exam

Question 1

Urinary retention is:

Answer 1

a condition where your bladder doesn’t empty all the way or at all when you urinate

Question 2

The patient is an 86-year-old male who is incontinent at night. An appropriate
alternative to catheterisation for this patient would be:

Answer 2

uridome at night

Question 3

The mechanism of action of the oral laxative docusate sodium (coloxyl) is:

Answer 3

helps stimulate movement and soften stools

Question 4

The nurse begins to suspect faecal impaction in a patient who has not passed a stool in
10 days when the patient

Answer 4

ado pain

• liquid stool - overflow
• malaise
• persistent urge
• bleeding-
• absent bowel sounds in LLQ
• distended lower abdomen
• tenderness on palpation
• dull sound on percussion

Question 5

An elderly patient states that she is worried because she has not had a bowel movement
each day. The nurse’s best response concerning defecation patterns for elderly people
would be:

Answer 5

ask what usual patterns are

Question 6

Ascites is defined as:

Answer 6

abnormal accumulation of fluid within the peritoneal cavity/ abdomen
causes swelling

Question 7

What is a normal finding on palpation of the abdomen?

Answer 7

the abdomen is non-tender and soft with no guarding, no palpable masses felt

Question 8

When inspecting a client’s abdominal contour, the nurse observes the abdomen to be
sunken with the lower edges of the ribs visible. The nurse describes and documents
this as:

Answer 8

concave

scaphoid

Question 9

A nurse asks a patient to turn their palm down with the elbows straight. The specific
joint movement the nurse is testing for is:

Answer 9

pronation of the elbow

Question 10

A client who presents in the medical centre with lower limb pain following a motor vehicle
accident requires a musculoskeletal assessment. When completing the assessment,
the nurse should apply all of the following principles except:

Answer 10

asking the client to move the joint quickly whilst applying pressure

Question 11

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

Answer 11

full active and painless ROM with no crepitus

bilateral equal muscle strength

Question 12

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 12

nursing diagnosis

Question 13

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

Answer 13

how many assist
- lite assessment
brakes off on hoist

Question 14

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

Answer 14

• falls risk

- tripping hazard

Question 15

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

Answer 15

• medication
• patient
• dose
• time
• reason
• route
• documentation

Question 16

A person with a normal gait should demonstrate all of the below actions, except:

Answer 16

• coordinated movements, able to maintain balance [posture and body alignment during moving
  (pick one that isnt these)

Question 17

A nurse administers medication to a patient. Who has the ultimate responsibility for the
medication to be administered correctly?

Answer 17

the nurse

Question 18

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 18

identification of the patient, check correct medication

Question 19

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

Answer 19

what the drug does to the body

Question 20

A nurse needs to document that a medication has been administered under the tongue.
What term would they use?

Answer 20

sublingual

Question 21

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

Answer 21

orally 4 x daily

Question 22

Three common complications of diabetes mellitus are:

Answer 22

• decreased sensation in the peripheries
• poorly controlled BGL
• changes in weight
• changes in appetite
• frequency of urination
• frequency of thirst
• glaucoma

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

Clinical manifestation symptoms are things like frequency of urination ect… looking for answer like …….
hyponatraemia

Question 24

John Smith has a history of Type 2 Diabetes Mellitus. As the nurse, you are performing
a risk assessment. Identify a modifiable risk factor for John:

Answer 24

insufficient exercise/ sedentary lifestyle

Question 25

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

Answer 25

nephropathy

Question 26

Three common complications of diabetes mellitus are:

Answer 26

• decreased sensation in the peripheries
• poorly controlled BGL
• changes in weight
• changes in appetite
• frequency of urination
• frequency of thirst
• glaucoma

Question 27

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 27

3 months 90 days

Question 28

Which of the following statements, regarding T1D, is true:

Answer 28

total inability to produce insulin

Question 29

You are working in a family planning centre and providing an education session on
genital warts. Information you provide includes:

Answer 29

HPV vaccine

• personal hygiene
• STI checks
• contraception/ protection
• frequency of tests

Question 30

Which of the following is NOT a bacterial sexually transmitted infection?

Answer 30

genital warts

Question 31

An early sign/symptom of syphilis is:

Answer 31

a painless sore on the genitals

Question 32

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

Answer 32

• men cannot get breast cancer
• always hereditary
• healthy people don’t get it
• wearing a bra can cause it

Question 33

Folate is a particularly important nutrient for which patient group?

Answer 33

• pregnant women
• expectant mothers
• trying to conceive

Question 34

Which age and gender are MOST at risk of developing an iron deficiency?

Answer 34

• women of childbearing age.

- pregnant women.

Question 35

Foods permitted on a clear, liquid diet include all the following except:

Answer 35

anything you can’t see through

Question 36

What type of diet is most likely to prevent constipation?

Answer 36

high fibre

Question 37

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 37

• pureed diet
• sit up 90 degrees
• assisted feeding
• small spoon
• double swallow
• thickened fluids
• supervision

Question 38

Identify the condition that is not an abnormality of the nose:

Answer 38

epistaxis
- deviation of the septum
- cleft palate 
- rhino
rhinosinusitis 
- sinusitis (nasal obstruction)
- Nasalpolyips

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

• apply barrier cream
• 2 hourly turns
• air mattress
• mobilising
• incontinence tests
• pressure cushion
• no wrinkles in sheets
• keep dry

Question 40

The tissue surfaces of an incision that are brought together are described as:

Answer 40

• primary intention healing

- stitches

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
activity
mobility
nutrition 
moisture level
and friction/shear

Question 42

The haemostasis phase of wound healing is characterised by:

Answer 42

coagulation
slowing of blood loss
clotting

Question 43

The nurse observes that the client has a pressure injury on their right heel. There is full
thickness loss of the dermis. The nurse can see subcutaneous fat, but no muscle or
bone. Classify the stage of the pressure injury as:

Answer 43

stage 3

Question 44

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

Answer 44

• what day/ month/ time
• what is your name?
• who am i?
  time place person and location

Question 45

The nurse uses a surgical aseptic technique when:

Answer 45

procedures are technically complex and invasive

Question 46

Delirium is characterised by:

Answer 46

• confusion
• disorientation
• restlessness
• acute or sudden onset of confusion, agitation, decrease in cognition and awareness/ orientation
• is treatable

Question 47

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

Answer 47

• base of the skull
• top of spine
• occipital bone

Question 48

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

Answer 48

headache
malaise
difficulty swallowing sore throat
flu-like symptoms

Question 49

You are inspecting your clients spinal symmetry and assessing their posture. you identify that the client has kyphosis. This is

Answer 49

outward curve of spine in upper back

dorsally exaggerated thoracic curve

Question 50

what is the term given to an unexpected effect of a medication

Answer 50

adverse effect