BNMN502 MCQ Exam

Question 1

While taking a health history from your client, a 53-year-old female, she discloses to you that she sometimes experiences urinary incontinence when she sneezes and laughs. What would be the most appropriate response to this information??

Answer 1

Ask her how long has this been going on for you/is it a new thing? Has she done anything for it and identify any other signs and symptoms.

Question 1

Urinary Retention is..

Answer 1

the inability to empty one’s bladder completely or at all

Question 2

The nurse notes that a patient has had a black, tarry stool and recalls that a possible cause would be

Answer 2

bleeding in the stomach or upper GI tract, a change in diet or medication.

Question 3

A patient states that they are worried because they have not had a bowel movement each day. The nurse’s best response concerning defecation patterns would be

Answer 3

to enquire as to their dietary and fluid intake, any changes including any changes in medication or lifestyle.

Question 4

Which of the following statements regarding the ageing adult and abdominal assessment is true:

Answer 4

…

Question 5

What is a normal finding on palpation of the abdomen?

Answer 5

Abdomen soft to touch with no masses, swelling, pain, and rigidity.

Question 6

During report the student nurse hears that a patient has ‘hepatomegaly’ and recognises that the term refers to:

Answer 6

Enlarged liver

Question 7

When inspecting a client’s abdominal contour, the nurse observes the abdomen to be swollen and distended. The nurse describes and documents this as:

Answer 7

protuberant

Question 8

A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she must perform the following movement:

Answer 8

Elbow Flexion

Question 9

You are inspecting your client’s spinal symmetry and assessing their posture. You identify that the client has scoliosis. This is:

Answer 9

S-shaped curvature of the spinal column

Question 10

The nurse is examining the ROM of a client’s shoulder. Which of the following is a normal finding?

Answer 10

Full range of motion (180 degree), no pain. Smooth coordinated movements.

Question 11

You are caring for Mr Smith who has been admitted following a mechanical fall. You are reviewing his nursing care plan. Which component of the care plan indicates that the patient’s problems have been appropriately described?

Answer 11

Nursing Diagnosis

Question 12

When using a mobile hoist with a dependent patient, identify the correct rule

Answer 12

only operate if you have received full training, keep the passage clear, ensure correct size of sling for patient, etc…

Question 13

The older person’s tendency to take smaller steps with feet close together will mostly likely result in

Answer 13

a higher falls risk due to reduced balance.

Question 14

The most significant problem with restricted mobility is:

Answer 14

degradation of cardiovascular, respiratory, gastrointestinal, and musculoskeletal functioning.

Question 15

What is the prime purpose for maintaining a fluid balance chart for a hospitalised client?

Answer 15

Allows medical/care team to monitor fluid input and output.

Question 16

To ensure safe administration of medications the nurse must be aware of the seven rights of medication administration. These are the right:

Answer 16

Right Individual, Right Medication, Right Dose, Right Time, Right Route, Right Documentation, Right Response.

Question 17

What is the term given to an unexpected effect of a medication?

Answer 17

Adverse Reaction

Question 18

What should a nurse be familiar with when administering medications to patients?

Answer 18

The Seven rights

Question 19

While the nurse is administering medication, the patient states, “This pill looks different to what I usually take.” What is the correct practice in this situation?

Answer 19

To immediately stop administering the medication and check the pharmacy/prescription records.

Question 20

A nurse administering medications has many responsibilities including knowledge of pharmacodynamics. Pharmacodynamics is best described as:

Answer 20

what the drug does to the body.

Question 21

A prescription states that the nurse needs to administer a medication immediately. What abbreviation would be used to stipulate this order?

Answer 21

STAT

Question 22

The prescription for a patient instructs the nurse to administer flucloxacillin 250 mg p.o. QID. How and when is the medication to be administered?

Answer 22

250mg orally four times a day.

Question 23

Mary Brown is 17 years old and presents with a diagnosis of Type 1 Diabetes Mellitus. Clinical manifestations associated with T1D include all the following, except?

Answer 23

Unanswerable without options

Question 24

Microvascular complications of diabetes mellitus include damage to the kidney. This is called

Answer 24

renal disease, or diabetic nephropathy

Question 25

Measures of glycosylated haemoglobin, such as HbA1c, monitor glucose control over a period of time, relative to the average life span of a red blood cell. This is normally:

Answer 25

2-3 Months

Question 26

Three common complications of diabetes mellitus are:

Answer 26

peripheral vascular disease, foot damage, diabetic retinopathy (vision damage), diabetic neuropathy (nerve damage), cardiovascular disease.

Question 27

Which of the following statements regarding Type 1 Diabetes is true?

Answer 27

…

Question 28

A nurse is assessing a person with Type 1 Diabetes and notices that they are confused, have cold and clammy skin and are complaining of feeling dizzy. These are symptoms of:

Answer 28

Hypoglycaemia, low blood sugar.

Question 29

A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive regular examinations because this virus makes her at a higher risk for:

Answer 29

cervical cancer

Question 30

Which of the following is a bacterial sexually transmitted infection?

Answer 30

chlamydia, gonorrhoea and syphylis

Question 31

An early sign/symptom of syphilis is:

Answer 31

Small, painless open ulcers or sores on genitals, mouth, skin or rectum.

Question 32

You are providing education to a women’s group on breast cancer. Identify the factor below that is incorrect:

Answer 32

Cannot answer this without list of possible answers.

Question 33

The nurse is providing nutritional information to the mother of a 1-year-old child. Which of the following statements represents accurate information for this age group?

Answer 33

cannot answer without list of possible answers

Question 34

Folate is a particularly important nutrient for which patient group?

Answer 34

Women of childbearing age

Question 35

During the assessment of a 20-year-old patient with a 3-day history of nausea and vomiting, the nurse notes the following: dry mucosa and deep vertical fissures in the tongue. The finding is reflective of:

Answer 35

Dehydration

Question 36

A patient who has had a stroke is assessed by the nurse. The nursing diagnosis identified for the patient is: risk of aspiration related to dysphagia and left sided facial weakness. An appropriate technique for the nurse to use when assisting the patient to eat is to:

Answer 36

Implement postural changes that aid swallowing, angle, have them sit upright or adjust bed to have patient closer to 90-degree angle. Use thickening agent for liquids.

Question 37

The tissue that connects the tongue to the floor of the mouth is the:

Answer 37

Lingual frenulum

Question 38

A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth. During the assessment the nurse finds the following: areas of buccal mucosa that are raw and red with some bleeding as well as other areas that have a white, cheesy coating. The nurse recognises that this abnormality is

Answer 38

Candida albicans, thrush, oral yeast infection.

Question 39

An elderly patient, who has recently had a stroke, is assessed by the nurse as having a reddened area over the coccyx. To prevent this from progressing the nurse decides to:

Answer 39

perform a Braden scale assessment and develop a plan for 2 hourly position changes to prevent further pressure wound development or progression of the original injury

Question 40

What is the definition of debridement?

Answer 40

The medical removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue.

Question 41

There are several instruments for assessing patients who are at risk of developing a pressure injury. The Braden Scale is commonly used. What risk factors are assessed using the Braden Scale?

Answer 41

Sensory perception, moisture, activity, mobility, nutrition, friction and shear.

Question 42

The haemostasis phase of wound healing is characterised by:

Answer 42

Platelet aggregation

Question 43

The nurse observes that the client’s skin on their right elbow is reddened, with a small abrasion, representing partial-thickness loss of the dermis. Classify the stage of the pressure injury as:

Answer 43

Early stage 2

Question 44

The nurse uses a surgical aseptic technique when:

Answer 44

carrying out a procedure that is invasive? Dressing wounds, PICC lines, catheters.

Question 45

An effective question to assess orientation in a mental health assessment may include:

Answer 45

asking them what scenario/situation brought them here to this appointment?

Question 46

You are caring for Mrs X and her daughter Jane phones accusing staff of physically abusing her mother. Jane is very angry and upset and you recognise that the situation needs to be de-escalated. What is an appropriate approach with Jane?

Answer 46

Respond with empathy? Tell her that you are so sorry to hear this and would like to know more so that you can solve the problem.

Question 47

Delirium is characterised by:

Answer 47

Acute change in mental status, inattention, disorganised thinking, altered level of consciousness.

Question 48

The nurse is performing a lymph node assessment on a client who has been complaining of a sore throat. In palpating for the tonsillar lymph nodes, the nurse must position the pads of their fingers in which position?

Answer 48

Just below the angle of the mandible.

Question 49

Which symptoms are commonly associated with enlarged head and neck lymph nodes?

Answer 49

Upper respiratory infection, fever.