D.S.

S AIIMS PREPRATION TEST SERIES – 5

Dr.SANJAY 7014964651

1. The nurse is caring for a Patient after a motor vehicle accident. The
client has a fractured tibia, and bone is noted protruding through the
skin. Which action is of priority?
A. Provide manual traction above and below the leg
B. Cover the bone area with a sterile dressing
C. Apply an ACE bandage around the entire lower limb
D. Place the client in the prone position

Q. 2. The RN on the oncology unit is preparing to mix and administer

amphotericin B to a Patient .Which action is contraindicated for
administering this drug IV?
A. Mix the drug with normal saline solution
B. Administer the drug over 4–6 hours
C. Hydrate with IV fluids 2 hours before the infusion
D. Premedicate the client with ordered acetaminophen and
diphenhydramine

Q. 3. A nurse is administering a blood transfusion to a Patient on the

oncology unit. Which clinical manifestation indicates an acute hemolytic
reaction to the blood?
A. Low back pain
B. A temperature of 101°F
C. Urticaria
D. Neck vein distention

Q. 4 The nurse caring for a Patient diagnosed with metastatic cancer of

the bone is exhibiting mental confusion and a BP of 150/100. Which
laboratory value would correlate with the client’s symptoms reflecting a
com-mon complication with this diagnosis?
A. Potassium 5.2mEq/L
B. Calcium 13mg/dL
C. Inorganic phosphorus 1.7mEq/L
D. Sodium 138mEq/L

Q.5 A Patient with a stroke and malnutrition has been placed on Total
Parenteral Nutrition (TPN). The nurse notes air entering the Patient via
the central line. Which initial action is most appropriate?
A. Notify the physician
B. Elevate the head of the bed
C. Place the client in the left lateral decubitus position
D. Stop the TPN and hang D5 1/2 NS

Q.6 The nurse is preparing a Patient for cervical uterine radiation

implant insertion. Which will be included in the teaching plan?
A. TV or telephone use will not be allowed while the implant is in place.
B. A Foley catheter is usually inserted.
C. A high-fiber diet is recommended.
D. Excretions will be considered radioactive.

Q.7 The nurse is caring for a Patient with a head injury who has an
intracranial pressure monitor in place. Assessment reveals an ICP
reading of 66. What is the nurse’s best action?
A. Notify the physician
B. Record the reading as the only action
C. Turn the client and recheck the reading
D. Place the client supine www.prncfet.com
Q. 8 The nurse is caring for a Patient with leukemia who is receiving the
drug doxorubicin. Which toxic effects of this drug would be reported to
the physician immediately?
A. Rales and distended neck veins
B. Red discoloration of the urine and output of 75mL the previous hour
C. Nausea and vomiting
D. Elevated BUN and dry, flaky skin

Q. 9 A Patient has developed diabetes insipidus after removal of a

pituitary tumor. Which finding would the nurse expect?
A. Polyuria
B. Hypertension
C. Polyphagia
D. Hyperkalemia

Q.10 A Patient with cancer received platelet infusions 24 hours ago.

Which of the following assessment findings would indicate the most
therapeutic effect from the transfusions?
A. Hgb level increase from 8.9 to 10.6
B. Temperature reading of 99.4°F
C. White blood cell count of 11,000
D. Decrease in oozing of blood from IV site

 Q.11 A Patient  is admitted with Parkinson’s disease who has been

taking Carbidopa/levodopa (Sinemet) for 1 year. Which clinical
manifestation would be most important to report?
A. Dry mouth
B. Spasmodic eye winking
C. Dark urine
D. Dizziness
Q.12 The nurse who is caring for a Patient with cancer notes a WBC of
500 on the laboratory results. Which intervention would be most
appropriate to include in the Patient’s plan of care?
A. Assess temperature every 4 hours because of risk for hypothermia
B. Instruct the client to avoid large crowds and people who are sick
C. Instruct in the use of a soft toothbrush
D. Assess for hematuria

Q.13 A Patient with Crohn’s disease requires TPN to provide adequate

nutrition. The nurse finds the TPN bag empty. What fluid would the
nurse select to hang until another bag is prepared in the pharmacy?
A. Lactated Ringers
B. Normal saline
C. D10W
D. Norm solr

