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MCQs Chapter 1 (Nursing)

5000+ MCQs for Nursing Students and Nursing Interviews and Other Nursing Plateforms like NTS, HAAD, DHA, MOH, and other Exames.

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MCQs no 01 t- 50

  1. When a nurse is tried under criminal law, the nurse is being brought to trial by:
    1. society as a whole.
    2. the plaintiff’s lawyer.
    3. an organization.
    4. an individual.
  2. The newly licensed practical/vocational nurse begins work on a hospital unit where LPNs/LVNs are allowed to start intravenous fluids. The physician orders intravenous fluids to be started on one of this nurse’s assigned clients. Which of the following actions would be most necessary on the part of this newly hired and newly licensed nurse before starting an intravenous on the client?
    1. Check the hospital policy and check on any certification required.
    2. Ask another nurse to do a supervised check on administering IVs.
    3. Ask one of your nursing-school instructors to refresh your skills.
    4. Take a continuing-education IV course to make sure you have the skills.
  3. When working as a licensed vocational nurse, you determine that your client scheduled for surgery does not understand the physician’s earlier explanation of the surgery. The client is asking many questions about the risks and seems worried. Which of the following actions would be best on your part?
    1. Quickly explain the surgery procedures and the risks to the client.
    2. Cancel the surgery.
    3. Ask your supervising RN to explain the surgery procedure and its risks.
    4. Notify the physician.
  4. You are the nurse working with an elderly, competent client who refuses a vitamin B injection ordered by the physician. The family insists that this injection be given, and you give it while the client is objecting. Even though the client improves, the client contacts a lawyer. From your knowledge of nursing and the law, you realize that you:
    1. did the right thing because the client improved.
    2. should have had the family put their request in writing.
    3. have commited an assault against the client.
    4. have committed an act of battery against the client.
  5. When an LVN/LPN is working for a health-care organization that has professional liability insurance, the nurse needs to base a decision on whether to buy individual professional liability insurance on which of the following things?
    1. the possibility that the organization could countersue the nurse in a lawsuit
    2. the cost of professional liability insurance to the nurse
    3. the amount and type of coverage the health-care organization carries
    4. the number of hours worked and the type of nursing work
  6. When documenting an assigned client’s record during and at the end of the shift, the nurse must keep in mind which of the following facts?
    1. In order to get the care done for all assigned clients, the charting must be as brief as possible.
    2. The proper format, such as SOAP or PIE, as chosen by the hospital, must be adhered to.
    3. The chart is a legal document and may be all a nurse has to support care that was given if called to court.
    4. Clients need to be assessed and the care documented at least once every hour during the shift.
  7. When the licensed practical/vocational nurse is checking the physician’s orders against the medication record prior to setting up medications, the nurse discovers a medication error made on the previous shift. The nurse reports this error to the supervising nurse. Which of the following persons will need to fill out an incident report?
    1. licensed practical/vocational nurse who discovered the error
    2. licensed nurse who committed the medication error the previous shift
    3. supervising nurse who is in charge of the nursing care unit
    4. primary nurse assigned to this client the previous day
  8. You are a student nurse working as a part-time or temporary nursing assistant in a nursing home. The nurse on duty asks you to insert a nasogastric tube in a patient. You have recently passed an examination on putting in a nasogastric tube. Which of the following actions is best on your part?
    1. Go ahead and insert the nasogastric tube.
    2. Ask the nurse to supervise you while you insert the tube.
    3. Call your school instructor for help with your decision.
    4. Tell the nurse that you cannot legally insert this tube.
  9. According to the nursing code of ethics, when working as a nurse and a conflict comes up between your client’s needs and what the family and/or the physician wants, and/or the hospital policies, your first loyalty is to the:
    1. hospital.
    2. client.
    3. family.
    4. physician.
  10. Which of the following strategies can most help you as a nurse to enhance your ethical practice and client advocacy?
    1. reading a book on religions of the world
    2. examining and clarifying your own values
    3. talking with peers about their beliefs and values
    4. buying a nursing book on ethical decisions
  1. Which of the following actions by a practical/vocational nursing student represents the best example of deductive reasoning?
    1. observing that a client is constipated then doing some data gathering on client’s health practices
    2. assessing a client using Maslow’s Hierarchy, then defining client’s problem in terms of nutrition
    3. suspecting that a client is not being truthful and checking other sources for information
    4. identifying several alternative courses of action and deciding on the best course of action
  2. In the daily practice of nursing, nurses use critical thinking in:
    1. setting priorities for the day.
    2. every decision that is made.
    3. calling the pharmacy to obtain a medication.
    4. checking supplies in the client’s room.
  3. When the nurse problem solves and has implemented a solution from several solutions identified, the nurse most needs to do which of the following things?
    1. Discard the solutions that were not selected for implementation.
    2. Implement a second solution, comparing its usefulness with the first solution.
    3. Evaluate the effectiveness of the solution implemented.
    4. Consider the problem solving completed in this case.
  4. Using Strader’s seven-step decision-making process, the nurse needs to first identify the purpose. What must the nurse do next?
