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Nursing Practice I -Foundation of Professional Nursing
Practice

Nursing Care Plan Nursing Diagnosis Nursing Nurse Ask a Nurse


1. The nurse In-charge in labor and delivery unit administered a dose of terbutaline to a client without
checking the clients pulse. The standard that would be used to determine if the nurse was negligent is:

a. The physicians orders.
b. The action of a clinical nurse specialist who is recognized expert in the field.
c. The statement in the drug literature about administration of terbutaline.
d. The actions of a reasonably prudent nurse with similar education and experience.


2. Nurse Trish is caring for a female client with a history of GI bleeding, sickle cell disease, and a
platelet count of 22,000/l. The female client is dehydrated and receiving dextrose 5% in half-normal
saline solution at 150 ml/hr. The client complains of severe bone pain and is scheduled to receive a
dose of morphine sulfate. In administering the medication, Nurse Trish should avoid which route?
a. I.V
b. I.M
c. Oral
d. S.C


3. Dr. Garcia writes the following order for the client who has been recently admitted Digoxin .125 mg
P.O. once daily. To prevent a dosage error, how should the nurse document this order onto the
medication administration record?

a. Digoxin .1250 mg P.O. once daily
b. Digoxin 0.1250 mg P.O. once daily
c. Digoxin 0.125 mg P.O. once daily
d. Digoxin .125 mg P.O. once daily


4. A newly admitted female client was diagnosed with deep vein thrombosis. Which nursing diagnosis
should receive the highest priority?

a. Ineffective peripheral tissue perfusion related to venous congestion.
b. Risk for injury related to edema.
c. Excess fluid volume related to peripheral vascular disease.
d. Impaired gas exchange related to increased blood flow.


5. Nurse Betty is assigned to the following clients. The client that the nurse would see first after
endorsement?

a. A 34 year-old post operative appendectomy client of five hours who is complaining of pain.
b. A 44 year-old myocardial infarction (MI) client who is complaining of nausea.
c. A 26 year-old client admitted for dehydration whose intravenous (IV) has infiltrated.
d. A 63 year-old post operatives abdominal hysterectomy client of three days whose incisional
dressing is saturated with serosanguinous fluid.


6. Nurse Gail places a client in a four-point restraint following orders from the physician. The client care
plan should include:

a. Assess temperature frequently.
b. Provide diversional activities.
c. Check circulation every 15-30 minutes.
d. Socialize with other patients once a shift.
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7. A male client who has severe burns is receiving H2 receptor antagonist therapy. The nurse In-charge
knows the purpose of this therapy is to:

a. Prevent stress ulcer
b. Block prostaglandin synthesis
c. Facilitate protein synthesis.
d. Enhance gas exchange


8. The doctor orders hourly urine output measurement for a postoperative male client. The nurse Trish
records the following amounts of output for 2 consecutive hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml. Based
on these amounts, which action should the nurse take?

a. Increase the I.V. fluid infusion rate
b. Irrigate the indwelling urinary catheter
c. Notify the physician
d. Continue to monitor and record hourly urine output


9. Tony, a basketball player twist his right ankle while playing on the court and seeks care for ankle
pain and swelling. After the nurse applies ice to the ankle for 30 minutes, which statement by Tony
suggests that ice application has been effective?

a. My ankle looks less swollen now.
b. My ankle feels warm.
c. My ankle appears redder now.
d. I need something stronger for pain relief


10.The physician prescribes a loop diuretic for a client. When administering this drug, the nurse
anticipates that the client may develop which electrolyte imbalance?

a. Hypernatremia
b. Hyperkalemia
c. Hypokalemia
d. Hypervolemia


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11. She finds out that some managers have benevolent-authoritative style of management. Which of the
following behaviors will she exhibit most likely?

a. Have condescending trust and confidence in their subordinates.
b. Gives economic and ego awards.
c. Communicates downward to staffs.
d. Allows decision making among subordinates.


12. Nurse Amy is aware that the following is true about functional nursing

a. Provides continuous, coordinated and comprehensive nursing services.
b. One-to-one nurse patient ratio.
c. Emphasize the use of group collaboration.
d. Concentrates on tasks and activities.


13. Which type of medication order might read "Vitamin K 10 mg I.M. daily 3 days?"

a. Single order
b. Standard written order
c. Standing order
d. Stat order


14. A female client with a fecal impaction frequently exhibits which clinical manifestation?

a. Increased appetite
b. Loss of urge to defecate
c. Hard, brown, formed stools
d. Liquid or semi-liquid stools


15. Nurse Linda prepares to perform an otoscopic examination on a female client. For proper
visualization, the nurse should position the client's ear by: