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Nursing Practice Questions and Answers: A Comprehensive Guide for Students, Exams of Nursing

Queen Mary, University of London (QMUL)Nursing

A collection of multiple-choice questions and answers covering various nursing topics, including guillain-barre syndrome, urinary tract infections, anemia, leukemia, palliative care, diverticulosis, pheochromocytoma, heart failure, burns, cataract removal, newborn care, gestational diabetes, and postpartum care. It serves as a valuable resource for nursing students preparing for exams or seeking to enhance their knowledge.

Typology: Exams

2024/2025

Available from 01/02/2025

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CC4 HURST QUESTIONS WITH
CORRECT SOLUTIONS
What nursing interventions should the nurse include when planning care for
a client admitted with Guillain-Barre' Syndrome?
Select all that apply
1. Monitor for contractures.
2. Place prone for 30 minutes, 4 times per day.
3. Provide therapeutic massage for pain relief.
4. Teach range of motion exercises.
5. Provide high protein meals 3 times a day.
6. Refer to physical therapist. - Solution 1. Monitor for contractures.
3. Provide therapeutic massage for pain relief.
4. Teach range of motion exercises.
6. Refer to physical therapist.
A nurse is teaching a client who has frequent urinary tract infections how to
prevent future infections. What statement by the client would indicate to the
nurse that treatment has been successful?
Select all that apply
1. "I will go to the bathroom as soon as the urge to void hits me."
2. "It is important for me to drink five to six 8 ounce glasses of water every
day."
3. "I should eat foods such as plums and prunes to increase the acidity of
my urine."
4. "Nylon underwear should be worn when I am free from infection."
5. "When I clean after voiding, I will discard toilet paper after each swipe." -
Solution 1. "I will go to the bathroom as soon as the urge to void hits me."
3. "I should eat foods such as plums and prunes to increase the acidity of
my urine."
5. "When I clean after voiding, I will discard toilet paper after each swipe."
An elderly client is admitted to the outpatient unit with anemia and is
receiving a blood transfusion. What is the nurse's priority assessment?
1. Monitor for peripheral edema.
2. Assess breath sounds.
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CC4 HURST QUESTIONS WITH

CORRECT SOLUTIONS

What nursing interventions should the nurse include when planning care for a client admitted with Guillain-Barre' Syndrome? Select all that apply

