Thursday 1 October 2015

Common Nursing Multiple Choice Questions And Answers

81 .             The nurse receives a report at the beginning of the shift and learns that the client scores 7 on the Glasgow Coma Scale. The nurse realizes that this client is at which of the following levels of consciousness?
A.    comatose
B.    moderate disability
C.    severe disability
D.    fully alert
Ans:  A,D

82 .             You partially darken a room and ask the client to look straight ahead. You use a penlight and, approaching from the side you shine the light, it constricts. You remove the light and then shine it on the same pupil again. You also observe the response of the other pupil. You would normally find the other pupil doing which of the following things?
A.    not make any change in size
B.    dilate in an oppositional response to the light
C.    first constrict, then dilate larger than the other pupil
D.    constrict in consensual response
Ans:  D

83 .             The nurse is preparing to do a focused assessment of the abdomen on an assigned client. Which of the following is most important for the nurse to do prior to the examination?
A.    Have client empty their bladder.
B.    Gather equipment.
C.    Place client in semi-Fowler's position.
D.    Remove any dressings from abdomen.
Ans:  A

84 .             The physician of your assigned client tells you that the client has a heart murmur that can be detected by direct auscultation. You realize that the physician is telling you which of the following things?
A.    Use of a stethoscope is necessary to hear the murmur.
B.    The murmur can be heard by using only the ear.
C.    An ultrasound is necessary to find this murmur.
D.    A Doplar device will be needed to find the murmur.
Ans:  A

85 .             When weighing a client daily, you will most need to weigh the client at which of the following times?
A.    when most rested
B.    at the same time each day
C.    after the shower or bath
D.    when higher priorities are completed
Ans:  B

86 .             When counting the apical pulse during the physical assessment, it is the most accepted practice for the nurse to count the apical pulse in which of the following ways?
A.    for 15 seconds and multiply by four
B.    for 30 seconds and multiply by two
C.    for one minute, checking radial pulse at the same time
D.    for one full minute
Ans:  D

87.             While listening to a client's lung sounds, you hear something that you believe is not normal, and you note that it is a continuous sound. You will chart this as which of the following findings?
A.    crackles
B.    Rales
C.    adventitious sounds
D.    pleral friction rub
Ans:  C

88 .             When examining the client's abdomen, the nurse will most facilitate the examination by positioning the client in which of the following ways?
A.    supine with small pillows beneath knees and head
B.    semi-Fowler's position with knees extended
C.    sitting in the chair with legs elevated
D.    supine with arms extended and hands behind head
Ans:  A

89 .             You highly suspect that your assigned client has abdominal distention. You most need to do and chart which of the following things?
A.    Have another nurse verify your suspicions.
B.    Measure the abdominal girth at the umbilicus.
C.    Measure abdominal girth at the most distended level.
D.    Ask the client if they are distended.
Ans:  C

90 .             When a client's skin is dry, which of the following nursing interventions would be most helpful?
A.    Limit bathing to once or twice a week.
B.    Bathing is daily, but no soap is used.
C.    Bathing daily with mineral oil added to the water.
D.    Bathing with lotion instead of water.
Ans:  A

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