Q. 14 The nurse is caring for a Patient with possible cervical cancer.

What clinical data would the nurse most likely find in the Patient ’s
history?
A. Post-coital vaginal bleeding
B. Nausea and vomiting
C. Foul-smelling vaginal discharge
D. Hyperthermia

Q.15 The nurse caring for a Patient with myasthenia  gravis recognizes
which of the following as the priority nursing diagnosis?
A. Risk for injury
B. Acute pain
C. Ineffective airway clearance
D. Impaired mobility

Q.16 A Patient is scheduled to undergo a bone marrow aspiration from

the sternum. What position would the nurse assist the client into for this
procedure?
A. Dorsal recumbent
B. Supine
C. Fowler’s
D. Lithotomy

Q.17 The nurse is caring for a Patient with a head injury who has
increased ICP. The physician plans to reduce the cerebral edema by
constricting cerebral blood vessels. Which physician order would serve
this purpose?
A. Hyperventilation per mechanical ventilation
B. Insertion of a ventricular shunt
C. Furosemide
D. Solumedrol

Q.18 A Patient with a T6 injury 6 months ago develops facial flushing

and a BP of 210/106. After elevating the head of the bed, which is the
most appropriate nursing action?
A. Notify the physician
B. Assess the client for a distended bladder
C. Apply oxygen at 3L/min
D. Increase the IV fluids

Q.19 The nurse is performing an admission history for a Patient  recovering from
a stroke. Medication history reveals the drug clopidogrel. Which clinical
manifestation alerts the nurse to an adverse effect of this drug?
A. Epistaxis
B. Abdominal distention
C. Nausea
D. Hyperactivity
Q.20 The nurse caring for a Patient with a head injury would recognize
which assessment finding as the most indicative of increased ICP?
A. Nausea and vomiting
B. Headache
C. Dizziness
D. Papilledema

Q.21  A Patient with angina is experiencing migraine headaches. The

physician has prescribed Sumatriptan succinate. Which nursing action is
most appropriate?
A. Call the physician to question the prescription order
B. Try to obtain samples for the client to take home
C. Perform discharge teaching regarding this drug
D. Consult social services for financial assistance with obtaining the
drug

Q.22  A Patient with COPD is in respiratory failure. Which of the

following results would be the most sensitive indicator that the client
requires a mechanical ventilator?
A. PCO2 58
B. SaO2 90
C. PH 7.23
D. HCO3 30

Q. 23 The nurse in the emergency room is caring for a Patient with

multiple rib fractures and a pulmonary contusion. Assessment reveals a
respiratory rate of 38, a heart rate of 136, and restlessness. Which
associated assessment finding would require immediate intervention?
A. Occasional hemoptysis
B. Midline trachea with wheezing on auscultation
C. Subcutaneous air and absent breath sounds
D. Pain when breathing deeply, with rales in the upper lobes
Q.24 The nurse is caring for a Patient with myasthenia gravis who is
having trouble breathing. The nurse would encourage which of the
following positions for maximal lung expansion?
A. Supine with no pillow, to maintain patent airway
B. Side-lying with back support
C. Prone with head turned to one side
D. Sitting or in high Fowler’s

Q. 25  The nurse is caring for Patients on a respiratory unit. Upon

receiving the following client reports, which client should be seen first?
A. Client with emphysema expecting discharge
B. Bronchitis client receiving IV antibiotics
C. Bronchitis client with edema and neck vein distention
D. COPD client with PO2 of 85

26  A Patient has sustained a severe head injury and damaged the
paraoccipital lobe. The nurse should remain particularly alert for which
of the follow-ing problems?
A. Visual impairment
B. Swallowing difficulty
C. Impaired judgment
D. Hearing impairment

Q. 27 The nurse is caring for a Patient with epilepsy who is to receive

Dilantin 100mg IV push. The client has an IV of D51/2NS infusing at
100mL/hr. When administering the Dilantin, the nurse should first:
A. Obtain an ambu bag and put it at bedside
B. Insert a 16g IV catheter
C. Flush the IV line with normal saline
D. Premedicate with phenergan IV push

