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MCQs Chapter 3 (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 101 t- 150

  1. 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?
    1. “Incident report completed.”
    2. the reason the client was unattended
    3. the vital signs and assessment of the client
    4. location of the incident report
  2. When the physician telephones to order a therapy such as a medication for the client of a student nurse, who is the best person to take this telephone order?
    1. whoever is authorized by hospital policy
    2. the student nurse giving the client’s care
    3. the student nurse’s instructor
    4. any licensed nurse on duty
  3. The nurse is sending some lab results to the primary physician’s office. The nurse most needs to do which of the following things?
    1. Make a note that the fax was sent and what time it was sent in the nurses’ notes.
    2. Document a follow-up telephone call verifying the receipt of information and who received it.
    3. Leave a note to the physician in the client’s record saying what information was faxed and when.
    4. Check with the laboratory to see if they have already provided the physician with the results.
  4. In the Problem Oriented Medical Record documentation system (POMR), which of the following answers best represents the person or persons who may contribute to the problem list representing the client’s physiologic, psychologic, social, cultural, spiritual, developmental, and environmental needs?
    1. the primary nurse
    2. the assigned social worker
    3. registered nurses and the physician
    4. all caregivers
  5. When working in a facility that uses focus charting, the nurse will use which of the following as a focus of care?
    1. problems identified in the initial assessment
    2. maximum level of functioning
    3. client identified goals and objectives
    4. client concerns and strengths
  6. When the nurse’s assigned client is being discharged to another institution or a home setting where a visit by the community health nurse is required, which of the following information is most likely to be included in the discharge and referral summaries?
    1. unresolved health-care problems and continuing care needs
    2. an assessment of the family’s financial assets and deficits
    3. a copy of the discharge order signed by the physician
    4. a new plan of care for the client and the family
  7. 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?
    1. the cell
    2. a gene
    3. a chromosome
    4. the organelles
  8. Which of the following cells of the body are in almost constant mitosis?
    1. nerve cells
    2. stomach cells
    3. muscle cells
    4. renal cells
  9. Where is ribosomal RNA used in protein synthesis produced?
    1. organelles
    2. mitochondria
    3. Golgi apparatus
    4. Centrioles
  10. Tissue in the urinary bladder called transitional epithelium is best described in which of the following ways?
    1. changes from cuboidal to columnar
    2. are single layer and not stratified
    3. contain a special elastic substance to aid in expansion
    4. change shape depending on the bladder’s fullness
  11. When teaching someone about endocrine glands, which of the following statements could you use?
    1. “The endocrine glands include sweat and sebaceous glands.”
    2. “Endocrine glands all have at least one duct.”
    3. “Hormones are carried away from the endocrine gland by the blood.”
    4. “There is no epithelial tissue in endocrine glands.”
  12. The vocal cords have and function with which of the following kinds of tissue?
    1. liquid connective tissue
    2. hard connective tissue
    3. fibrous connective tissue
    4. soft connective tissue
  13. The thoracic and abdominopelvic cavities are divided by which of the following body structures?
    1. rib cage
    2. diaphragm
    3. sternum
    4. Stomach
  14. The body’s biggest organ is which of the following components of the body?
    1. large intestine
    2. the skin
    3. small intestine
    4. Kidneys
  15. 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?
    1. producing testosterone
    2. preventing seizures
    3. making lymph
    4. blood clotting
  16. 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?
    1. This plane cuts the body horizontally.
    2. This plane divides the body into front and back portions.
    3. The body is separated into left and right equal portions.
    4. The body is divided using an X across the chest.
  17. The nurse receives a report at the beginning of the shift and learns that the client scores 7 on the Glasgow Coma Scale. The nurse realizes that this client is at which of the following levels of consciousness?
    1. comatose 11
    2. moderate disability
    3. severe disability
    4. fully alert
  18. You partially darken a room and ask the client to look straight ahead. You use a penlight and, approaching from the side you shine the light, it constricts. You remove the light and then shine it on the same pupil again. You also observe the response of the other pupil. You would normally find the other pupil doing which of the following things?
    1. not make any change in size
    2. dilate in an oppositional response to the light
    3. first constrict, then dilate larger than the other pupil
    4. constrict in consensual response
  19. The nurse is preparing to do a focused assessment of the abdomen on an assigned client. Which of the following is most important for the nurse to do prior to the examination?
