Railway Staff Nurse Exam CBT Question Answers

1. Which one of the following four clients is most likely to tolerate pain best?

A. a client with rheumatoid arthritis

B. a client who has terminal cancer in stage 1 of grief

C. an athlete having a knee surgery to prolong his career

D. a client who has a migraine headache

Ans: C

2. The nurse notices that the client has a hematocrit of 70 percent. This level of hematocrit will most likely affect the

vital signs in which of the following ways?

A. The blood pressure will be elevated.

B. The pulse will be low.

C. Temperature will be elevated.

D. Blood pressure will be low.

Ans: A

3. It is most likely that an acutely ill client will need the room temperature set at which of the following temperatures?

A. 64 degrees F

B. 68 degrees F

C. 74 degrees F

D. 78 degrees F

Ans: D

4 . When a client's skin is dry, which of the following nursing interventions would be most helpful?

A. Limit bathing to once or twice a week.

B. Bathing is daily, but no soap is used.

C. Bathing daily with mineral oil added to the water.

D. Bathing with lotion instead of water.

Ans: A

5 . When reading an autopsy report, the nurse encounters the term "mid-sagittal plane." This nurse understands that

this means the body was viewed using a plane that matched which of the following descriptions?

A. This plane cuts the body horizontally.

B. This plane divides the body into front and back portions.

C. The body is separated into left and right equal portions.

D. The body is divided using an X across the chest.

Ans: C

6 . Which of the following words represents the basic unit of all life and is the simplest structure that possesses all

the characteristics of life: organization, metabolism, responsiveness, homeostasis, growth, and reproduction?

A. the cell

B. a gene

C. a chromosome

D. the organelles

Ans: A

7 . When charting in the client's record or chart, the nurse most needs to do which one of the following things?

A. Date and sign each entry.

B. Chart every two hours.

C. Use ballpoint pen and not pencil.

D. Cross out errors so others can't read them.

Ans: A

8 . Your assigned client has encephalitis, and there are other cases in the community. In a team meeting regarding

your client and prevention of other cases of encephalitis, the nurse supervisor talks about breaking the chain of infection at

the second link: the reservoir. You realize the nurse supervisor is talking about which of the following things?

A. an area for the storage and filtering of water

B. a place where the microorganism enters the body

C. the place where the microorganism naturally lives

D. the microorganism itself

Ans: C




9 . Which of the following statements is an OBRA regulation that the nurse must keep in mind when considering

applying a restraint to a client?

A. Apply physical restraints as a first-choice intervention in fall prevention.

B. The physician's order for restraints must be time limited.

C. Verbal or telephone orders for restraints must be signed within 72 hours.

D. Restraints cannot be applied if a family member objects.

Ans: B

10. The nurse is checking the placement of a nasogastric tube prior to giving medication and a feeding. Which of the following is the preferred and most accurate method of testing?
A. Insert 5 to 20 mm of air into the tube while listening over the stomach with a stethoscope.
B. Aspirate 20 to 30 ml of gastrointestinal secretions and test the pH.
C. Insert 15 to 20 cc of water into the stomach and listen with the stethoscope.
D. Place an open end of the tube into a glass of water and check for bubbles.
Ans: B

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