Q.28  A Patient with increased intracranial pressure is receiving

Mannitol and Lasix. The nurse recognizes that these two drugs are given
to reverse which effect?
A. Energy failure
B. Excessive intracellular calcium accumulation
C. Cellular edema
D. Excessive glutamate release

Q.29 The nurse is assessing a Patient upon arrival to the emergency

department. Partial airway obstruction is suspected. Which clinical
manifestation is a late sign of airway obstruction?
A. Rales auscultated in breath sounds
B. Restlessness
C. Cyanotic ear lobes
D. Inspiratory stridor

Q.30 The nurse is working in the trauma unit of the emergency room
when a 24-year-old female is admitted after an MVA. The Patient is
bleeding profusely and a blood transfusion is ordered. Which would the
nurse be pre-pared to administer without a type and crossmatch?
A. AB positive
B. AB negative
C. O positive
D. O negative

Q.31 When preparing a Patient for magnetic resonance imaging, the

nurse should implement which of the following?
A. Obtain informed consent and administer atropine 0.4mg
B. Scrub the injection site for 15 minutes
C. Remove any jewelry and inquire about metal implants
D. Administer Benadryl 50mg/mL IV

Q.32 Upon admission to the hospital, a Patient reports having ―the

worst headache I’ve ever had. The nurse should give the highest priority
to:
A. Administering pain medication
B. Starting oxygen
C. Performing neuro checks
D. Inserting a Foley catheter

 Q.33 The nurse is caring for a Patient with an acoustic neuroma brain
tumor. The location of this tumor warrants which of the following
nursing diagnosis as the highest priority?
A. High risk for constipation
B. Fluid volume deficit
C. Ineffective coping
D. High risk for injury

Q. 34 The i Patient s admitted to the ER with multiple rib fractures on

the right. The nurse’s assessment reveals that an area over the right
clavicle is puffy and that there is a ―crackling‖ noise with palpation.
The nurse should further assess the client for which of the following
problems?
A. Flail chest
B. Subcutaneous emphysema
C. Infiltrated subclavian IV
D. Pneumothorax

Q.35 A Patient has an order for Demerol 75mg and atropine 0.4mg IM as a pre-
operative medication. The Demerol vial contains 50mg/mL, and atropine is
available 0.4mg/mL. How many milliliters will the nurse administer in total?
A. 1.0
B. 1.7
C. 2.5
D. 3.0
Q.36 Nimodipine is ordered for the Patient with a ruptured cerebral
aneurysm. The nurse recognizes that the desired effect of this drug is to:
A. Prevent the influx of calcium into cells
B. Restore the client’s blood pressure to a normal reading
C. Prevent the inflammatory process
D. Dissolve the clot that has formed

Q.37 A is Patient admitted to the hospital with seizures. The client has
jerking of the right arm and twitching of the face, but is alert and aware
of the seizure. This behavior is characteristic of which type of seizure?
A. Absence
B. Complex partial
C. Simple partial
D. Tonic-clonic

Q.38 The intensive care unit is full and the emergency room just called
in a report on a ventilator-dependent Patient who is being admitted to the
medical surgical unit. It would be essential that the nurse have which
piece of equipment at the Patient ’s bedside?
A. Cardiac monitor
B. Intravenous controller
C. Manual resuscitator
D. Oxygen by nasal cannula

Q.39 The nurse is caring for a Patient on a ventilator that is set on

intermittent mandatory ventilation (IMV). Assessment on the ventilator
is IMV mode of 8 breaths per minute. The nurse assesses the Patient’s
respiratory rate of 13 per minute. These findings indicate that:
 A. The client is fighting the ventilator.
B. Pressure support ventilation is being used.
C. Additional breaths are being delivered by the ventilator.
D. The client is breathing five additional breaths on his own.