  1. Monitor for contractures.
  2. Place prone for 30 minutes, 4 times per day.
  3. Provide therapeutic massage for pain relief.
  4. Teach range of motion exercises.
  5. Provide high protein meals 3 times a day.
  6. Refer to physical therapist. - Solution 1. Monitor for contractures.
  7. Provide therapeutic massage for pain relief.
  8. Teach range of motion exercises.
  9. Refer to physical therapist. A nurse is teaching a client who has frequent urinary tract infections how to prevent future infections. What statement by the client would indicate to the nurse that treatment has been successful? Select all that apply
  10. "I will go to the bathroom as soon as the urge to void hits me."
  11. "It is important for me to drink five to six 8 ounce glasses of water every day."
  12. "I should eat foods such as plums and prunes to increase the acidity of my urine."
  13. "Nylon underwear should be worn when I am free from infection."
  14. "When I clean after voiding, I will discard toilet paper after each swipe." - Solution 1. "I will go to the bathroom as soon as the urge to void hits me."
  15. "I should eat foods such as plums and prunes to increase the acidity of my urine."
  16. "When I clean after voiding, I will discard toilet paper after each swipe." An elderly client is admitted to the outpatient unit with anemia and is receiving a blood transfusion. What is the nurse's priority assessment?
  17. Monitor for peripheral edema.
  18. Assess breath sounds.
  1. Keep bedrails up at all times.
  2. Monitor hemoglobin every 6 hours. - Solution 2. Assess breath sounds What lab values should the nurse monitor when caring for a client diagnosed with acute leukemia? Select all that apply
  3. Hemoglobin
  4. Hematocrit
  5. Lactate dehydrogenase (LDH)
  6. Platelets
  7. White blood cells
  8. Metanephrine - Solution 1. Hemoglobin
  9. Hematocrit
  10. Platelets
  11. White blood cells A client with a terminal illness, asks the nurse about palliative care. What would be the nurse's best response?
  12. Palliative care is a holistic way of finding a cure for a serious illness.
  13. Palliative care begins when the client has 3 months or less to live.
  14. Palliative care will require you to change to a palliative care healthcare provider.
  15. Palliative care prevents and treats symptoms and side effects of disease and treatments. - Solution 4. Palliative care prevents and treats symptoms and side effects of disease and treatments. Which food items, if chosen by a client diagnosed with diverticulosis, would indicate to the nurse that the client understands the prescribed diet? Select all that apply
  16. Avocados
  17. Acorn squash
  18. Applesauce
  19. Lima beans
  20. Raspberries
  21. Cottage cheese - Solution 1. Avocados
  22. Acorn squash
  23. Lima beans
  24. Raspberries
  1. "I should only have pain for about two days."
  2. "I will no longer have to wear reading glasses."
  3. "My vision will be blurry for a couple weeks." - Solution 4. "My vision will be blurry for a couple weeks." Which nursing action takes priority once a term infant has delivered vaginally?
  4. Apply identification bands
  5. Apply eye ointment
  6. Dry the baby
  7. Obtain footprints - Solution 3. Dry the baby A mother of a newborn is crying and tells the nurse, "I am worried about my baby. His Apgar score was 6 and the nurses had to help him breath for a while." What response should the nurse make to this mother?
  8. "Don't worry about what score your baby received on the Apgar. The nurses know how to take care of him."
  9. "Stop crying. Your baby is fine now and will continue to get stronger as the day progresses."
  10. "Your baby's Apgar score was normal. The score was 6 at 1 minute which is typical."
  11. "It is normal for you to feel this way. Let me explain what the Apgar score is used for." - Solution 4. "It is normal for you to feel this way. Let me explain what the Apgar score is used for." The nurse is assessing a newborn to determine gestational age. What findings by the nurse would indicate the infant is premature? Select all that apply
  12. Folded ear pinna springs back slowly.
  13. Peripheral cyanosis on feet and hands.
  14. Shoulders and chest have moderate lanugo.
  15. Vernix covering axilla, back and buttocks.
  16. Feet soles entirely covered with creases. - Solution 1. Folded ear pinna springs back slowly.
  17. Shoulders and chest have moderate lanugo.
  18. Vernix covering axilla, back and buttocks. What room assignment would be best for the nurse to make for a primigravida with gestational diabetes who was admitted for glycemic control?
  1. A private room near the nurses' station.
  2. A room with a client admitted with a placenta previa.
  3. A room with a client in preterm labor.
  4. A room with a client admitted with pregestational diabetes. - Solution 4. A room with a client admitted with pregestational diabetes. A licensed practical nurse (LPN) on the Labor and Delivery unit is assisting the nurse with multiple admissions. What tasks could the LPN complete until the nurse is available? Select all that apply
  5. Take initial vital signs.
  6. Measure cervical dilation.
  7. Check fundal height and fetal heart rate (FHR).
  8. Obtain urine for protein and glucose.
  9. Collect vaginal swab to test for chlamydia. - Solution 1. Take initial vital signs.
  10. Obtain urine for protein and glucose.
  11. Collect vaginal swab to test for chlamydia. A client delivered a term infant four hours ago. The infant was stillborn. Which room would be most appropriate for the nurse to assign to this client?
  12. A private room on the gynocological unit.
  13. A private room on the postpartum unit.
  14. Discharge her home as soon as her condition is stable.
  15. Room her with another client with a pregnancy loss. - Solution 1. A private room on the gynocological unit. A nurse is planning to provide education to a client wishing to breastfeed. What instructions should the nurse include when teaching this client? Select all that apply
  16. Apply warm compresses to breast just prior to breastfeeding.
  17. Establish a routine for breastfeeding.
  18. Massage breasts during feeding.
  19. Wear well-fitting bra continuously for first 24 hours after birth.
  20. Wash hands before breastfeeding. - Solution 1. Apply warm compresses to breast just prior to breastfeeding.
  21. Massage breasts during feeding.
  22. Wash hands before breastfeeding.
  1. Extends arms when nurse claps hands. - Solution 2. Toes curl downward when soles of feet stroked. The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). Which action should the nurse interrupt the UAP from performing?
  2. Draining the colostomy bag on a client with diarrhea.
  3. Performing passive range of motion (ROM) on the client with right sided paralysis.
  4. Placing the traction weights on the bed to transfer the client to x-ray.
  5. Discarding the first urine voided by the client starting a 24 hour urine test. - Solution 3. Placing the traction weights on the bed to transfer the client to x-ray. Which health promotion instructions should the nurse provide to a client diagnosed with cirrhosis? Select all that apply
  6. Use a shower chair when performing hygiene.
  7. Limit alcohol intake.
  8. Stop any activity that causes dizziness.
  9. Calculate daily sodium intake.
  10. Proper hand hygiene. - Solution 1. Use a shower chair when performing hygiene.
  11. Stop any activity that causes dizziness.
  12. Calculate daily sodium intake.
  13. Proper hand hygiene. The nurse is caring for a client on the psychiatric unit. The client is prescribed fluphenazine 10 mg. The drug is available as an elixir: 2.5 mg / 5 mL. How many mL will the nurse give to the client? ______mL. Round answer to the nearest whole number. - Solution 20 The nurse is caring for a client diagnosed with Obsessive Compulsive Disorder (OCD). Which statement, made by the client, would be the best indicator of improvement?
  14. "My friends don't know I have OCD."
  15. "I only do my hand washing to reward myself when I am good."
  16. "I know my thoughts and behaviors aren't very normal."
  17. "I have more control over my thoughts and behaviors." - Solution 4. "I have more control over my thoughts and behaviors."