    1. Have client empty their bladder.
    2. Gather equipment.
    3. place client in semi-Fowler’s position.
    4. Remove any dressings from abdomen.
  20. The physician of your assigned client tells you that the client has a heart murmur that can be detected by direct auscultation. You realize that the physician is telling you which of the following things?
    1. Use of a stethoscope is necessary to hear the murmur.
    2. The murmur can be heard by using only the ear.
    3. An ultrasound is necessary to find this murmur.
    4. A Doplar device will be needed to find the murmur.
  21. When weighing a client daily, you will most need to weigh the client at which of the following times?
    1. when most rested
    2. at the same time each day
    3. after the shower or bath
    4. when higher priorities are completed
  22. When counting the apical pulse during the physical assessment, it is the most accepted practice for the nurse to count the apical pulse in which of the following ways?
    1. for 15 seconds and multiply by four
    2. for 30 seconds and multiply by two
    3. for one minute, checking radial pulse at the same time
    4. for one full minute
  23. 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?
    1. crackles
    2. Rales
    3. adventitious sounds
    4. pleral friction rub
  24. When examining the client’s abdomen, the nurse will most facilitate the examination by positioning the client in which of the following ways?
    1. supine with small pillows beneath knees and head
    2. semi-Fowler’s position with knees extended
    3. sitting in the chair with legs elevated
    4. supine with arms extended and hands behind head
  25. You highly suspect that your assigned client has abdominal distention. You most need to do and chart which of the following things?
    1. Have another nurse verify your suspicions.
    2. measure the abdominal girth at the umbilicus.
    3. Measure abdominal girth at the most distended level.
    4. Ask the client if they are distended.
  26. When a client’s skin is dry, which of the following nursing interventions would be most helpful?
    1. Limit bathing to once or twice a week.
    2. Bathing is daily, but no soap is used.
    3. Bathing daily with mineral oil added to the water.
    4. Bathing with lotion instead of water.
  27. To protect the client’s skin from injury during hygiene care, including bathing or showering, application of lotion, and bed making, you most need to do which of the following things?
    1. Cover your rings and bracelets with gloves.
    2. Briskly dry client’s skin after bath to ensure dryness.
    3. Keep bottom sheets somewhat loose.
    4. Cut your fingernails to a short length.
  28. The skin produces and absorbs which of the following vitamins in conjunction with the ultraviolet rays of the Sun, which activate this particular vitamin’s precursor present in the skin?
    1. vitamin D
    2. vitamin C
    3. vitamin E
    4. vitamin K
  29. You are working with a client who has dentures but does not wear them. When questioned about the reason for not wearing the dentures, the client says it makes him feel old. Which of the following responses would be best?
    1. “You are not really old.”
    2. “It is all right not to wear your dentures.”
    3. “You look better with dentures.”
    4. “Wearing dentures helps gums not to shrink.”
  30. When assessing the client’s hair, you are especially looking for pediculosis capitis. If it is present, which of the following signs will you most likely find?
    1. Oval particles looking like dandruff on the hairs.
    2. Crusts on the scalp, especially at the client’s hairline.
    3. Brown or black threadlike lesions.
    4. Small insects with red legs.
  31. 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?
    1. “Will you please unbraid your hair?”
    2. “Do you have or want oil put on your hair and scalp?”
    3. “Is it all right if I shampoo your hair twice?”
    4. “Will you brush your hair before the shampoo?”
  32. You need to remove the artificial eye of a client, and you need to clean it. Which of the following methods is recommended for removal?
    1. Put pressure on either side of the eye and pop it out.
    2. Apply pressure directly above the eye.
    3. Apply pressure directly to the eye with a small rubber bulb.
    4. Apply pressure with a rubber bulb to lower half of the eye.
  33. It is most likely that an acutely ill client will need the room temperature set at which of the following temperatures?
    1. 64 degrees F
    2. 68 degrees F
    3. 74 degrees F
    4. 78 degrees F
  34. You are cleaning a client’s partial dentures, which have a metal clasp. Which of the following actions are best on your part?
