature at 102 degrees F. what
is the equivalent Centigrade temperature?

A. 39 degrees C
B. 47 degrees C
C. 38.9 degrees C
D. 40.1 degrees C

17. To evaluate a patient for hypoxia, the physician is most likely to order which
laboratory test?

A. Red blood cell count

B. Sputum culture
C. Total hemoglobin
D. Arterial blood gas (ABG) analysis

18. The nurse uses a stethoscope to auscultate a male patient’s chest. Which
statement about a stethoscope with a bell and diaphragm is true?

A. The bell detects high-pitched sounds best

B. The diaphragm detects high-pitched sounds best
C. The bell detects thrills best
D. The diaphragm detects low-pitched sounds best

19. A male patient is to be discharged with a prescription for an analgesic that is a

controlled substance. During discharge teaching, the nurse should explain that
the patient must fill this prescription how soon after the date on which it was
written?

A. Within 1 month
B. Within 3 months
C. Within 6 months
D. Within 12 months

20. Which human element considered by the nurse in charge during assessment
can affect drug administration?
A. The patient’s ability to recover
B. The patient’s occupational hazards
C. The patient’s socioeconomic status
D. The patient’s cognitive abilities

21. An employer establishes a physical exercisearea in the workplace and

encourages all employees to use it. This is an example of which level of health
promotion?

A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Passive prevention

22. What does the nurse in charge do when making a surgical bed?

A. Leaves the bed in the high position when finished

B. Places the pillow at the head of the bed
C. Rolls the patient to the far side of the bed
D. Tucks the top sheet and blanket under the bottom of the bed

23. The physician prescribes 250 mg of a drug. The drug vial reads 500 mg/ml.
how much of the drug should the nurse give?

A. 2 ml
B. 1 ml
C. ½ ml
D. ¼ ml

24. Nurse Mackey is monitoring a patient for adverse reactions during

barbiturate therapy. What is the major disadvantage of barbiturate use?
A. Prolonged half-life
B. Poor absorption
C. Potential for drug dependence
D. Potential for hepatotoxicity

25. Which nursing action is essential when providing continuous enteral feeding?

A. Elevating the head of the bed

B. Positioning the patient on the left side
C. Warming the formula before administering it
D. Hanging a full day’s worth of formula at one time

26. When teaching a female patient how to take a sublingual tablet, the nurse
should instruct the patient to place the table on the:

A. Top of the tongue

B. Roof of the mouth
C. Floor of the mouth
D. Inside of the cheek

27. Which action by the nurse in charge is essential when cleaning the area
around a Jackson-Pratt wound drain?

A. Cleaning from the center outward in a circular motion

B. Removing the drain before cleaning the skin
C. Cleaning briskly around the site with alcohol
D. Wearing sterile gloves and a mask

28. The doctor orders dextrose 5% in water, 1,000 ml to be infused over 8 hours.
The I.V. tubing delivers 15 drops per milliliter. The nurse in charge should run the
I.V. infusion at a rate of:
A. 15 drop per minute
B. 21 drop per minute
C. 32 drop per minute
D. 125 drops per minute

29. A female patient undergoes a total abdominal hysterectomy. When assessing

the patient 10 hours later, the nurse identifies which finding as an early sign of
shock?

A. Restlessness
B. Pale, warm, dry skin
C. Heart rate of 110 beats/minute
D. Urine output of 30 ml/hour

30. Which pulse should the nurse palpate during rapid assessment of an
unconscious male adult?

A. Radial
B. Brachial
C. Femoral
D. Carotid

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Answers and Rationale

1. Answer: B. Sensory deficits

Sensory deficits could cause a geriatric patient to have difficulty retaining knowledge
about prescribed medications. Decreased plasma drug levels do not alter the patient’s
knowledge about the drug. A lack of family support may affect compliance, not
knowledge retention. Toilette syndrome is unrelated to knowledge retention.

2. Answer: C. The symptomatic quadrant last

The nurse should systematically assess all areas of the abdomen, if time and the
patient’s condition permit, concluding with the symptomatic area. Otherwise, the nurse
may elicit pain in the symptomatic area, causing the muscles in other areas to tighten.
This would interfere with further assessment.

3. Answer: C. Patient’s description of pain

Subjective data come directly from the patient and usually are recorded as
direct quotations that reflect the patient’s opinions or feelings about a situation. Vital
signs, laboratory test result, and ECG waveforms are examples of objective data.

4. Answer: C. Cool, pale fingers

A safety device on the wrist may impair circulation and restrict blood supply to body
tissues. Therefore, the nurse should assess the patient for signs of impaired circulation,
such as cool, pale fingers. A palpable radial or lunar pulse and pink nail beds are normal
findings.

