Practice Test 1

Q. 1
A nurse is encouraging a post-operative patient to cough and to take deep breaths. This nursing action is due to the understanding by the nurse that retaining of pulmonary secretions can lead to
  • a. Pneumonia
  • b. Carbon dioxide retention
  • c. Imbalance in fluid
  • d. Pulmonary edema
  • e. Edema
  • Answer: A

Q. 2
A patient with severe burns is scheduled for surgery for an allograft of right leg. What must be considered as the post-operative plan of care for this patient?
  • a. Keep blanket above the right leg
  • b. Keep the patient in prone position
  • c. Immobilize and elevate the right leg
  • d. Keep the right leg flat
  • e. Mobilize the right leg
  • Answer: A

Q. 3
A nurse works in a community that has recently experienced a hurricane. The nurse tries to find housing and counsels for those in need. Which level of prevention does the nurse represent?
  • a. Primary level
  • b. Primary and secondary levels
  • c. Secondary level
  • d. Tertiary level
  • e. Fourth level
  • Answer: A

Q. 4
When caring for a patient posted for surgery, the nurse finds that the patient is not able to sign the consent form due to narcotic analgesic administration. Who should sign the consent instead of the patient?
  • a. Court signs the consent
  • b. Patient can go to surgery without a consent
  • c. The hospital chaplain should sign the consent
  • d. One family member can sign with two witnesses??? signatures
  • e. Nurse can sign the consent
  • Answer: A

Q. 5
When a nurse from a surgical unit is floated to the general unit, which of the following patients must be assigned to him/her?
  • a. Heart failure
  • b. New onset Type II- Diabetes
  • c. Emergency appendectomy
  • d. Thyrotoxicosis
  • e. Hypertension
  • Answer: A

Q. 6
An 88-year-old woman is posted for surgery. Which of the following consent processes needs to be followed by a nurse in this case?
  • a. Family members should sign the consent
  • b. Provide adequate time for the patient to process the information and sign
  • c. Ask the patient to sign immediately
  • d. Ask her to go through the written instructions and sign immediately
  • e. Explain to her that she is too old to sign the consent
  • Answer: A

Q. 7
A hurricane warning was issued and the nurses of a hospital were asked to open a shelter. Which of the following would the nurses encourage the public to bring to the shelter?
  • a. T.V
  • b. Clothing
  • c. Pets
  • d. Medication and medical records
  • e. Other electronics
  • Answer: A

Q. 8
A nurse is caring for a patient with radical neck dissection. The endo-tracheal tube was removed a few minutes ago. When observing which of the following must the nurse call the physician?
  • a. Stridor
  • b. Pink-tinged sputum occasionally
  • c. Respiratory rate 24 breaths per minute
  • d. Basilar crackles in right side
  • e. Occasional cough
  • Answer: A

Q. 9
A nurse is caring for a patient who is posted for surgery. Which of the following would make the nurse suspect that the patient is in cardiogenic shock?
  • a. Muffled heart sounds
  • b. Cardiac index greater than 2.2 L/min
  • c. Bounding pulses
  • d. Increased cardiac output
  • e. Increased heart sounds
  • Answer: A

Q. 10
A nurse is caring for a patient with burn in knee. The patient has undergone autograft and grafting to burn site. Which of the following order prescribed is appropriate for this patient?
  • a. Immobilization of the affected knee
  • b. Mobilization of the patient out of bed
  • c. Placing the affected extremity in a dependent position
  • d. Massaging the extremity
  • e. Changing the extremity to different positions
  • Answer: A

Q. 11
A nurse is caring for a patient who is being prepared for surgery. The patient has history of alcohol abuse. Which of the following would be risky for the patient undergoing surgery?
  • a. Impaired liver metabolism
  • b. Hypervitaminosis
  • c. CNS stimulation
  • d. Hypermagnesemia
  • e. Intact liver metabolism
  • Answer: A

Q. 12
What is the beneficial feature after an escharotomy?
  • a. Appearance of granulation tissue
  • b. Bleeding from the site
  • c. Reduced edema
  • d. Palpable distal pulses
  • e. Redness in and around the site
  • Answer: A

Q. 13
A patient is having high fever, tachycardia and sweating. He is in hyper metabolic condition. Which of the following medication would have caused this malignant hyperpyrexia in this patient?
  • a. Dantrolene
  • b. Sevoflurane
  • c. Isoflurane
  • d. Ketamine
  • e. Propofol
  • Answer: A

Q. 14
Which of the following is not true regarding rapid sequence induction in anesthesia?
  • a. Ketamine can be used as an induction agent
  • b. Cricoid pressure is needed
  • c. ET tube is needed for airway
  • d. Administration of suxamethonium
  • e. BVM for oxygenation
  • Answer: A

Q. 15
Which one of the following is considered wrong regarding surgical emphysema in the chest, by a nurse?
  • a. It is a medical emergency
  • b. It occurs usually after thoracic surgeries
  • c. It occurs due to perforated esophagus
  • d. It appears on apices of chest x-ray
  • e. It occurs due to COPD
  • Answer: A

Score: 0/15