    1. Place a washcloth in the sink where you are cleaning.
    2. Remove the partial dentures by the metal clasp.
    3. Use hot water to rinse the dentures after cleaning.
    4. Soak the partial plate with the metal clasp overnight.
  35. A nurse getting report at the beginning of shift learns that an assigned client has hyperpyrexia. The nurse realizes that this client is experiencing which of the following signs or symptoms?
    1. extreme bleeding of the gums
    2. a very high fever, such as 41°C or 105.8°F
    3. waxy flexibility of the muscles
    4. third-degree burns over much of the body
  36. You are ready to take the client’s oral temperature. You ask this client how long it has been since drinking something hot or cold or smoking. The client admits having just drunk a cup of hot coffee. You will wait how long before taking the temperature?
    1. 5 minutes
    2. 10 minutes
    3. 20 minutes
    4. 30 minutes
  37. In which of the following clients is a rectal temperature most usually contraindicated?
    1. client who has had a myocardial infarction
    2. Client with Parkinson’s disease
    3. client who is prone to seizures
    4. client with neuropathology associated with diabetes
  38. When taking a radial pulse for half a minute, the nurse finds it to be irregular. Which of the following would be best for the nurse to do next?
    1. Take the radial pulse for one minute.
    2. Check the carotid pulse to see if it is irregular.
    3. Assess the apical pulse.
    4. Chart the radial pulse and the irregularities.
  39. The nurse wants to check the popliteal pulse. This pulse can be better palpated if the nurse does which of the following things?
    1. Ask the client to extend the knee.
    2. Have the client flex the knee.
    3. Press lightly on the right side of the front of the knee.
    4. Palpate more deeply than for other pulses.
  40. The nurse positioning a client after surgery will take into account that the position, which most often predisposes a client to physiologic processes that suppress respiration, is which of the following positions?
    1. Fowler’s position
    2. Prone
    3. Supine
    4. left side lying down
  41. The nurse is taking the client’s blood pressure. The physician asks for the pulse pressure. To obtain the pulse pressure, the nurse will have to do which of the following things?
    1. Obtain a pulse-pressure machine.
    2. Subtract the diastolic blood pressure from the systolic.
    3. Subtract the systolic blood pressure from the diastolic.
    4. Take client’s apical pulse and subtract it from systolic.
  42. 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?
    1. The blood pressure will be elevated.
    2. The pulse will be low.
    3. Temperature will be elevated.
    4. Blood pressure will be low.
  43. The nurse finds that a newborn has a mean systolic pressure of 75 mmHg. How would this blood pressure be best described?
    1. Normal
    2. slightly low
    3. very low
    4. slightly high
  44. When working with clients experiencing pain, you will define their pain in regard to whether they have pain or not and how intense it is based on which of the following things?
    1. nursing experience and expertise
    2. the underlying cause of the pain
    3. whatever the experiencing person says it is.
    4. current medical and pharmacological research
  45. When pain impulses are transmitted via the A-delta fibers, which of the following types of pain will your client have?
    1. sharp, pricking pain
    2. throbbing pain
    3. burning pain
    4. intermittent stabbing pain
  46. Your assigned client, who has been talking with the doctor about pain control, later asks you what the doctor meant by “pain threshold.” Which of the following would be the best reply?
    1. the point at which pain medication brings relief
    2. the maximum amount of pain a person can tolerate
    3. the amount of pain the average person can tolerate
    4. the amount of pain stimulation that it takes to cause pain
  47. Which one of the following four clients is most likely to tolerate pain best?
    1. a client with rheumatoid arthritis
    2. a client who has terminal cancer in stage 1 of grief
    3. an athlete having a knee surgery to prolong his career
    4. a client who has a migraine headache
  48. You are caring for a client who has just returned from surgery and has received intravenous morphine minutes before leaving the recovery room. You need to assess the client’s pain now and again at which of the following times?
    1. in 20 to 30 minutes
    2. in one hour
    3. in two hours
    4. in 3 to 4 hours
  49. 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?
    1. primary gains
    2. secondary gains
    3. narcissistic gains
    4. egocentric gains
  50. When giving a client a diagnosis of acute pain, the nurse “using NANDA diagnostic categories” will use this diagnosis only when the pain last no longer than which of the following lengths of time?
    1. 3 days
    2. 2 weeks
    3. 1 month
    4. 6 months

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