    1. Decide who will be involved in the decision.
    2. Enlist the cooperation of the client.
    3. Set the criteria.
    4. Identify solutions.
  5. Nurses, as they progress in their education, will most likely do which of the following things?
    1. Learn to develop a personal theory of nursing.
    2. Become less interested in bedside nursing.
    3. Lose their ability to think critically in clinical areas.
    4. Have increased enjoyment when doing paperwork.
  6. When nurses assist clients in exploring their lifestyle habits and health behaviors to identify health risks, nurses are most likely to use which of the following models?
    1. medical model
    2. wellness models
    3. psychosocial model
    4. physiological model
  7. The lowest level of needs in Maslow’s Hierarchy of Needs is which of the following?
    1. safety and security needs
    2. love and belonging needs
    3. physiologic needs
    4. self-esteem needs
  8. In Hildegard Peplau’s Interpersonal Relations Model, the focus is on which of the following?
    1. individual
    2. community
    3. larger society
    4. Family
  9. In Virginia Henderson’s 1966 definition of nursing, a person/client has which of the following numbers of fundamental needs ?
    1. 7
    2. 14
    3. 18
    4. 22
  10. Which of the following therorists stressed energy fields in their nursing theory?
    1. Dorothea Orem
    2. Helen Neuman
    3. Rosemarie Parse
    4. Martha E. Rogers
  11. Which of the following reasons is the most important, as well as the most widely accepted, reason for nurses using nursing process?
    1. Increase the unique body of knowledge known as nursing.
    2. Help clients meet their actual and potential health problems.
    3. Communicate with other members of the team.
    4. Standardize the care of clients with the same diagnoses.
  12. The primary source of data for the client’s database is which of the following sources?
    1. nurse’s recording of health history
    2. recent clinic or hospital records
    3. physician’s history and physical
    4. Client
  13. Which of the following statements best describes a wellness nursing diagnosis for an individual, family, or community?
    1. clinical judgment of transition to a higher level of wellness
    2. nursing judgment that in some area no pathology exists
    3. a judgment that in some area there is more wellness than illness
    4. statement of an area of family strength to use in interventions
  14. When reading the nursing-care plan of a newly assigned client prior to caring for this client, the LPN/LVN will notice that potential problems are stated using how many parts in the statement?
    1. One
    2. Two
    3. Three
    4. Four
  15. The physician writes an order for “progressive ambulation, as tolerated.” The RN writes an order for “Dangle for 5 min. 12 h post op and stand at bedside 24 h post op.” The LVN assigned to care for this client should do which of the following?
    1. Call the physician for clarification of the ambulation orders.
    2. Check with the State Board of Nursing for an opinion.
    3. Check client’s vital signs before dangling or standing client.
    4. Dangle or stand client only if they are agreeable to this.
  16. When does the nurse chart an intervention that involves administering medication to a client?
    1. before the end of shift
    2. before the next dose of medication or treatment is due
    3. within one hour
    4. Immediately
  17. When writing goals/outcomes for clients, the nurse should do which of the following?
    1. Combine related diagnoses and write a goal or goals for this set.
    2. Write goals that the treatment team believes are important.
    3. Involve the client in determining the goals/desired outcomes.
    4. Combine no more than two nursing diagnoses per goal.
  18. The client you are assigned to has four nursing diagnoses. Which of the following would you assign the highest priority?
    1. chest pain related to cough secondary to pneumonia
    2. self-care deficit related to activity intolerance secondary to sleep-pattern disturbance
    3. risk for altered family processes secondary to hospitalization
    4. self-esteem deficit situational
  19. Which of the following activities on the part of the nurse most demonstrates individualization of the nursing-care plan for a client?
    1. Include client’s preferred times of care and methods used.
    2. Write the care plan instead of taking it off the computer.
    3. Use a care plan from a book but add some things to it.
    4. Select nursing diagnoses that match the client’s problems
  20. You are doing the evaluation step of the nursing process and find that two of the goals for the client have not been met. Which of the following actions would be best on your part?
    1. Stop working on these goals, as evaluation is the last step.
    2. Assess client’s motivation for complying with the care plan.
    3. Reassess problem and then review care plan and revise as needed.
    4. Determine if the client has a knowledge deficit causing nonattainment.
  1. When you discover an electrical fire and decide you need a fire extinguisher, you will need to find a fire extinguisher that is rated for which class of fire?
    1. Class A
    2. Class B
    3. Class C
    4. Class E
  2. Which of the following statements is an OBRA regulation that the nurse must keep in mind when considering applying a restraint to a client?
    1. Apply physical restraints as a first-choice intervention in fall prevention.
    2. The physician’s order for restraints must be time limited.
    3. Verbal or telephone orders for restraints must be signed within 72 hours.
    4. Restraints cannot be applied if a family member objects.
  3. When restraining a client in bed with a sleeveless jacket (vest) with straps, you will do which of the following things?