5. Answer: A. Frontal plane

Frontal or coronal plane runs longitudinally at a right angle to a sagittal plane dividing
the body in anterior and posterior regions. A sagittal plane runs longitudinally dividing
the body into right and left regions; if exactly midline, it is called a midsagittal plane. A
transverse plane runs horizontally at a right angle to the vertical axis, dividing the
structure into superior and inferior regions.

6. Answer: A. Shock dismay

Shock and dismay are early signs of denial-the first stage of grief. The other options are
associated with depression—a later stage of grief.

7. Answer: B. Helps the patient dangle the legs

After placing the patient in high Fowler’s position and moving the patient to the side of
the bed, the nurse helps the patient sit on the edge of the bed and dangle the legs; the
nurse then faces the patient and places the chair next to and facing the head of the bed.

8. Answer: D. Demonstrating the procedure and having the patient return the
demonstration

Demonstrating by the nurse with a return demonstration by the patient ensures that the
patient can perform wound care correctly. Patients may claim to understand discharge
instruction when they do not. An interpreter of family member may communicate
verbal or written instructions inaccurately.

9. Answer: A. Discard the syringe to avoid a medication error

As a safety precaution, the nurse should discard an unlabeled syringe that contains
medication. The other options are considered unsafe because they promote error.

10. Answer: B. Aging-related physiological changes

Aging-related physiological changes account for the increased frequency of adverse

drug reactions in geriatric patients. Renal and hepatic changes cause drugs to clear
more slowly in these patients. With increasing age, neurons are lost and blood flow to
the GI tract decreases.

11. Answer: B. Educator

When teaching a patient about medications before discharge, the nurse is acting as an
educator. The nurse acts as a manager when performing such activities
as scheduling and making patient care assignments. The nurse performs the care giving
role when providing direct care, including bathing patients and administering
medications and prescribed treatments. The nurse acts as a patient advocate when
making the patient’s wishes known to the doctor.

12. Answer: D. “Let’s talk about what’s bothering you.”

Anxiety may result from feeling of helplessness, isolation, or insecurity. This response
helps reduce anxiety by encouraging the patient to express feelings. The nurse should
be supportive and develop goals together with the patient to give the patient some
control over an anxiety-inducing situation. Because the other options ignore the
patient’s feeling and block communication, they would not reduce anxiety.

13. Answer: C. Handling surgical instruments to the surgeon

The scrub nurse assist the surgeon by providing appropriate surgical instruments and
supplies, maintaining strict surgical asepsis and, with the circulating nurse, accounting
for all gauze, sponges, needles, and instruments. The circulating nurse assists the
surgeon and scrub nurse, positions the patient, applies appropriate equipment and
surgical drapes, assists with gowning and gloving, and provides the surgeon and scrub
nurse with supplies.

14. Answer: C. Return shortly to the patient’s room and remain there until the
patient takes the medication

The nurse should return shortly to the patient’s room and remain there until the patient
takes the medication to verify that it was taken as directed. The nurse should never
leave medication at the patient’s bedside unless specifically requested to do so.
15. Answer: C. ¾ ml

The nurse solves the problem as follows:

10,000 units/7,500 units = 1 ml/X

10,000 X = 7,500
X= 7,500/10,000 or ¾ ml

16. Answer: C. 38.9 degrees C

To convert Fahrenheit degrees to centigrade, use this formula:

C degrees = (F degrees – 32) x 5/9

C degrees = (102 – 32) 5/9
+ 70 x 5/9
38.9 degrees C

17. Answer: D. Arterial blood gas (ABG) analysis

All of these test help evaluate a patient with respiratory problems. However, ABG
analysis is the only test evaluates gas exchange in the lungs, providing information
about patient’s oxygenation status.

18. Answer: B. The diaphragm detects high-pitched sounds best

The diaphragm of a stethoscope detects high-pitched sound best; the bell detects low
pitched sounds best. Palpation detects thrills best.

19. Answer: C. Within 6 months

In most cases, an outpatient must fill a prescription for a controlled substance within 6
months of the date on which the prescription was written.

20. Answer: D. The patient’s cognitive abilities

The nurse must consider the patient’s cognitive abilities to understand drug
instructions. If not, the nurse must find a family member or significant other to take on
the responsibility of administering medications in the home setting. The patient’s ability
to recover, occupational hazards, and socioeconomic status do not affect drug
administration.

21. Answer: A. Primary prevention

Primary prevention precedes disease and applies to health patients. Secondary

prevention focuses on patients who have health problems and are at risk for developing
complications. Tertiary prevention enables patients to gain health from others’
activities without doing anything themselves.