Which signs/symptoms should the nurse monitor for in a client admitted with a diagnosis of pheochromocytoma? Select all that apply

  1. Headache
  2. Hypotension
  3. Hyperglycemia
  4. Bradycardia
  5. Polycythemia
  6. Leukopenia - Solution 1. Headache
  7. Hyperglycemia A female client arrives at the community health clinic seeking a form of contraceptive and tells the nurse that she really desires getting an intrauterine device (IUD). Following the assessment, the nurse realizes that the IUD would be contraindicated for this client. What factor would be an absolute contraindication for this client receiving an IUD?
  8. History of irregular menstrual cycles
  9. Ongoing pelvic infection
  10. History of an ectopic pregnancy
  11. Current fibrocystic breast disease - Solution 2. Ongoing pelvic infection A client being treated for major depressive disorder arrives at group therapy for the first time in a week wearing clean clothes after showering. What response by the nurse would be therapeutic?
  12. "Why are you all dressed up for group?"
  13. "Maybe you could add makeup tomorrow."
  14. "You must feel better after finally showering."
  15. "You look really nice in that flowered jacket." - Solution 4. "You look really nice in that flowered jacket." An unresponsive 13 year old is brought into the emergency department. Based on the nursing assessment and current lab data, which interventions would be appropriate for the nurse to initiate? Nurse Notes: Unresponsive 13 year old admitted to ED trauma room 1. Assessment reveals rapid and deep respirations at 38/min, BP 90/60, HR 126/min, Temp 101.5°F (38.6°C) with polyuria. Lab Values: Potassium = 5.2 mEq/dL (5.2 mmol/L) Glucose = 420 mg/dL (23 mmol/L) Urine ketones = positive

compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations regarding the confidentiality of the sedated client's health information?

