RPN Practice Test (Aug 2009):

1. Which of the following should the PN draw first if two kinds of insulin are to be combined in one
syringe?
a. Clear insulin first
b. Cloudy insulin first
c. It doesn’t matter which one is drawn up first
d. Shake the vial before withdrawing the insulin

2. What instruction should the PN provide to the client on denture care?

a. Use hot water when cleaning
b. Soak dentures in mouthwash
c. Use sterile gloves when cleaning
d. Use clean hands when cleaning

3. What level the fundus should be at 12 hours post delivery?

a. Two finger breaths below the umbilicus
b. One finger breath above the umbilicus
c. One finger breath below the umbilicus
d. At the level of the umbilicus

4. A client has just delivered a baby 3 hours and is complaining of being unable to void. What should
the practical nurse do?
a. Palpate the bladder
b. Check for distention of the bladder
c. Notify the nurse in charge
d. Encourage the patient to force to void

5. What is the most appropriate care for the episiotomy when the client is complaining pain 3 days
after delivery?
a. Apply ice pack on the perineum
b. Sitz bath
c. Apply topical anesthetics

6. Where would the fundus be on the 3rd post partum?

a. The fundus is palpated on the median
b. The fundus is above the umbilicus
c. The fundus is at the symphysis pubis
d. The fundus is located halfway between the umbilicus and the symphysis pubis

7. What is the appropriate care for a patient with swollen perineum with an episiotomy?
a. Apply ice pack for 30 minutes
b. Apply ice pack for an hour
 c. Apply ice pack for 20 minutes
d. Apply ice pack for 5 minutes

8. A 6 month-old baby is having diarrhea and vomiting. Which of the following assessment
parameter is appropriate?
a. Check for sunken fontanel
b. Check for diluted urine
c. Check for bradycardia
d. Monitor the respiratory rate

9. Which of the following intervention is appropriate for an 8-month-old baby with dehydration?
a. Administer electrolytes or IV D5W and Normal Saline
b. Administer water and ⅔ and ½ IV fluid
c. Administer D10W
d. Administer TPN

10. Which of the following indicate that the wound is infected?

a. Serosanguineous drainage
b. Small purulent drainage
c. Sanguineous drainage
d. Absence of drainage

11. A young lady comes to the community health clinic and asks the PN why she missed her period.
Which of the following question asked by the PN is appropriate?
a. “Are you using birth control pills?”
b. “Could you be pregnant?”
c. “Are you experiencing nausea in the morning?”
d. “Are you on strict diet?”

12. Which of the following is the best site for administering subcutaneous injection?
a. Abdominal
b. Lower back
c. Deltoid
d. Forearms

13. Which of the following is the best site for IM injection in adult?
a. Vastus lateralis
b. Ventrogluteal
c. Dorsogluteal
d. Deltoid muscle
14. When administering an iron injection, what angle do you inject the needle after displacing the skin
laterally?
a. 45°
b. 90°
 c. Parallel to the skin
d. 15°

15. What should the PN do when she aspirates blood when administering IM injection?
a. Discontinue injection and start the procedure again
b. Continue the injecting the medication
c. Change the needle and inject slowly

16. Which of the following is an appropriate way of giving IM “Z” track method?
a. Pull skin laterally
b. Pinch skin
c. Move skin upwards
d. Move skin downwards

17. When administering IM injection, skin irritation during injection, can be reduced by which of the
following?
a. Change the needle after aspirating medication
b. Wipe the needle with sterile gauze
c. Wipe the needle with disinfectant

18. What health teaching would you tell the patient who just had a mastectomy two days in regards to
exercising?
a. Tell her to comb her hair
b. Tell her to take up cycling
c. Tell her to skip rope
d. Tell her to do aerobics

19. Which activities should be avoided by a post mastectomy patient?

a. Lifting grocery shopping bags
b. Combing hair
c. Working in the garden
d. Walking

20. While the PN is getting a blood product for blood transfusion from the blood bank, another nurse
asks her to get blood product for her patient, too. What should the PN do?
a. Get both her patient’s and her colleague’s patient’s blood product
b. Ask her colleague for the room and bed number of her patient
c. Get the patient’s blood product first then return to the blood bank to get the other nurse’s
patient’s blood product
d. Tell her to let the laboratory assistant help her in obtaining the blood from the blood

21. Which among the following is a correct statement about administering a nitroglycerin patch?
a. Press patch at each edge firmly
b. take patch out after a shower
 c. take patch out before shower
d. Leave patch on for 24 hours

22. The patient asks, “Why do I have to receive a Nitro patch when I can get it in a spray form?” What
is an appropriate response?
a. Patch will deliver a continuous dosage of nitroglycerin
b. It works better than a spray
c. It is doctor’s order
d. Only some people can get the nitro spray

23. A patient with a cast on his leg is complaining of pain on his cast. Which of the following is
appropriate?
a. Ask the patient to indicate the exact site and describe the character and intensity of pain
b. Perform capillary refill test to determine if the pain is due to decreased tissue perfusion
c. Determine of the patient wants to have an ice pack applied on the cast to minimize pain and
reduce risk for compartment syndrome

24. Which of the following is a side effect of costocosteroids in a female patient?

a. New hair growth on the leg
b. Hypertension
c. Alopecia
d. Increased libido

25. Mrs. G, 70 years old, with Alzheimer’s is resistive when the PN take shim for a shower. Which is
an appropriate action?
a. Leave the patient alone and return in 20 minutes
b. Have another colleague assists you with the patient’s shower
c. Restrain the patient in the chair
d. Tell him that he must have a bath now and bring him to the shower room

26. Which of the following is appropriate when cleaning the skin around the stoma?
a. Cleanse the area with betadine
b. Swab the area with 70% alcohol
c. Use tap water and mild soap
d. Scrub the area with peroxide

27. When is the best to change the ostomy bag and provide stomal care?
a. In the morning
b. After a shower and breakfast
c. After physiotherapy exercises
d. After dinner

28. How do you give medication when someone is on nasal tube feeding?
a. Deliver the medication quickly to prevent air embolism
 b. Irrigate the tube by adding 100 ml water
c. Keep the patient on supine position after administering medication
d. Place patient in fowler’s position while administering medication

29. Cervical dilation of 7 – 10 cm falls under?

a. Latent phase
b. Active phase
c. Transition phase
d. Second stage of labour

30. When should calcium tablet be given for best absorption?

a. Before meals
b. An hour after meals
c. In the morning
d. Before the patient goes to bed

31. A client is refusing calcium as it upsets his stomach. Which one is appropriate?
a. Give calcium with yogurt
b. Give calcium with green leafy vegetables
c. Give calcium between meals
d. Give calcium with bran cereals

32. Which food should not be given with Coumadin?

a. Beans
b. Bread
c. Orange
d. Broccoli

33. If the client has high blood pressure, which of the following should be reduced in the diet?
a. Sodium
b. Potassium
c. Calcium
d. Iron

34. What kind of toy is appropriate for an 8-month-old infant?

a. Small mobile toys
b. Teddy bear
c. Push toys
d. Shape sorters

35. Which of the following instructions would be most appropriate for the practical nurse to give to
Sandy who is pregnant in regards to nutrition during pregnancy?
a. Eat a balanced diet that includes foods rich in iron
b. It is important to have enough nutrients as you will be eating for two
 c. The goal of your diet is to reduce weight
d. You are probably already obtaining the nutrients you need

36. Sandy, pregnant, develops pregnancy induced hypertension. While being hospitalized, the PN’s
most effective way of helping Sandy decreased her anxiety would be to:
a. Initiate discussion of her condition
b. Post “no visitor” sign on her door
c. Reassure her that everything will be alright
d. Encourage her friends to visit

37. In addition to vital signs, which of the following are the most important for the PN to assess post
delivery:
a. Fundus, lochia, perineum
b. Breast, hemorroids, voiding
c. Breast, fundus, voiding
d. Perineum, hemorroids

38. Sandy decided to breastfeed her baby. Which of the following actions by the PN would most
effectively provide emotional support to Sandy?
a. Encourage Sandy’s breastfeeding efforts by providing assistance
b. Assure Sandy that she has made the right decision
c. Inform the patient that the public health nurse will provide guidance at home
d. Provide patient with written information on breastfeeding

39. A patient tells the nurse that his wife died a year ago and feeling lonely. Which of the following
responses made by the PN is appropriate?
a. “I know how you feel. I lost my mother 3 years ago.”
b. “That’s too bad. Can I get you coffee or tea?”
c. “How have you been coping?”
d. “Was this your first lost?”

40. Which of the following defines informed consent?

a. It is a responsibility of the person performing the procedure
b. Consent can be verbal or written except in emergency
c. Consent prevents delays in completing diagnostic or surgical procedures
d. Consent is only requested when the clients are scheduled for surgery

41. Jason is a 3 year-old boy who sustained brain injury. The PN, during physical assessment, would
performed first:
a. Change in the level of consciousness
b. Change in vital signs
c. Motor deficits
d. Changes in the pupil size
42. A patient was admitted to the ER due to 3 degree burn in her chest sustained from an explosion of
a barbecue grill. Which assessment finding by the PN indicates that the patient is deteriorating?
a. Respiratory rate
b. Pulse oxymetry reading
c. Level of consciousness
d. Extend of burn site

43. Which among the following teaching is the most appropriate for the patient who is being
discharged with colostomy?
a. Refer the patient to some training session on colostomy care
b. Refer the patient to a support group for people with colostomy
c. Teach the patient to avoid foods that produce gas or flatus
d. Teach the patient to change the colostomy bag when it is half-full

44. Which of the following technique is correct when opening a sterile equipment box?
a. Open the box with scissors
b. Open the box by grasping the upper flap of the outer wrap, pulling towards your body
c. Open the box by grasping the upper flap of the outer wrap, pulling away from your body
d. Open the box by grasping the upper flap of the outer wrap to any direction desired

45. The mother is Rh negative and the husband is Rh positive. In which of the following time should
the mother receives RhoGam?
a. During pregnancy
b. After abortion
c. On delivery
d. At delivery

46. Swelling on the newborn’s suture line which did not subside on the 3rd day. What should the PN
advise the mother?
a. To consider it as normal
b. To see the MD
c. Inform her about the medication that is available for the swelling
d. She should wrap the affected site with pressure dressing

47. What is the priority action for the PN to take to a patient who just returned from the Recovery
Room to the ward after mastectomy?
a. Check vital signs
b. Check the respiratory rate
c. Check the level of consciousness
d. Check the dressing for signs of infection

48. You see a male and female patients having intimate sexual encounter in the nursing home. What
would the PN do?
a. Call both the clients and tell them not to do that again
 b. Talk to them and report to the supervisor as appropriate
c. Leave them alone as this is their own private affair
d. Encourage them to express their intimacy as desired

49. The nurse is administering medication for a client. The physician asks the nurse to assist him with
his wound dressing; another patient is calling for assistance to the bathroom; a family member was
calling because her mother (patient) just fell down the bed. Who will be the PN’s priority?
a. The patient who fell out of bed
b. Assist the physician with dressing changes
c. The patient who needs assistance to the washroom
d. Continue administering the medications

50. Mrs. Sam delivered a baby boy through normal vaginal delivery. What kind of vaginal discharge
will you expect in the next 24 hours?
a. Small amount of lochia serosa
b. Medium amount of lochia serosa
c. Scant amount of lochia rubra
d. Moderate amount of lochia rubra

51. Which of the following is a common side effect of vasodilator?

a. Orthostatic hypotension
b. Anorexia
c. Bradycardia
d. Weight loss

52. The physician ordered 5 units of packed cells on a patient who is a Jehovah’s witness. What is an
appropriate action by the PN?
a. Remind the physician that the patient will refuse blood transfusion
b. Administer blood transfusion
c. Administer only half for the first few hours and the rest in another hour
d. Report to the charge nurse

53. The patient requests for a male nurse to attend to him. An appropriate action made by the PN
would be:
a. Explore the reason why he wants a male nurse
b. Inform the patient that you are capable of doing all care for him
c. Change assignment with the male nurse
d. Ignore the patient’s request and continue giving care

54. A terminally ill patient is approaching death as predicted. The family is at the bedside. What
would the PN do to show emotional support to the family?
a. Leave them at the bedside and provide privacy
b. Allow them to stand at the bedside as long as they want to
c. Stay with them and participate with the family
 d. Show the family how to use the call bell so they can call for help anytime they need to

55. What size of needle would you use when administering an intramuscular injection to an obese 31-
year-old patient?
a. 2 inch and gauge 23 needle
b. 1 ½ inch needle and gauge 21
c. 2 inch needle and gauge 18
d. 2 inch needle and gauge 21

56. How would you transfer a post operative patient from stretcher to bed?
a. 1 person transfer
b. 2 person transfer
c. 3 person transfer
d. Ask the patient to transfer himself to the bed

57. A mother brought her 3-year-old son to the community health clinic for immunization. She was
also concern about her son’s eating habits and hyperactive behaviour. Which of the following
responses made by the PN is most appropriate?
a. Let’s sit and talk about your concerns now before the RN gives your son his immunization
b. Why don’t we sit down for a few minutes then I will have the RN give your son his
immunization. After the immunization, then we will talk about your concern on your son’s
behaviour
c. I will give the immunization now and I will call you for a follow up
d. Your son has to be immunized now and I will call you for a follow up

58. Mrs. Plato, who has breast cancer, is afraid that her pain will increase as she approaches death.
How would the PN help address Mrs. Plato’s fear?
a. Assess Mrs. Plato’s pain using the pain scale
b. Report Mrs. Plato’s concern to the nurse in charge
c. Inform Mrs. Plato that she will be kept pain free
d. Assure Mrs. Plato that her level of pain will be assessed frequently

59. The PN is teaching a client how to use crutches. Before initiating the lesson, the nurse performs an
assessment on the client. The priority assessment should include which of the following?
a. The client’s fear related to the use of crutches
b. The client’s understanding of the need for increased mobility
c. The client’s muscle strength and previous activity level
d. The client’s feelings about the restricted mobility

60. The PN is teaching a client with CAD about dietary measures that should be followed. During the
session, the client expresses frustration in learning the dietary regimen. The PN would initially:
a. Identify the cause of frustration
b. Continue with the dietary teaching
c. Notify the physician
 d. Tell the client that the diet needs to be followed

61. The PN is reviewing the plan of care for a child with juvenile arthritis. The PN determines that
which of the following is a priority nursing diagnosis?
a. Disturbed body image
b. Risk for bathing/hygiene self care deficit
c. Risk for injury
d. Acute pain

62. What is the priority nursing intervention before administering Digoxin?

a. Take the apical pulse for one full minute
b. Take the BP
c. Take the respiratory rate for one full minute
d. Take the radial pulse foe one full minute

63. Mrs. Lang, 65 years old, has suffered concussion from a car crash. Which nursing assessment is a
priority for Mrs. Lang?
a. Monitor her level of consciousness (LOC)
b. Assess her respiratory status
c. Assess her brachial pulse
d. Assess her airway

64. The PN is assessing the risk for acquiring pneumonia during hospitalization. Which of the
following patients is at lowest risk?
a. An elderly client on bed rest
b. The client with AIDS
c. A client with spinal cord injury who is immobile
d. Postoperative client is ambulating

65. James is a 16-year-old patient who was admitted to the hospital due to a severe gastroenteritis. He
is very upset and angry about not being able to participate in a baseball tournament. James is on
enteric precaution. Which suggestion should the PN make to provide diversion to James?
a. Encourage James to play video games
b. Encourage James to make crafts
c. Allow James to invite another friend for a game card
d. Allow James to invite his baseball team for a visit

66. The client scheduled for a CT scan of the abdomen asks the PN when the results of the test would
be available. The PN most appropriate response would be?
a. The results won’t be available for at least one week
b. You must ask the CT scan technician for that information
c. Your physician may have the results in about 3 days
d. Every scan is read by a Radiologist and this process always takes one week
67. A wrong tray of food was given to a diabetic client. The PN already observes the client eating the
food. What would be an appropriate action?
a. Check the client’s blood sugar
b. Ask for another food tray
c. Stop the client from eating the food
d. Ask the patient to stop eating and inform the him about the wrong tray and order an
appropriate one

68. The topic discussion in a health education conducted by the PN is on routine circumcision on male
infants. There are varied opinions about the procedure. Some parents agree and others are
opposed. Which of the following responses made by the PN is appropriate for the parents who
were opposed?
a. Did you know that circumcision can cause many complications
b. You should choose your own physician or surgeon
c. Nowadays, physician don’t recommend for male infants to be routinely circumcised
d. Circumcision has no medical implications

69. What is the purpose of ensuring that the uterus has contracted after the mother delivers the baby?
a. To prevent hypotension
b. To prevent hemorrhage and shock
c. To minimize the possible administration of oxytocin
d. To prevent compensatory increase in pulse rate

70. Which measure is of greatest importance to prevent infection when assisting to set up an IV for a
dehydrated patient?
a. Wearing sterile gloves
b. Shaving the IV site
c. Clearing the tubing for air bubbles
d. Using aseptic technique

71. The PN nurse assesses the patient’s back who was admitted with CVA and finds areas that is
reddened from pressure lying on his back. Which action by the nurse will help relieve pressure
sore formation?
a. Rub the reddened area with emollient cream
b. massage the back around the reddened areas
c. Massage the back around the reddened area
d. Rub around the reddened areas with alcohol

72. The PN is preparing a client with an IV infusion for ambulation using a portable, walking IV pole.
Which direction should the PN give to the client?
a. Keep affected limb near the waist
b. Keep affected limb elevated
c. Raise the pole as the fluid level of the bag lower
d. Lower the pole as the fluid level of the bag lowers
73. Which of the following symptoms are common signs of phlebitis?
a. Swelling, warm, red from catheter site along vein
b. Clogging of infusion site
c. Burning at the site
d. Cool, swollen, and blanching of site

74. A new mother refuses to breastfeed her baby because her breasts are painful. What should the PN
do to help the mother?
a. Apply cold compress
b. Use breast pump and pump the breasts
c. Apply warm compress
d. Massage the breasts

75. Mr. Bautista tells the PN that he sometimes experience constipation. How should the PN assist Mr.
Bautista overcome his bowel problem?
a. Verify that he is receiving sufficient fluids
b. Ensure that he is on low fiber diet
c. