Railway Staff Nurse Exam Question Answers

1. The nurse finds that a newborn has a mean systolic pressure of 75 mmHg. How would this blood pressure be best

described?

A. Normal

B. slightly low

C. very low

D. slightly high

Ans: A

2. You are cleaning a client's partial dentures, which have a metal clasp. Which of the following actions are best on

your part?

A. Place a washcloth in the sink where you are cleaning.

B. Remove the partial dentures by the metal clasp.

C. Use hot water to rinse the dentures after cleaning.

D. Soak the partial plate with the metal clasp overnight.

Ans: A

3 . You highly suspect that your assigned client has abdominal distention. You most need to do and chart which of the

following things?

A. Have another nurse verify your suspicions.

B. Measure the abdominal girth at the umbilicus.

C. Measure abdominal girth at the most distended level.

D. Ask the client if they are distended.

Ans: C

4 . The skeletal system acts as a storehouse for calcium, which is a very important component in muscle contractions,

as well as which of the following activities in the body?

A. producing testosterone

B. preventing seizures

C. making lymph

D. blood clotting

Ans: D

5 . The nurse is sending some lab results to the primary physician's office. The nurse most needs to do which of the

following things?

A. Make a note that the fax was sent and what time it was sent in the nurses' notes.

B. Document a follow-up telephone call verifying the receipt of information and who received it.

C. Leave a note to the physician in the client's record saying what information was faxed and when.

D. Check with the laboratory to see if they have already provided the physician with the results.

Ans: B

6 . A client asks you how to best prevent vaginal infections. Your best answer would include which of the following

statements?

A. "I would suggest a vinegar douche."

B. "The pH of the vaginal secretions stops many disease-producing bacteria."

C. "Drinking cranberry juice will prevent most all of the vaginal infections."

D. "Your doctor can prescribe a medication that will prevent vaginal

E. infections."

Ans: B

7 . When instructing the family of a client who has diabetes with neuropathy causing impaired skin sensitivity, you

would stress the importance of which one of the following things in regard to showering or bathing?

A. cleaning the tub or shower with full-strength peroxide

B. drying well after the shower or bath

C. applying lotion after the shower or bath

D. a method for assuring the water temperature is not hot

Ans: D




8 . Which of the following statements best describes a wellness nursing diagnosis for an individual, family,
or community?
A. clinical judgment of transition to a higher level of wellness
B. nursing judgment that in some area no pathology exists
C. a judgment that in some area there is more wellness than illness
D. statement of an area of family strength to use in interventions
Ans: A

9. The newborn infant's stomach capacity is approximately which of the following in milliliters?
A. 50
B. 90
C. 120
D. 160
Ans: B

10 . In Virginia Henderson's 1966 definition of nursing, a person/client has which of the following numbers of
fundamental needs ?
A. 7
B. 14
C. 18
D. 22
Ans: B

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