22. Answer: A. Leaves the bed in the high position when finished

When making a surgical bed, the nurse leaves the bed in the high position when
finished. After placing the top linens on the bed without pouching them, the nurse
fanfolds these linens to the side opposite from where the patient will enter and places
the pillow on the bedside chair. All these actions promote transfer of the postoperative
patient from the stretcher to the bed. When making an occupied bed or unoccupied bed,
the nurse places the pillow at the head of the bed and tucks the top sheet and blanket
under the bottom of the bed. When making an occupied bed, the nurse rolls the patient
to the far side of the bed.

23. Answer: C. ½ ml
The nurse should give ½ ml of the drug. The dosage is calculated as follows:

250 mg/X=500 mg/1 ml

500x=250
X=1/2 ml

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24. Answer: C. Potential for drug dependence

Patients can become dependent on barbiturates, especially with prolonged use. Because
of the rapid distribution of some barbiturates, no correlation exists between duration of
action and half-life. Barbiturates are absorbed well and do not cause hepatotoxicity,
although existing hepatic damage does require cautions use of the drug because
barbiturates are metabolized in the liver.

25. Answer: A. Elevating the head of the bed

Elevating the head of the bed during enteral feeding minimizes the risk
of aspiration and allows the formula to flow in the patient’s intestines. When such
elevation is contraindicated, the patient should be positioned on the right side. The
nurse should give enteral feeding at room temperature to minimize GI distress. To limit
microbial growth, the nurse should hang only the amount of formula that can be infused
in 3 hours.

26. Answer: C. Floor of the mouth

The nurse should instruct the patient to touch the tip of the tongue to the roof of the
mouth and then place the sublingual tablet on the floor of the mouth. Sublingual
medications are absorbed directly into the bloodstream form the oral mucosa,
bypassing the GI and hepatic systems. No drug is administered on top of the tongue or
on the roof of the mouth. With the buccal route, the tablet is placed between the gum
and the cheek.

27. Answer: A. Cleaning from the center outward in a circular motion

The nurse always should clean around a wound drain, moving from center outward in
ever-larger circles, because the skin near the drain site is more contaminated than the
site itself. The nurse should never remove the drain before cleaning the skin. Alcohol
should never be used to clean around a drain; it may irritate the skin and has no lasting
effect on bacteria because it evaporates. The nurse should wear sterile gloves to prevent
contamination, but a mask is not necessary.

28. Answer: C. 32 drop per minute

Giving 1,000 ml over 8 hours is the same as giving 125 ml over 1 hour (60 minutes) to
find the number of milliliters per minute:

125/60 min = X/1 minute

60X = 125X = 2.1 ml/minute

To find the number of drops/minute:

2.1 ml/X gtts = 1 ml/15 gtts

X = 32 gtts/minute, or 32 drops/minute

29. Answer: A. Restlessness

Early in shock, hyperactivity of the sympathetic nervous system causes

increased epinephrine secretion, which typically makes the patient restless, anxious,
nervous, and irritable. It also decreases tissue perfusion to the skin, causing pale, cool
clammy skin. An above-normal heart rate is a late sign of shock. A urine output of 30
ml/hour is within normal limits.
30. Answer: D. Carotid

During a rapid assessment, the nurse’s first priority is to check the patient’s vital
functions by assessing his airway, breathing, and circulation. To check a patient’s
circulation, the nurse must assess his heart and vascular network function. This is done
by checking his skin color, temperature, mental status and, most importantly, his pulse.
The nurse should use the carotid artery to check a patient’s circulation. In a patient with
a circulatory problems or a history of compromised circulation, the radial pulse may not
be palpable. The brachial pulse is palpated during rapid assessment of an infant.

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Last updated on April 10, 2019

 TAGS

 DOSAGE CALCULATION

 NCLEX EXAMS

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Matt Vera, BSN, R.N.

https://nurseslabs.com

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working
as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it
is to cram on difficult nursing topics and finding help online is near to impossible. His situation drove his
passion for helping student nurses through the creation of content and lectures that is easy to digest.
Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to
educate and inspire students in nursing. As a nurse educator since 2010, his goal in Nurseslabs is to
simplify the learning process, breakdown complicated topics, help motivate learners, and look for
unique ways of assisting students in mastering core nursing concepts effectively.

3 COMMENTS

1. Hannah July 19, 2014 at 6:17 AM

FYI, a question reads “a male patient undergoes a total abdominal hysterectomy”. Should
read “female”.
 Reply

o Matt Vera July 19, 2014 at 6:20 AM

Corrected!

Reply

2. John May 9, 2019 at 9:07 AM

Hey, in regards to question #8, in class we were told always to use the language line or an
official interpreter provided by the hospital to relay patient teaching to a patient whom
doesn’t speak English. These people are specifically trained to prevent
miscommunication. Other forms of pt teaching should be used in congruence with this
resource.

At least this is what we were taught at my school.

Reply

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