1. Which of the following groups of patients should receive a lower dose of lorazepam (Ativan)?
a. Elder and Native-American patients
b. Children and Asian patients
c. Children and elder patients
d. Children, elder, and Asian patients

2. Managing adequately during the first procedure, usually helps reduce the
anxiety associated with future procedures.
a. pain
b. nausea
c. anxiety
d. sedation
e. the family

3. . Adverse effects to olanzapine (Zyprexa) occur most commonly in the ______ system.
a. central nervous
b. integumentary
c. cardiovascular
d. gastrointestinal


1. Celecoxib is indicated for relief of symptoms of
A. osteoarthritis
B. cancer
C. hepatitis
D. muscle spasm

2. is one category of drugs likely to cause allergic reactions.
A. diuretics
B. antibiotics
C. Digoxin
D. Insulin
E. antiemetics

3. A patient is being discharged after the insertion of a permanent pacemaker. Which statement made by the patient indicates an understanding regarding appropriate self-care?
Please choose from one of the following options.
A. Every morning I will perform arm and shoulder stretches.
B. Each day I’ll take my pulse and record it in a log.
C. I’ll have to get rid of my microwave oven.
D. I won’t be able to use my electric blanket anymore.


1. A client presents to the clinic requesting a renewal of her prescription for oxycodone (Percocet). What should the NP do?

A. Decline to provide the prescription

B. Renew the prescription and document the action taken

C. Assess the client and conduct appropriate investigations

D. Perform a medication reconciliation prior to prescribing

Answer: A. Decline to provide the prescription

2.  Which of the following symptoms might a client with right-sided heart failure exhibit?
A. Adequate urine output
B. Polyuria
C. Polydipsia
D. Oliguria

Answer: d. Oliguria

3. A father expresses concerns about his son’s upcoming surgery. The nurse listens to the father's concerns and validates his feelings. What component of the nurse-client relationship is the nurse demonstrating?

A. Professional intimacy


1. Which of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease?
a. Decrease anxiety
b. Educate the client about his symptoms
c. Administer sublignual nitroglycerin
d. Enhance myocardial oxygenation

Answer: d. Enhance myocardial oxygenation

2. A physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient?

a. Furosemide (Lasix).
b. Calcium carbonate.
c. Clarithromycin (Biaxin).
d. Naproxen sodium (Naprosyn)

Answer: d. Naproxen sodium (Naprosyn).
3. Dyspnea, cough, expectoration, weakness, and edema are classic signs and symptoms of which of the following conditions?
a. Restricitve
b. Hypertension


1. In which organ are nutrients absorbed and returned to the blood stream?
A. esophagus
B. large intestine
C. small intestine
D. stomach

2.  Whilst recovering from surgery a patient develops deep vein thrombosis. The sign that would
indicate this complication to the nurse would be:
A. Pitting edema of the area
B. Intermittent claudication
C. Severe pain when raising the legs
D. Localized warmth and tenderness of the site

3. What muscle pushes digesting food along in a wave-like action?
A. tongue
B. heart
C. stomach
D. esophagus

4. In which organ does most of digestion take place?
A. gall bladder
B. small intestine
C. liver
D. heart


1. The breakdown of___________is called " haemolysis ".

2. "Ovaries " are__________in numbers.
A. 2
B. 5
C. 3
D. 1

3. "INSULIN " are basicallay a ______________.
a. Proteins
b. Hormones
c. Enzymes
D. Glucose

4. "Epistaxis "means bleeding from the____________
A. Mouth
B. Ear
C. Nose
D. None of the above


Questions 1 to 8 are about Sonia Chinnappa Kukkunoor, aged 45 years, who is an arranged admission to the ward for a surgical investigation, where you are working as an enrolled nurse.

1. Sonia’s blood pressure, pulse, respiration rate and temperature are recorded on admission. The reason for this is
a) to give an indication of Sonia’s usual baseline recordings.
b) to indicate whether Sonia is a suitable for surgery.
c) to observe how anxious Sonia is.
d) because it is routine for all admissions.

