Chapter 13: Nursing MCQs for Exams, Interviews and Entry Tests
5000 Plus Nursing MCQs for Exams, Entry Test and Job Interviews. MCQs are an important tool used in nursing education to test the knowledge and understanding of nursing students. These questions can cover a wide range of topics related to nursing practice, such as anatomy and physiology, pharmacology, nursing ethics, nursing theories, and more. MCQs are often used in nursing exams and assessments to evaluate students’ comprehension and ability to apply theoretical concepts to real-world scenarios.
601 to 650 MCQs for Nursing Exams, Interviews and Entry Tests
These questions can cover a wide range of topics related to nursing practice, such as anatomy and physiology, pharmacology, nursing ethics, nursing theories, and more.
601 to 650 MCQs
- The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such a client is:
- Setting realistic limits ✔️
- Encouraging the client to express remorse for behavior
- Minimizing interactions with other clients
- Encouraging the client to act out feelings of rage
- A client with a diagnosis of passive-aggressive personality disorder is seen at the local mental health clinic. A common characteristic of persons with passive-aggressive personality disorder is:
- Superior intelligence
- Underlying hostility ✔️
- Dependence on others
- Ability to share feelings
- Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning?
- A 6-month-old
- A 4-year-old ✔️
- A 10-year-oldO
- A 13-year-old
- An important intervention in monitoring the dietary compliance of a client with bulimia is:
- Allowing the client privacy during mealtimes
- Praising her for eating all her meals
- Observing her for 1-2 hours after meals ✔️
- Encouraging her to choose foods she likes and to eat in moderation
- The nurse is preparing a client with an axillo-popliteal bypass graft for discharge. The client should be taught to avoid:
- Using a recliner to rest
- Resting in supine position
- Sitting in a straight chair ✔️
- leeping in right Sim’s position
- While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse’s initial action should be to:
- Call the doctor ✔️
- Recheck the vital signs
- Obtain arterial blood gases
- Obtain an ECG
- The nurse is caring for a client with peripheral vascular disease. To correctly assess the oxygen saturation level, the monitor may be placed on the
- Abdomen
- Ankle
- Earlobe ✔️
- Chin
- Dalteparin (Fragmin) has been ordered for a client with pulmonary embolis. Which statement made by the graduate nurse indicates inadequate understanding of the medication?
- “I will administer the medication before meals.”
- “I will administer the medication in the abdomen.”
- “I will check the PTT before administering the medication.” ✔️
- “I will not need to aspirate when I give Dalteparin.”
- The client has a prescription for a calcium carbonate compound to neutralize stomach acid. The nurse should assess the client for:
- Constipation ✔️
- Hyperphosphatemia
- Hypomagnesemia
- Diarrhea
- A client who has been receiving urokinase has a large bloody bowel movement. What nursing action would be best for the nurse to take immediately?
- Administer vitamin K IM
- Discontinue the urokinase
- Reduce the urokinase and administer heparin
- Stop the urokinase, notify the physician, and prepare to administer amicar ✔️
- Which of the following best describes the language of a 24-month-old?
- Doesn’t understand yes and no
- Understands the meaning of words
- Able to verbalize needs ✔️
- Continually asks “Why?” to most topics
- In terms of cognitive development, a 2-year-old would be expect ed to:
- Think abstractly
- Use magical thinking ✔️
- Understand conservation of matter
- See things from the perspective of others
- The nurse is ready to begin an exam on a 9-month-old infant. The child is sitting in his mother’s lap. What should the nurse do first?
- Check the Babinski reflex
- Listen to the heart and lung sounds 11
- Palpate the abdomen
- Check tympanic membranes
- Which of the following examples represents parallel play?
- Jenny and Tommy share their toys.
- Jimmy plays with his car beside Mary, who is playing with her doll. ✔️
- Kevin plays a game of Scrabble with Kathy and Sue.
- Mary plays with a handheld game while sitting in her mother’s lap.
