1.

An elderly client who has been recently immobilized is ordered to begin

passive range-of-motion exercises. What should the nurse understand
about ROM before initiating this order?
A. Passive ROM exercises increase muscle strength
B. A full range of motion must be completed for the elderly client
C. Exercises should be completed to the point of discomfort
D. A sufficient ROM assists the elderly to carry out activities of daily living
ANSWER: D
2. The characteristics of chronic pain include
A. Protective mechanism
B. Relief is possible
C. Insidious onset
D. Short duration
ANSWER: C
3. What instructions should a nurse give to the patient who is having external
radiation therapy?
A. Apply lotion to radiated area when red or sore
B. Wash skin over treatment area regularly
C. Eat 2-3 hours before treatment
D. Protect irradiated skin from sunlight
ANSWER: D
4. Respiratory isolation is initiated by the nurse for a patient diagnosed with
tuberculosis. This means
A. Both patient and attending nurse must wear masks at all times
B. Full isolation; that is caps and gowns are required during the period of
contagion
C. Nurse and visitors must wear masks until chemotherapy is begun. Patient
is instructed in cough and tissue techniques
D. Gloves are worn when handling the patients tissues, excretions and linen
ANSWER: C

5. When a patients family members come to visit, they would be adhering to

respiratory isolation precautions when they
A. Put on gowns, gloves, and masks
B. Keep the patients room door open
C. Wash their hands when leaving
D. Avoid contact with the patients roommate
ANSWER: C
6. Which of the following is the best method for the nurse to use when
evaluating the effectiveness of tracheal suctioning?
A. Note subjective data such as My breathing is much improved now.
B. Note objective findings, such as decreased RR and pulse
C. Consult with the respiratory therapist to determine effectiveness
D. Auscultate the chest for change or clearing of adventitious breath sounds
ANSWER: D
7. A nursing assistant reports to the RN that a patient with anemia is
complaining of weakness. Which of the following responses by the nurse
to the nursing assistant is best?
A. Listen to the patients breath sounds and report it back to me
B. Set up the patients lunch tray
C. Obtain a diet history from the patient
D. Instruct the patient to balance rest and activity
ANSWER: B
8. A 28-year old client is admitted to the hospital unit with hepatitis A. the
nurse knows that the clients overall care during hospitalization should
include which of the following?
A. Protective isolation
B. Airborne precautions
C. Standard precautions
D. Droplet precautions
ANSWER: C

9. How should the nurse position a patient who is hypotensive following a

large hematemesis?
A. Bed sloped at a 45-degree angle with the head lowest and the legs
highest
B. Supine with the head turned to the left
C. Feet and legs elevated 20-degrees, trunk horizontal, head on a small
pillow
D. Low Fowlers with knees gatched at 30 degrees
ANSWER: C
10. Which patient problem relating to altered nutrition is a consequence of
impaired physical mobility?
A. Increased appetite
B. Decreased protein catabolism
C. Increased carbohydrate needs
D. Increased secretion of digestive enzymes
ANSWER: C
11. It is an acute infection of the peripheral nervous system due to reactivation
of Varicella Zoster Virus
A. Varicella
B. Herpes Zoster
C. Typhoid fever
D. Tetanus
ANSWER: B
12. The following are the signs and symptoms of a patient having a Herpes
Zoster except
A. Headache
B. No sensitivity to light
C. Itching
D. Flu-like symptoms without fever
ANSWER: B

13. It is a type of HSV that usually infect the lips, fever blister or cold sore
A. HSV Type 1
B. HSV Type 3
C. HSV Type 2
D. HSV Type 4
ANSWER: A
14. It is a kind of procedure which the skin is gently scraped to determine if
the virus is shingles or another virus
A. Immunization
B. Skin testing
C. Blood testing
D. Skin scrapping
ANSWER: D
15. A client with tuberculosis is to be started on rifampicin (Rifadin). The nurse
provides instructions to the client and tells the client
A. That yellow-colored skin is common
B. To wear eye glasses instead of soft contact lens
C. To always take the medication on an empty stomach
D. That as soon as the cultures come back negative, the medication may be
stopped
ANSWER: B
16. The nurse teaches AIDS client that which of the following are common
side effects of Zidovudine (Retrovir) therapy?
A. Hypertension and diarrhea
B. Hypotension and constipation
C. Anemia and granulocytopenia
D. Altered taste and dizziness
ANSWER: C

17. It is an infection caused by Ascaris Lumbricoides that is characterized by

an early pulmonary invasion from larval migration
A. Mumps
B. Pertussis
C. Ascariasis
D. Diphteria
ANSWER: C
18. A client experiencing Ascariasis is at high risk for which of the following
nursing diagnosis?
A. High risk for infection
B. High risk for chronic pain
C. High risk for body image disturbance
D. High risk for fluid deficit
ANSWER: A
19. The nurse knows that which of the following medications is often
prescribed for tolerating and does not appear to increase risk of worm
obstruction?
A. Albendazole (Albenza)
B. Mebendazole, Tatramizole
C. Hydroxyzine (Atarax)
D. Amantadine (Symmetrel)
ANSWER: B
20. The primary objective of hemodialysis is to
A. Remove excess extracellular fluid
B. Prevent cardiotoxic effects from low serum potassium levels
C. Decrease serum concentrations of toxic wastes
D. Increase circulating blood volume
ANSWER: C