Before surgery Sonia must sign an informed consent form for the operation.
2. Which of the following conditions must be met, to ensure the validity of Sonia’s consent for the operation?
a) Her relatives must have knowledge of the procedure to be performed.
b) The agreement must be witnessed by a registered medical practitioner.
c) The consent must be obtained at least an hour before surgery is begun.
d) She must have sufficient information to make an informed decision.

3. Sonia is to have nothing to eat or drink prior to surgery. This is necessary to
a) assist in the proper absorption of the anesthetic.
b) prevent nausea and vomiting immediately after surgery.
c) avoid the danger of her inhaling stomach contents.


1. Which of the following illnesses is the leading cause of death in the US?
a) Cancer
b) Renal failure
c) HIV Disease
d) Coronary artery disease
e) None of the above

Answer:  d. Coronary artery disease

2. A patient who has just had a miscarriage at 8 weeks of gestation is admitted to hospital. In
caring for this patient, the nurse should be alert for signs of:
a) Hemorrhage
b) Subinvolution
c) Dehydration
d) Hypertension
e) None of the above

Answer:  a) Hemorrhage

3. Which of the following arteries primarily feeds the anterior wall of the heart?
a) Circumflex artery
b) Left anterior descending artery
c) Internal mammary artery
d) Right coronary artery
e) None of the above

Answer:  b) Left anterior descending artery

4. A patient presents to the emergency department with diminished and thready pulses,
hypotension and an increased pulse rate. The patient reports weight loss, lethargy, and decreased
urine output. The lab work reveals increased urine specific gravity. The nurse should suspect:
a) Renal failure
b) Dehydration
c) Pneumonia
d) Mal Nutrition


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1. A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse LEAST likely to find in an abusing parent?

A. Low self-esteem.
B. Unemployment.
C. Self-blame for the injury to the child.
D. Single status.

Answer: C. Self-blame for the injury to the child.

2. The nurse is conducting nutrition counseling for a patient with cholecystitis. Which of the following information is important to communicate?

A. The patient must maintain a low calorie diet.
B. The patient must maintain a high protein/low carbohydrate diet.
C. The patient should limit sweets and sugary drinks.
D. The patient should limit fatty foods.

Answer: D. The patient should limit fatty foods.

3. Which of the following complications is indicated by a third heart sound (S3)?
A. Ventricular dilation
B. Systemic hypertension
C. Aortic valve malfunction
D. Increased atrial contractions

Answer: D. The patient should limit fatty foods.

4. A single tablet (0.5g) of chlorine is sufficient to disinfect :
A) 10 litres of water 
B) 15 litres of water
C) 20 litres of water 
D) 25 litres of water


1. A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern?

A. Gastro Enteritis
B. Viral gastroenteritis.
C. Colon cancer.
D. Bowel perforation

Answer: D. Bowel perforation

2. Which of the following classes of drugs is most widely used in the treatment of cardiomyopathy?
a. Antihypertensive
b. Beta-adrenergic blockers
c. Calcium channel blockers
d. Nitrates

Answer: b. Beta-adrenergic blockers

3. What is the definitive test used to diagnose an abdominal aortic aneurysm?
a. Abdominal X-ray
b. Arteriogram
c. Ultrasound
d. CT scan


1. All of the following can result from overpressurization during abdominal insufflation with CO2 except:

A) Postoperative neck and shoulder pain
B) Hypocarbia
C) Regurgitation and aspiration
D) Decreased respiratory effort and cardiac output

Answer: B) Hypocarbia

2. A do-not-resuscitate order is most likely to be suspended and CPR performed if the patient experiences cardiac arrest in the preoperative period because of:

A) Drug reaction
B) Advanced cancer
C) Acute myocardial infarction
D) Sepsis

Answer: A) Drug reaction

3. A nurse is assessing a clinic patient with a diagnosis of hepatitis

A. Which of the following is the most likely route of transmission?
A. Sexual contact with an infected partner.
B. Contaminated food.
C. Blood transfusion.
D. Illegal drug use.