- The nurse is taking the blood pressure of an obese client. If the blood pressure cuff is too small, the results will be:
- A false elevation
- A false low reading ✔️
- A blood pressure reading that is correct
- A subnormal finding
- The client is admitted with thrombophlebitis and an order for heparin. The medication should be administered using:
- Buretrol
- A tuberculin syringe ✔️
- Intravenous controller
- Three-way stop-cock
- The client is admitted to the hospital in chronic renal failure. A diet low in protein is ordered. The rationale for alow-protein diet is:
- Protein breaks down into blood urea nitrogen and metabolic waste. ✔️
- High protein increases the sodium and potassium lev els.
- A high-protein diet decreases albumin production.
- A high-protein diet depletes calcium and phosphorous
- The client is admitted to the unit after a motor vehicle accident with a temperature of 102°F rectally. The nurse is aware that the most likely explanation for the elevated temperature is:
- There was damage to the hypothalamus. ✔️
- He has an infection from the abrasions to the head and face.
- He will require a cooling blanket to decrease the tem perature.
- There was damage to the frontal lobe of the brain.
- The nurse is caring for the client following a cerebral vascular accident. Which portion of the brain is responsible for taste, smell, and hearing?
- Occipital
- Frontal
- Temporal 11
- Parietal
- A 20-year-old is admitted to the rehabilitation unit following a motorcycle accident. Which would be the appropriate method for measuring the client for crutches?
- Measuring five finger breaths under the axilla
- Measuring 3 inches under the axilla ✔️
- Measuring the client with the elbows flexed 10°
- Measuring the client with the crutches 20 inches from the side of the foot
- The nurse is doing bowel and bladder retraining for the client with paraplegia. Which of the following is not a factor for the nurse to consider?
- Dietary patterns
- Mobility
- Fluid intake
- Sexual function ✔️
- The client returns to the recovery room following repair of an intrathoracic aneurysm. Which finding would require further investigation?
- Pedal pulses bounding and regular
- Urinary output 20mL in the past hour ✔️
- Blood pressure 108/50
- Oxygen saturation 97%
- The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching?
- “I will have blood drawn every month.”
- “I will assess my skin for a rash.”
- “take aspirin for a headache.” ✔️
- “I will use an electric razor to shave.”
- A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with:
- Hypothyroidism ✔️
- Diabetic ulcers
- Ulcerative colitis
- Pneumonia
- The nurse has just received shift report and is preparing to make rounds. Which client should be seen first?
- The client who has a history of a cerebral aneurysm with an oxygen saturation rate of 99%
- The client who is three days post-coronary artery bypass graft with a temperature of 100.2°F
- The client who was admitted 1 hour ago with short ness of breath ✔️
- The client who is being prepared for discharge follow ing a femoral popliteal bypass graft
- The doctor has ordered antithrombolic stockings to be applied to the legs of the client with peripheral vascular disease. The nurse knows that the proper method of applying the stockings is:
- Before rising in the morning ✔️
- With the client in a standing position
- After bathing and applying powder
- Before retiring in the evening
- The doctor has ordered a patient-controlled analgesia (PCA) pump for the client with chronic pain. The client asks the nurse if he can become overdosed with pain medication using this machine. The nurse demonstrates understanding of the PCA if she states:
- “The machine will administer only the amount that you need to control your pain without your taking any action.”
- “The machine has a locking device that prevents over dosing to occur.” ✔️
- “The machine will administer one large dose every 4 hours to relieve your pain.”
- “The machine is set to deliver medication only if you need it.”
- The 84-year-old male has returned from the recovery room follow ing a total hip repair. He complains of pain and is medicated by morphine sulfate and promethazine. Which medication should be kept available for the client being treated with opoid analgesics?