21. You are assessing a patient with a diagnosis of hepatitis B. which of the
following signs and symptoms would best help identify this diagnosis?
A. Light-colored urine
B. Asterixis
C. Hepatosplenomegaly
D. Elevated alpha-fetoprotein
ANSWER: C
22. An AIDS-related condition that causes purplish macular or popular lesions
on the extremities and can invade internal organs is called
A. Burkitts lymphoma
B. Herpes Simplex Virus
C. Kaposis sarcoma
D. Candidiasis
ANSWER: C
23. The most chronic sign associated with HIV infection is
A. Persistent generalized lymphadenopathy
B. Pneumocystis carinii pneumonia
C. Cryptosporidiosis
D. Kaposis sarcoma
ANSWER: A
24. Planning care for the client with AIDS is based on the understanding that
A. AIDS indicates in infection with human immunodeficiency virus only
B. HIV and at least two opportunistic infections are present
C. Clients with AIDS always have a multiple concurrent infections
D. Human immunodeficiency virus and a CD4 lymphocyte count under
200/mm3 are present
ANSWER: D
25. Anaphylaxis is mediated by

A. IgG
B. IgM
C. IgA
D. IgE
ANSWER: D
26. An AIDS client who has had chronic diarrhea, anorexia, a history of oral
candidiasis, and weight loss needs dietary teaching. The teaching should
focus on
A. Eating a low-protein, high-carbohydrate diet
B. Eating three large meals per day
C. Eating only unpasteurized dairy products
D. Eating a high-protein, high-calorie diet
ANSWER: D
27. The nurse knows the discharge teaching for a client with hepatitis A virus
is successful when the client indicates it would be inappropriate to
A. Donate blood
B. Eat dried foods
C. Vacation in foreign countries
D. Order a salad in a restaurant
ANSWER: A
28. When caring for an HIV-positive client who has recently developed
Kaposis sarcoma, the nurse should plan to assess for
A. Black, raised, nonblanching nodule on the clients face
B. Purplish, painless, nonpruritic nonblanching lesions on the clients face,
hard palate, glans penis, and the plantar surface of the foot
C. Scattered, open, red ulcers on the lips, tongue and buccal mucosa
D. Beefy red, open lesions along the clients gluteal fold
ANSWER: B
29. Management of a patient who has been infected with rabies includes

A. Aqueous penicillin intravenously

B. Acyclovir intravenously
C. There is no treatment
D. Human diploid cell vaccine
ANSWER: C
30. The primary sign of a compartment syndrome in an injured extremity is
A. Paresthesia
B. Pain
C. Pulselessness
D. Paralysis
ANSWER: B
31. Persons at high risk for the development of hepatitis B include all of the
following except
A. Healthcare workers frequently exposed to blood
B. Hemodialysis patients
C. Sexually active individuals
D. Day-care workers
ANSWER: D
32. The four hallmark signs of a bowel obstruction are
A. Abdominal pain, abdominal distention, vomiting, and constipation
B. Absent bowel sounds, nausea, vomiting, and cramping
C. Anorexia, normal bowel sounds, vomiting, and cramping
D. Hyperactive bowel sounds, distention, fever, and vomiting stool
ANSWER: A
33. The nurse is teaching a client with acute hepatitis about to be discharged
to her home. Which activity guideline is most appropriate?
A. Ambulate for increasing distances at least three times per day
B. Maintain bed rest except for trips to the bathroom

C. Perform active ROM exercises three times per day

D. Perform mild housework as tolerated
ANSWER: B
34. It is an acute contagious disease characterized by a general systemic
toxemia emanating from a localized inflammatory focus caused by KlebsLeoffer Bacillus
A. Pertussis
B. Pulmonary Tuberculosis
C. Diphtheria
D. Scarlet fever
ANSWER: C
35. It is one of a group of mosquito-borne virus diseases that can affect the
central nervous system and cause severe complications caused by an
arbovirus
A. Malaria
B. Snake bite
C. Dengue
D. Japanese Encephalitis
ANSWER: D
36. The following are the signs and symptoms of a patient diagnosed with
Amoebiasis except
A. Seizures
B. Fever
C. Malaise
D. Abdominal pain
ANSWER: A
37. It is an acute infectious disease characterized by fever an exanthema and
retroatricular and suboccipital adenopathy caused by rubella virus
A. Varicella

B. German Measles
C. Leprosy
D. Scarlet Fever
ANSWER: B
38. It is a contagious disease that leads to many structural and cutaneous
lesions caused by Treponema Pallidum
A.
B.
C.
D.

Gonorrhea
AIDS
Syphillis
Infectious Hepatitis

ANSWER: C
39. It is caused by a blood a blood fluke, Schistosoma Japonicum that is
transmitted by a tiny small oncomelania quadrasi
A. Leptospirosis
B. Encephalitis
C. Poliomyelitis
D. Schistosomiasis
ANSWER: D
40. All of the following are the nursing interventions for a patient experienced
a bite by a poisonous snake except
A. Cooling the bite area in above 15 C to reduce pain
B. Immobilization of the extremity
C. Give general support of airway, breathing and circulation
D. Rings, watches and constrictive clothing must removed
ANSWER: A