  1. I can't give you those results. You should ask his primary healthcare provider the next time that he comes in to examine your husband.
  2. Those test results are confidential, but since you are his wife I can give them to you. Let me look them up in the computer system.
  3. The health information of all clients is confidential and is protected by law. Those test results cannot be released without the consent of the client in order to protect the client's right to choose who receives health information.
  4. Your husband is only lightly sedated. I can - Solution 3. The health information of all clients is confidential and is protected by law. Those test results cannot be released without the consent of the client in order to protect the client's right to choose who receives health information. What instruction would the nurse give a client about a newly prescribed salmeterol inhaler?
  5. "Use the inhaler immediately if wheezing and shortness of breath occur during exercise."
  6. "Use the inhaler when you experience a stuffy nose due to seasonal allergies."
  7. "Carry the inhaler with you at all times and take 2 puffs anytime you experience an exacerbation."
  8. "This inhaler should be used routinely as prescribed even when free of symptoms." - Solution 4. "This inhaler should be used routinely as prescribed even when free of symptoms." A client has recently been diagnosed with rheumatoid arthritis. The nurse anticipates which class of pharmacologic agents will likely be a part of the client's treatment regimen?
  9. Mitotic inhibitors
  10. Systemic glucocorticoids
  11. Antifungals
  12. Anticoagulants - Solution 2. Systemic glucocorticoids Which comment by the client indicates understanding of possible complications of long term hypertension?
  13. "I would like to have my serum creatinine checked at this visit."
  1. "My blurred vision is part of getting older."
  2. "I have leg pain caused by excessive exercise."
  3. "Adding salt to my food is permissible." - Solution 1. "I would like to have my serum creatinine checked at this visit." Which assignment would be most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?
  4. Obtaining a sterile urine specimen from a Foley catheter.
  5. Inserting an in-and-out catheter on a client postpartum.
  6. Taking vital signs on a client 12 hours postpartum.
  7. Removing a Foley catheter on a client postpartum. - Solution 3. Taking vital signs on a client 12 hours postpartum. The home health nurse is caring for an elderly client who lives with an adult child. The client's child is divorced, works full-time, and is responsible for caring for two young children. Recently, the client has become incontinent of urine. Which stressor on the caregiver may increase the risk for abuse of this elderly client?
  8. Care of young children
  9. Being divorced
  10. Recent increased care demands
  11. Loneliness of the adult child - Solution 3. Recent increased care demands What should the nurse include in the teaching plan for a client who has iron deficiency anemia? Select all that apply
  12. Consume iron rich foods such as dried lentils, peas, and beans.
  13. Notify primary healthcare provider of glossitis, anorexia, and paresthesia.
  14. Iron is needed for white blood cell development.
  15. Educate about ferrous sulfate supplement.
  16. After drinking liquid iron, follow immediately by water. - Solution 1. Consume iron rich foods such as dried lentils, peas, and beans.
  17. Notify primary healthcare provider of glossitis, anorexia, and paresthesia.
  18. Educate about ferrous sulfate supplement. A nurse walks into the medication area of a long-term care facility and sees a colleague taking a pill from a resident's supply of narcotics. The nurse
  1. Low carbohydrates, high fat - Solution 1. High calorie, low protein The nurse working in a pediatrician's office is teaching a couple with small children about proper medication administration for children. What statement by the couple would indicate that further teaching is needed?
  2. We should carefully measure elixir medication with the provided dropper.
  3. Our children should not watch us take medicine.
  4. We tell our children the medicine is candy so they will take it without a fuss.
  5. Even though medicine comes in a childproof container, we will put medication out of reach. - Solution 3. We tell our children the medicine is candy so they will take it without a fuss. Which of the following should the nurse teach regarding nutrition for a client with celiac disease? Select all that apply
  6. Gluten is a protein found in wheat and oats.
  7. A gluten intolerant person can eat foods that are made with barley or rye.
  8. Fruits can be eaten on a gluten free diet.
  9. Gluten causes inflammation of the large intestines of people with celiac disease.
  10. Accidentally eating a product containing gluten may result in abdominal pain and diarrhea. - Solution 1. Gluten is a protein found in wheat and oats.
  11. Fruits can be eaten on a gluten free diet.
  12. Accidentally eating a product containing gluten may result in abdominal pain and diarrhea. After reviewing the client assignments, the LPN/VN tells the RN the assignment is very unfair and requests that some of the clients be redistributed to the other staff. What should the RN do first?
  13. Ask the LPN/VN how the client assignment should be adjusted.
  14. Assign one of the LPN/VN's clients to another nurse.
  15. Encourage the LPN/VN to use teamwork skills in caring for the clients.
  16. Develop a strategic plan to assist with client assignments. - Solution 1. Ask the LPN/VN how the client assignment should be adjusted.