- Nalozone (Narcan) ✔️
- Ketorolac (Toradol)
- Acetylsalicylic acid (aspirin)
- Atropine sulfate (Atropine)
- The nurse is taking the vital signs of the client admitted with can cer of the pancreas. The nurse is aware that the fifth vital sign is:
- Anorexia
- Pain ✔️
- Insomnia
- Fatigue
- The client with AIDS tells the nurse that he has been using acupuncture to help with his pain. The nurse should question the client regarding this treatment because acupuncture:
- Uses pressure from the fingers and hands to stimulate the energy points in the body
- Uses oils extracted from plants and herbs
- Uses needles to stimulate certain points on the body to treat pain ✔️
- Uses manipulation of the skeletal muscles to relieve stress and pain
- The client has an order for heparin to prevent post-surgical throm bi. Immediately following a heparin injection, the nurse should:
- Aspirate for blood
- Check the pulse rate
- Massage the site
- Check the site for bleeding ✔️
- Which of the following lab studies should be done periodically if the client is taking sodium warfarin (Coumadin)?
- Stool specimen for occult blood ✔️
- White blood cell count
- Blood glucose
- Erthyrocyte count
- The doctor has ordered 80mg of furosemide (Lasix) two times per day. The nurse notes the patient’s potassium level to be 2.5meq/L. The nurse should:
- Administer the Lasix as ordered
- Administer half the dose
- Offer the patient a potassium-rich food
- Withhold the drug and call the doctor ✔️
- The doctor is preparing to remove chest tubes from the client’s left chest. In preparation for the removal, the nurse should instruct the client to:
- Breathe normally
- Hold his breath and bear down ✔️
- Take a deep breath
- Sneeze on command
- The nurse identifies ventricular tachycardia on the heart monitor. Which action should the nurse prepare to take?
- Administer atropine sulfate
- Check the potassium level
- Administer an antiarrythmic medication such as Lidocaine ✔️
- Defibrillate at 360 joules
- A client is being monitored using a central venous pressure monitor. If the pressure is 2cm of water, the nurse should:
- Call the doctor immediately ✔️
- Slow the intravenous infusion
- Listen to the lungs for rales
- Administer a diuretic
- The nurse is evaluating the client’s pulmonary artery pressure. The nurse is aware that this test will evaluate:
- Pressure in the left ventricle
- The systolic, diastolic, and mean pressure of the pulmonary artery ✔️
- The pressure in the pulmonary veins
- The pressure in the right ventricle
- The physician has ordered atropine sulfate 0.4mg IM before surgery. The medication is supplied in 0.8mg per milliliter. The nurse should administer how many milliliters of the medication?
- 0.25mL
- 0.5mL ✔️
- 1mL
- 1.25mL
- If the nurse is unable to illicit the deep tendon reflexes of the patella, the nurse should ask the client to:
- Pull against the palms ✔️
- Grimace the facial muscles
- Cross the legs at the ankles
- Perform Valsalva maneuver
- A client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which of the following should be reported to the doctor?
- An elevated white blood cell count ✔️
- An abdominal bruit
- A negative Babinski reflex
- Pupils that are equal and reactive to light
- A 4-year-old male is admitted to the unit with nephotic syndrome. He is extremely edematous. To decrease the discomfort associated with scrotal edema, the nurse should:
- Apply ice to the scrotum
- Elevate the scrotum on a small pillow ✔️
- Apply heat to the abdominal area
- Administer a diuretic
- A client who has chosen to breastfeed complains to the nurse that her nipples became very sore while she was breastfeeding her older child. Which measure will help her to avoid soreness of the nipples?
- Feeding the baby during the first 48 hours after delivery
- Breaking suction by placing a finger between the baby’s mouth and the breast when she terminates the
feeding ✔️ - Applying warm, moist soaks to the breast several times per day
- Wearing a support bra
- The nurse asked the client if he has an advance directive. The reason for asking the client this question is:
- She is curious about his plans regarding funeral arrangements.
- Much confusion can occur with the client’s family if he does not have an advanced directive. ✔️
- An advanced directive allows the medical personnel to make all decisions for the client.
- An advanced directive allows active euthanasia.
- The doctor has ordered a Transcutaneous Electrical Nerve Stimulation (TENS) unit for the client with chronic back pain. The nurse teaching the client with a TENS unit should tell the client:
- “You may be electrocuted if you use water with this unit.”