Q.40 The nurse has given instructions on pursed-lip breathing to a client

with COPD. Which statement by the Patient would indicate effective
teaching?
A. I should inhale through my mouth.
B. I should tighten my abdominal muscles with inhalation.
C. I should contract my abdominal muscles with exhalation.
D. I should make inhalation twice as long as exhalation

Q.41 A Patient is receiving aminophylline IV. The nurse monitors the

theophylline blood level and assesses that the level is within therapeutic
range when it is:
A. 5ug/mL
B. 8ug/mL
C. 15ug/mL
D. 25ug/Ml

Q.42 The nurse is assessing the arterial blood gases (ABG) of a chest
trauma Patient with the results of pH 7.35, PO2 85, PCO2 55, and HCO3
27. These ABG values indicate that the client is in:
A. Uncompensated respiratory acidosis
B. Uncompensated metabolic acidosis
C. Compensated respiratory acidosis
D. Compensated metabolic acidosis

Q. 43 A pneumonectomy is performed on a Patient with lung cancer.

Which of the following would probably be omitted from the client’s plan
of care?
A. Closed chest drainage
B. Pain-control measures
C. Supplemental oxygen
D. Coughing and deep-breathing exercises

Q.44 When planning the care for a Patient after a posterior fossa
(infratentorial) craniotomy, which action is contraindicated?
A. Keeping the client flat on one side
B. Elevating the head of the bed 30°
C. Log-rolling or turning as a unit
D. Keeping the neck in a neutral position

Q.45 The nurse is performing discharge teaching on a Patient with

ulcerative colitis who has been placed on a low-residue diet. Which food
would need to be eliminated from this Patient ’s diet?
A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Roast beef

Q.46 The nurse is assisting a Patient with diverticulitis to select

appropriate foods. Which food should be avoided?
A. Bran
B. Fresh peach
C. Tomato and cucumber salad
D. Dinner roll 

Q.47 A Patient is admitted with a possible bowel obstruction. Which

question during the nursing history is least helpful in obtaining
information regarding this diagnosis?
A. Tell me about your pain.
B. What does your vomit look like?
C. Describe your usual diet.
D. Have you noticed an increase in abdominal size?
Q. 48 The nurse is caring for a Patient with epilepsy who is being treated
with carbamazepine. Which laboratory value might indicate a serious
side effect of this drug?
A. BUN 10mg/dL
B. Hemoglobin 13.0gm/dL
C. WBC 4,000/mm3
D. Platelets 200,000/mm3

 Q.49 A Patient is admitted with a tumor in the parietal lobe. Which

symptoms would be expected due to this tumor’s location?
A. Hemiplegia
B. Aphasia
C. Paresthesia
D. Nausea

Q.50 A Patient weighing 150 pounds has received burns over 50% of his
body at 1200 hours. Using the Parkland formula, calculate the expected
amount of fluid that the client should receive by 2000 hours.
A. 3,400
B. 6,800
C. 10,200
D. 13,600
Q.51 A 75 Year's old Unconscious Patient bring in Emergency. The
Patient's Head CT Scan Report and "CSF Examination is Normal. but
the patient have Diagnosis of 'Left Lung Pneumonia '. In this Clinical
situation which of the following principle is Highlights. ?
A. CSF is Normal in Unconscious patients
B. If CT of head is Normal, CSF will also Normal
C. Unconsciousness is common in Pneumonia.
D. Presentation of disease is typical in elderly

Q.52 Which of The following statement is True About " Auscultation of

the chest ".  ?
A. Rhonchi are common over a pleural effusion
B. Rhonchi are characteristics of heart failure
C. Crepitations are characteristics of pleural effusion
D. Crepitations are common in heart failure.

Q.53 A patient is Admitted with acute myocardial infarction on 20th

June at 8:00 am. His condition improves on 22nd June and he is
discharged on 25th June. The Discharge planning begins on __
A. 20th June
B. 22nd June.
C. 24th June
D. 25th June
Q.54 " Clubbing of the Nails " Finding is found in which of the
following disease conditions  ?
A. Vitamin B12 deficiency
B. Iron deficiency Anemia
C. Cyanotic Heart disease.
D. Rheumatic heart disease

Q.55 A Nurse is caring a patient diagnosis of Seasonal Influenza.  the

patient had to send Radiology department for CT Scan. According to
Nurse which statement is True.    ?
A. The patient does not need to wear a mask during transport
B. The patient must wear a N-95 mask during transport
C. The patient must not be transported out of the ward
D. The patient must wear a surgical mask during transport.