A client with cervical cancer received an internal cervical radiation implant. What should be the initial nursing action if the radiation implant becomes dislodged and is found lying in the bed?

  1. Call the client's primary healthcare provider.
  2. Pick up the implant immediately with gloved hands and place it in double biohazard bags.
  3. Notify the radiology department.
  4. Utilize long-handled forceps to pick up the implant and dispose of it in a lead container. - Solution 4. Utilize long-handled forceps to pick up the implant and dispose of it in a lead container. The nurse enters the med room to prepare the AM medication pass. A new nurse is drawing up morning insulin using a tuberculin syringe instead of an insulin syringe. What is the nurse's priority action?
  5. Report the new nurse to the charge nurse.
  6. Offer to pass the medications for the new nurse.
  7. Prepare an incident report describing the issue.
  8. Offer to help the new nurse re-draw up the insulin. - Solution 4. Offer to help the new nurse re-draw up the insulin. The nurse is caring for a client diagnosed with deep vein thrombosis, who has been treated with intravenous heparin for one week. The primary healthcare provider plans to change the medication from heparin IV to warfarin sodium by mouth. The nurse understands which approach would be appropriate?
  9. Begin the warfarin sodium and stop the heparin simultaneously.
  10. Stop the heparin 24 hours, then begin the warfarin sodium.
  11. Begin the warfarin sodium before stopping the heparin.
  12. Stop the heparin, wait for the coagulation studies to reach the control value, and begin the warfarin sodium. - Solution 3. Begin the warfarin sodium before stopping the heparin. What should the nurse teach a client about testicular self examination?
  13. This exam should be performed bi-annually.
  14. The exam should be performed during a cold shower.
  15. Gently roll each testicle with slight pressure between the fingers.
  16. The epididymis should feel like a hard, knotty rope. - Solution 3. Gently roll each testicle with slight pressure between the fingers.

Select all that apply

  1. Alcohol use
  2. Dehydration
  3. Diabetes
  4. Exhaustion
  5. Low level altitude - Solution 1. Alcohol use
  6. Dehydration
  7. Diabetes
  8. Exhaustion During a health fair, a client asks the nurse about the methods used to detect prostate cancer. What should the nurse tell the client about the detection process?
  9. Abdominal x-rays to detect the presence of lesions and masses.
  10. A serum calcium test to detect elevated levels, which may indicate bone metastasis.
  11. Digital rectal exam (DRE) and prostate-specific antigen (PSA) test to evaluate the prostate.
  12. A magnetic resonance image (MRI) study to detect tumors and other abnormal growths. - Solution 3. Digital rectal exam (DRE) and prostate- specific antigen (PSA) test to evaluate the prostate. The nurse is caring for a client immediately following a bilateral salpingo- oophorectomy. Which position would be best for this client?
  13. Fowler's
  14. Modified Sims
  15. Side-lying
  16. Supine - Solution 3. Side-lying The nurse is teaching a group of high school students about car accident prevention. Who would the nurse include as the highest risk for a motor vehicle crash (MVC)?
  17. Males who have just turned 19 years of age.
  18. Drivers who have recently acquired a driver's license.
  19. A group of students that carpool to the senior prom.
  20. Female students who drive to weekly football games. - Solution 2. Drivers who have recently acquired a driver's license. An alert elderly client has been admitted to the hospital and placed on bedrest following a fall at home. During evening medication rounds, the

nurse notes the client has become disoriented to time and place. The nurse is aware a new onset of confusion could be the result of what factors? Select all that apply