- “Please report skin irritation to the doctor.” ✔️
- “The unit may be used anywhere on the body without fear of adverse reactions.
- “A cream should be applied to the skin before applying the unit.”
- The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following as a late-occurring symptom of oral cancer?
- Warmth
- Odor
- Pain ✔️
- Ulcer with flat edges
- An obstetrical client decides to have an epidural anesthetic to relieve pain during labor. Following administration of the anesthesia, the nurse should:
- Monitor the client for seizures
- Monitor the client for orthostatic hypotension
- Monitor the client for respiratory depression ✔️
- Monitor the client for hematuria
- The nurse is performing an assessment of an elderly client with a total hip repair. Based on this assessment, the nurse decides to medicate the client with an analgesic. Which finding most likely prompted the nurse to decide to administer the analgesic?
- The client’s blood pressure is 130/86.
- The client is unable to concentrate.
- The client’s pupils are dilated.
- The client grimaces during care. ✔️
- The registered nurse is conducting an in-service for colleagues about peptic ulcers. The nurse would be correct in identifying which of the following as a causative factor?
- N. gonorrhea
- H. influenza
- H. pylori ✔️
- E coli
- N. gonorrhea
- The nurse is caring for the patient’s post-surgical removal of a 6mm oral cancerous lesion. The priority nursing measure would be to:
- Maintain a patent airway ✔️
- Perform meticulous oral care every 2 hours
- Ensure that the incisional area is kept as dry as possible
- Assess the client frequently for pain using the visual analogue scale
- The nurse is assisting in the care of a patient with diverticulosis Which of the following assessment findings would necessitate a report to the doctor?
- Bowel sounds of 5-20 seconds
- Intermittent left lower-quadrant pain
- Constipation alternating with diarrhea
- Hemoglobin 26% and hematocrit 32 ✔️
The importance of MCQs in nursing education cannot be overstated. Nursing is a demanding and complex field that requires a high level of knowledge and skill. Nurses are responsible for the care of patients, and they must be able to make informed decisions quickly and effectively. MCQs help to ensure that nursing students are adequately prepared for the challenges they will face in their careers by testing their knowledge of the key concepts and principles that underpin nursing practice.
One of the primary benefits of MCQs is that they provide a standardized way of assessing nursing students’ knowledge. Unlike open-ended questions or essay questions, which can be subjective and difficult to grade consistently, MCQs are designed to be objective and straightforward. Each question has a clear right or wrong answer, which makes it easier for instructors to evaluate students’ performance and compare their results to those of their peers.
Another advantage of MCQs is that they can be used to test a broad range of knowledge and skills. Nursing MCQs can cover a variety of topics, from basic anatomy and physiology to complex pharmacology and nursing interventions. This allows instructors to evaluate students’ understanding of the full spectrum of nursing practice and identify areas where they may need additional support or instruction.
MCQs can also be used to assess different levels of learning. For example, some questions may test students’ recall of basic facts and concepts, while others may require them to apply their knowledge to solve a problem or make a clinical judgment. By using a mix of different types of questions, instructors can get a more comprehensive picture of each student’s strengths and weaknesses and tailor their instruction accordingly.
There are some potential drawbacks to using MCQs in nursing education, however. One concern is that MCQs may not accurately reflect the complexity of nursing practice. Nursing is a field that requires a high degree of critical thinking, problem-solving, and clinical judgment, and MCQs may not fully capture these skills. Additionally, some nursing students may struggle with multiple-choice questions, particularly if they have learning disabilities or other challenges that affect their ability to process information quickly.
Despite these concerns, however, MCQs remain an important tool in nursing education. They provide a standardized and objective way of assessing nursing students’ knowledge, and they can cover a broad range of topics and levels of learning. With careful design and implementation, MCQs can be an effective way to evaluate nursing students’ performance and ensure that they are adequately prepared for the challenges they will face in their careers.
Possible References Used