Q.56 What is Use of "HEPA (High Efficiency Particulate Air)  Filters" 

?
A. Oxygen delivery in invasive ventilation
B. Preventing air Bubbles in blood transfusion
C.Preventing airborne transmission of tuberculosis.
D. Administering nebulized bronchodilators’
Q.57 A 60 kg patient is to be given intravenous Nitroglycerin (NTG) at
the rate of 10 micrograms per minute. A 50 ml syringe contain 25
milligrams of NTG. The rate of syringe infusion pump will be set at __
A. 2.4ml/hr
B. 0.12ml/hr.
C. 1.8ml/hr
D. 0.6ml/hr

Q.58 which of the following "oxygen delivery system" provide

Maximum concentration of oxygen to a patient.  ?
A. Nasal cannula
B. Venturi mask.
C. Non- re-breather mask
D. Partial - re-breather mask

Q.59 A drain that is used for drainage of bile after an open

cholecystectomy is __
A. Penrose
B. T- tube.
C. Chemovar
D. Jackson Pratt

Q.60 Mrs. Madhu is on oral anticoagulant (warfarin)  for the prevention

of pulmonary embolism. The blood test for monitoring the dose of
warfarin is __
A. D- dimer
B. Partial Thromboplastin time (PTT)
C. International Normalized Ratio (INR).
D. Clotting time (CT)

61. A nurse is reviewing a patient’s medication during shift change.

Which of the following medications would be contraindicated if the
patient were pregnant? Select all that apply:
A. Warfarin (Coumadin)
B. Finasteride (Propecia, Proscar)
C. Celecoxib (Celebrex)
D. Clofazimine(Lamprene)

62. A nurse is reviewing a patient’s past medical history (PMH). The

history indicates the patient has photosensitive reactions to medications.
Which of the following drugs is associated with photosensitive
reactions? Select all that apply: 

A. Ciprofloxacin (Cipro)
B. Sulfonamide
C. Norfloxacin (Noroxin)
D. Sulfamethoxazole and Trimethoprim (Bactrim)
E. Isotretinoin (Accutane)
F. Nitro-Dur patch

63. 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 of the
patient’s medication does not cause urine discoloration?

A. Sulfasalazine
B. Levodopa
C. Phenolphthalein
D. Aspirin

64. You are responsible for reviewing the nursing unit’s refrigerator.
Which of the following drug, if found inside the fridge, should be
removed? 

A. Nadolol (Corgard)
B. Opened (in-use) Humulin N injection
C. Urokinase (Kinlytic)
D. Epoetin alfa IV (Epogen)
65. 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

66. A second-year nursing student has just suffered a needlestick while

working with a patient that is positive for AIDS. Which of the following
is the most significant action that nursing student should take?

A. Immediately see a social worker.

B. Start prophylactic AZT treatment.
C. Start prophylactic Pentamidine treatment.
D. Seek counseling.

67. 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

68. 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 nervosa
D. Systemic sclerosis

69. 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. Based on the presenting signs and
symptoms, which of the following would you most likely suspect?

A. Diverticulosis
B. Hypercalcemia
C. Hypocalcemia
D. Irritable bowel syndrome

70. Rhogam 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

71. A new mother has some questions about phenylketonuria (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.
72. 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
7D. Parkinson’s disease type symptoms

73. A 50-year-old blind and deaf patient have 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 patient safety concerns.
C. Continuously update the patient on the social environment.
D. Provide a secure environment for the patient.

74. A patient is getting discharged from a skilled nursing facility (SNF).

The patient has a history of severe COPD and PVD. The patient is
primarily concerned about his ability to breathe easily. Which of the
following would be the best instruction for this patient?

A. Deep breathing techniques to increase oxygen levels.

B. Cough regularly and deeply to clear airway passages.
C. Cough following bronchodilator utilization.
D. Decrease CO2 levels by increased oxygen take output during meals.

75. 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

76. 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

77. A client with myocardial infarction is receiving tissue plasminogen

activator, alteplase (Activase, tPA). While on the therapy, the nurse
plans to prioritize which of the following?

A. Observe for neurological changes.

B. Monitor for any signs of renal failure.
C. Check the food diary.
D. Observe for signs of bleeding.

78. A patient asks a nurse, “My doctor recommended I increase my

intake of folic acid. What type of foods contain the highest concentration
of folic acids?”

A. Green vegetables and liver

B. Yellow vegetables and red meat
C. Carrots
D. Milk

79. A nurse is putting together a presentation on meningitis. Which of

the following microorganisms has not been linked to meningitis in
humans?
A. S. pneumoniae
B. H. influenzae
C. N. meningitidis
D. Cl. difficile

80. 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.

81. A 65-year-old man has been admitted to the hospital for spinal
stenosis surgery. When should the discharge training and planning begin
for this patient?

A. Following surgery
B. Upon admit
C. Within 48 hours of discharge
D. Preoperative discussion

82. A 5-year-old child and has been recently admitted to the hospital.
According to Erik Erikson’s psychosocial development stages, the child
is in which stage?

A. Trust vs. mistrust

B. Initiative vs. guilt
C. Autonomy vs. shame and doubt
D. Intimacy vs. isolation
83. A toddler is 26 months old and has been recently admitted to the
hospital. According to Erikson, which of the following stages is the
toddler in?

A. Trust vs. mistrust

B. Initiative vs. guilt
C. Autonomy vs. shame and doubt
D. Intimacy vs. isolation

84. A young adult is 20 years old and has been recently admitted to the
hospital. According to Erikson, 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

85. A nurse is making rounds taking vital signs. Which of the following
vital signs is abnormal?

A. 11-year-old male: 90 BPM, 22 RPM, 100/70 mmHg

B. 13-year-old female: 105 BPM, 22 RPM, 105/50 mmHg
C. 5-year-old male: 102 BPM, 24 RPM, 90/65 mmHg
D. 6-year-old female: 100 BPM, 26 RPM, 90/70 mmHg

86. 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. Amitriptyline (Elavil)
B. Calcitonin
C. Pergolide mesylate (Permax)
D. Verapamil (Calan)
87. Which of the following conditions would a nurse not administer
erythromycin?

A. Campylobacteriosis infection
B. Legionnaire’s disease
C. Pneumonia
D. Multiple Sclerosis

88. 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. Migraines

89. 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

90. 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
91. 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 pylori
C. Vibrio cholerae
D. Haemophilus aegyptius

92. 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 pyogenes
C. Bacillus anthracis
D. Enterococcus faecalis

93. A fragile 87-year-old female has recently been admitted to the

hospital with increased confusion and falls over last two (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

94. An 84-year-old male has been losing mobility and gaining weight

over the last two (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

95. 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

96. 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

97. 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’s ability to understand instruction.
C. The overall mental and physical abilities of the child.
D. Frequent attempts with positive reinforcement.
98. 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

99. 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

100. 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 coworker about the identification of the child.
D. Ask the father who is in the room the child’s name.

ANSWER KEY
1. B 11.B 21.A 31.C 41.C 51.C 61.A 71.D 81.B 91.D
2. A 12.B 22.C 32.C 42.C 52.D 62.A 72.A 82.B 92.A
3. A 13.C 23.C 33.D 43.A 53.B 63.D 73.D 83.C 93.D
4. B 14.A 24.D 34.D 44.B 54.C 64.A 74.C 84.D 94.C
5. C 15.C 25.C 35.C 45.C 55.D 65.D 75.B 85.B 95.C
6. B 16.C 26.A 36.A 46.C 56.C 66.B 76.C 86.A 96.A
7. A 17.A 27.C 37.C 47.C 57.B 67.C 77.D 87.D 97.C
8. A 18.B 28.C 38.C 48.C 58.B 68.B 78.A 88.D 98.C
9. A 19.A 29.C 39.D 49.C 59.B 69.B 79.D 89.C 99.C
10.D 20.D 30.D 40.C 50.D 60.C 70.C 80.D 90.A