    1. Tie the straps to the side rails.
    2. Tie the straps to the movable part of the bed frame.
    3. Tie the straps with a square knot.
    4. Tie the straps with a quick-release knot.
  4. When you encounter the victim of an electrical-current injury who is still holding an electrical appliance, you would do which of the following things first?
    1. Move the client to a safe place immediately.
    2. Unplug the electrical cord before moving client.
    3. Shut off the electrical current.
    4. Check for a carotid pulse and for respirations.
  5. 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?
    1. cleaning the tub or shower with full-strength peroxide
    2. drying well after the shower or bath
    3. applying lotion after the shower or bath
    4. a method for assuring the water temperature is not hot
  6. The nurse finds that an assigned client is restless, agitated, and confused and is thinking of restraining the client. Which of the following questions is most important for the nurse to ask?
    1. “Which restraint is most appropriate?”
    2. “Will I be able to get an order for a restraint?”
    3. “What is the underlying cause of the restless, agitated, confused behavior?”
    4. “Could I try some medication to relax the client prior to using restraints?”
  7. The nurse giving discharge instructions advises the client to get out of bed slowly and to get up in stages from lying to sitting to standing. The client understands that the reason for doing this is:
    1. to prevent falls.
    2. to improve circulation.
    3. as a warm-up exercise.
    4. to increase oxygenation.
  8. Which of the following interventions on the part of the nurse would most help a confused ambulatory client find their room?
    1. having large room numbers on the door
    2. placing a picture on the door
    3. giving hourly reorientation to the correct room
    4. pinning the client’s room number on their attire
  9. When assessing the noise level that clients are exposed to, the nurse is aware that levels below which of the following number of decibels is usually safe in terms of hearing?
    1. 85
    2. 95
    3. 110
    4. 120
  10. 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?
    1. “Let’s think of how to reduce your fear, as I must stay a distance away.”
    2. “I will be right there with you, and I will hold your hand so you won’t be afraid.”
    3. “It is not necessary to be afraid, as nothing bad will happen to you.”
    4. “I will see if I can get permission from your doctor and the X-ray department.”
  11. A true pathogen will cause disease or infection:
    1. in a healthy person.
    2. only in an immuno-compromised person.
    3. in persons with allergy to the pathogen.
    4. in very few people.
  12. A client asks you to explain viruses. Which of the following statements would be true and therefore best to include in your answer?
    1. “Viruses are the most common agent causing infection.”
    2. “Viruses are commonly found in the intestinal tract.”
    3. “Viruses must enter into living cells to reproduce.”
    4. Candida is one of the most common viruses.”
  13. The nursing supervisor has asked the staff to reduce the number of iatrogenic infections on the unit. Which of the following actions on your part would contribute to reducing iatrogenic infections?
    1. teaching correct hand washing to assigned clients
    2. using correct procedures in starting and caring for an intravenous infusion
    3. properly bagging soiled linens and disposed items used for a client in isolation
    4. isolating a client who has just been diagnosed as having tuberculosis
  14. 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?
    1. an area for the storage and filtering of water
    2. a place where the microorganism enters the body
    3. the place where the microorganism naturally lives
    4. the microorganism itself
  15. On a home visit, you notice some dust on a vent in your client’s room and on the windowsill. Which of the following methods would you teach the family to use for removing dust?
    1. Use a damp cloth to remove the dust.
    2. Use a feather duster to remove dust.
    3. Vacuum up the dust.
    4. Use a broom covered with a cloth.
  16. A client asks you how to best prevent vaginal infections. Your best answer would include which of the following statements?
    1. “I would suggest a vinegar douche.”
    2. “The pH of the vaginal secretions stops many disease-producing bacteria.”
    3. “Drinking cranberry juice will prevent most all of the vaginal infections.”
    4. “Your doctor can prescribe a medication that will prevent vaginal
    5. infections.”
  17. You would refer to the early phase of scar tissue formation as which of the following kinds of tissue?
    1. Keloid
    2. Cicatrix
    3. granulation
    4. Fibrous
  18. Which of the following situations represents the best example of passive immunity?
    1. a child receiving a vaccination for measles
    2. an infant receiving breast milk from the mother
    3. production of antibodies by a person with infection
    4. a person receiving antibiotics for an infection
  19. You are working with a client who has cancer and is undergoing treatment. The client complains of a loss of appetite. You will most need to make certain that your client eats which one of the following foods?
    1. fresh fruits
    2. raw vegetables
    3. carbohydrates
    4. Protein
  20. Your assigned client has a leg ulcer that has a dressing on it. During your assessment, you find that the dressing is wet. The client admits to spilling water on the dressing. What action would be best on your part?
    1. Reinforce the dressing with a dry dressing.
    2. Remove wet dressing and apply new dressing.
    3. Dry the dressing with a hair dryer.
    4. Let the room air dry the dressing.

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