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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RRB Staff CBT Question Answers

Q. No. 1 . In Hildegard Peplau's Interpersonal Relations Model, the focus is on which of the following?
A. individual
B. community
C. larger society
D. Family
Ans: A

Q. No. 2. Your assigned client seems to be getting a lot of attention from his mother when he complains of pain. The mother

may be encouraging which of the following types of gains?

A. primary gains

B. secondary gains

C. narcissistic gains

D. egocentric gains

Ans: B

Q. No. 3. The nurse wants to check the popliteal pulse. This pulse can be better palpated if the nurse does which of the

following things?

A. Ask the client to extend the knee.

B. Have the client flex the knee.

C. Press lightly on the right side of the front of the knee.

D. Palpate more deeply than for other pulses.

Ans: B

Q. No. 4. You are preparing to bathe and wash the hair of an African American woman. Which of the following questions

would be most important to ask the client?

A. "Will you please unbraid your hair?"

B. "Do you have or want oil put on your hair and scalp?"

C. "Is it all right if I shampoo your hair twice?"

D. "Will you brush your hair before the shampoo?"

Ans: B

Q. No. 6. While listening to a client's lung sounds, you hear something that you believe is not normal, and you note that it is a

continuous sound. You will chart this as which of the following findings?

A. crackles

B. Rales

C. adventitious sounds

D. pleral friction rub

Ans: C

Q. No. 7 . The body's biggest organ is which of the following components of the body?

A. large intestine

B. the skin

C. small intestine

D. Kidneys

Ans: B

Q. No. 8 . One of your assigned clients gets up to go to the bathroom without calling you. The client falls to the floor and calls for help. You answer the call and alert your supervisor. After assuring that the vital signs are normal and there does not appear to be any injuries, you are told to fill out an incident report. In addition to noting that the client was found on the floor, which of the following statements would you most need to record in the nursing notes for the client?

A. "Incident report completed."

B. the reason the client was unattended

C. the vital signs and assessment of the client

D. location of the incident report

Ans: C

Q. No. 9 . One of your assigned clients who is scheduled for radiation therapy asks you to stay with her during radiation

because she is scared. Your best response to this request would be which of the following responses?

A. "Let's think of how to reduce your fear, as I must stay a distance away."

B. "I will be right there with you, and I will hold your hand so you won't be afraid."

C. "It is not necessary to be afraid, as nothing bad will happen to you."

D. "I will see if I can get permission from your doctor and the X-ray department."

Ans: A




Q. No. 10 . The client you are assigned to has four nursing diagnoses. Which of the following would you assign the highest priority?
A. chest pain related to cough secondary to pneumonia
B. self-care deficit related to activity intolerance secondary to sleep-pattern disturbance
C. risk for altered family processes secondary to hospitalization
D. self-esteem deficit situational
Ans: A

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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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