Answer: Click here

4. Metoclopramide may be given as a preoperative medication in order to:

A) Relieve discomfort
B) To control secretions
C) Relieve apprehension
D) Reduce risk of aspiration

Answer: D) Reduce risk of aspiration

5.  A patient with Addison's disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is NOT recommended?

A) A diet high in grains.
B) A diet with adequate caloric intake.
C) A high protein diet.
D) A restricted sodium diet.

Answer: Click here

6. A patient with an Aldrete score of 7 in the PACU will generally be:

A) Transferred out of the PACU to the surgical unit
B) Transferred out of the PACU into the ICU
C) Returned to the OR
D) Retained in the PACU until condition improves

Answer: D) Retained in the PACU until condition improves


1. Four clients arrive in the emergency room. Which client should receive priority?
a) The client with burns of the chest and neck
b) The client with gastroenteritis
c) The client with a migraine headache
d) The client with a fractured tibia

Answer: a) The client with burns of the chest and neck

2.  The nurse observes the nursing assistant speaking harshly to an elderly client. Which action is most appropriate?
a) Ask the nursing assistant to speak in a lower tone because he is disturbing the other clients
b) Report the nursing assistant to the charge nurse
c) Reassign the nursing assistant to a younger client
d) Call the nursing assistant aside to discuss the observation


3.A category four tornado has injured 50 people from the community. The nurse is responsible for in field triage. According to triage protocol, which client should betreated last?
a) The 30-year-old with lacerations to the neck and face
b) The 70-year-old with chest pain and shortness of breath.
c) The 6-year-old with fixed, dilated pupils who is nonresponsive
d) The 40-year-old with tachypnea and tachycardia

Answer: b) The 70-year-old with chest pain and shortness of breath.

4. The nurse with 5 years experience in the emergency roomThe nurse is preparing to make rounds. Which client should be seen first?:
a) A 1-year-old with hand-and-foot syndrome
b) A 69-year-old with congestive heart failure
c) A 40-year-old with resolving pancreatitis
d) A 56-year-old with Cushing’s disease


1. A patient Named Deepa George with a history of diabetes mellitus is in the second post-operative day following cholecystectomy. She has complained of nausea and isn't able to eat solid foods. The nurse Reena enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient's symptoms?

a. Anesthesia reaction.
b. Diabetic ketoacidosis.
c. Hypoglycemia.
d.  Hyperglycemia.
e. None of the Above

Answer: C. Hypoglycemia.

2. Atherosclerosis impedes coronary blood flow by which of the following mechanisms?
a. Plaques obstruct the vein
b. Hardened vessels dilate to allow the blood to flow through
c. Blood clots form outside the vessel wall
d. Plaques obstruct the artery
e. None of the Above

Answer: d. Plaques obstruct the artery

3. Nurse Mr. Kavya Shree caring for several patients on the cardiac unit is told that one is scheduled for implantation of an automatic internal cardioverter-defibrillator. Which of the following patients is most likely to have this procedure?

a. A patient with a history of ventricular tachycardia and syncopal episodes.
b. A post-operative coronary bypass patient, recovering on schedule.
c. A patient admitted for myocardial infarction without cardiac muscle damage.
d. A patient with a history of atrial tachycardia and fatigue.
e. None of the Above

Answer: a. A patient with a history of ventricular tachycardia and syncopal episodes.


The nurse informs a graduate nurse on a postpartum unit that the human chorionic gonadotropin (HCG) would no longer be detected in the client’s blood at:
A) One week postpartum
B) Two days postpartum
C) Four weeks postpartum
D) One hour postpartum

Answer: A) One week postpartum


1. When nurses are assigned specific tasks for care of patients is referred as :
1) functional method
2) patient method
3) team method
4)  Nursing method
5) None of the above

2. Nurse researcher can use one of the following methods for collecting data from large number of people :
1) Questionnaire
2) Survey Method
3) Discussion
4) Telephonic interview
5) None of the above

3. Nurse researcher should review all of the following before conducting a study except :
1) Old research reports
2) Only published documents
3) Journals
4) Thesis