  1. Admission to the hospital.
  2. Amount of physical pain.
  3. Current bed confinement.
  4. Advanced age.
  5. Response to analgesic. - Solution 1. Admission to the hospital.
  6. Amount of physical pain.
  7. Current bed confinement.
  8. Response to analgesic. A client requires external radiation therapy. The nurse knows external radiation may cause which problems? Select all that apply
  9. Pancytopenia
  10. Leukocytosis
  11. Erythema
  12. Fever
  13. Fatigue - Solution 1. Pancytopenia
  14. Erythema
  15. Fatigue A client with a history of angina has returned to the unit following a cardiac catherization. What nursing action has the highest priority?
  16. Obtain vital signs every thirty minutes.
  17. Assess pedal pulses every ten minutes.
  18. Place the call bell within client's reach.
  19. Keep affected extremity immobilized for 6 hours. - Solution 4. Keep affected extremity immobilized for 6 hours. client receiving chemotherapy for lung cancer reports increased fatigue. The family confirms client is sleeping most of the day and night. What priority action would the nurse take?
  20. Discuss the risks of immobility with client and family.
  21. Check current lab values of hematocrit and hemoglobin.
  22. Suggest family seek counseling for the client's depression.
  23. Request a referral from the healthcare provider for physical therapy. - Solution 2. Check current lab values of hematocrit and hemoglobin.

A client presents in the emergency department with acute onset of fever, headache, stiff neck, nausea/vomiting, and mental status changes. What interventions should the nurse initiate? Select all that apply

  1. Provide a quiet environment
  2. Pad side rails
  3. Place on droplet precautions
  4. Maintain head in midline position
  5. Place ice packs under axilla for fever greater than 101°F (38.3°C) - Solution 1. Provide a quiet environment
  6. Pad side rails
  7. Place on droplet precautions
  8. Maintain head in midline position The nurse is planning discharge teaching for a client with thrombocytopenia. Which should the nurse include? Select all that apply
  9. Floss between teeth daily.
  10. Eat soft foods.
  11. Take docusate sodium daily to prevent straining
  12. Wear well fitted shoes while ambulating.
  13. Apply a cool compress to site with any soft tissue trauma. - Solution 2. Eat soft foods.
  14. Take docusate sodium daily to prevent straining
  15. Wear well fitted shoes while ambulating.
  16. Apply a cool compress to site with any soft tissue trauma. The nurse is caring for a client diagnosed with heat exhaustion. Which finding by the nurse suggests a problem?
  17. Temperature 101 degrees F (38.3 degrees C)
  18. Hot, dry skin
  19. Profuse sweating
  20. Headache - Solution 2. Hot, dry skin When shopping at the mall, a nurse witnesses an individual collapse in cardiac arrest. A bystander begins CPR while the nurse opens an automatic external defibrillator (AED) brought by security. What critical actions should the nurse perform before delivering a shock? Select all that apply
  1. Apply defibrillator pads to bare skin.
  2. Verify that synchronizer button is on.
  3. Continue CPR until advised to deliver shock.
  4. Stop CPR while machine analyzes the rhythm.
  5. Shout "clear" prior to activating shock button.
  6. Apply cream under de-fib pads to prevent burns. - Solution 1. Apply defibrillator pads to bare skin.
  7. Continue CPR until advised to deliver shock.
  8. Stop CPR while machine analyzes the rhythm.
  9. Shout "clear" prior to activating shock button. Which statement made by a 67 year old client who recently retired indicates to the nurse that client has developed ego integrity?
  10. "I want to make my mark on the world."
  11. "I am satisfied with my life so far."
  12. "I wish I could go back and fix the mistakes I have made."
  13. "Life is too short. I have more living to do." - Solution 2. "I am satisfied with my life so far." A client has just developed an abdominal wound evisceration post bowel resection. In what position should the nurse place the client?
  14. Sims' position.
  15. Dorsal recumbent.
  16. Right side lying in the fetal position.
  17. Supine, head of bed at 15 degrees with knees and hips bent. - Solution
  18. Supine, head of bed at 15 degrees with knees and hips bent. A client newly diagnosed with Celiac disease is being instructed on a gluten-free diet. What statement by the client would indicate to the nurse that further teaching is needed?
  19. "I will still have occasional abdominal discomfort."
  20. "I may need to take iron or vitamin supplements."
  21. "I can have eggs but no wheat toast for breakfast."
  22. "I should avoid fresh apples and strawberries." - Solution 4. "I should avoid fresh apples and strawberries." The nurse is planning an activity for the client who has a diagnosis of paranoid schizophrenia. Which activity would be most appropriate for the client?
  23. A game of Scrabble with peers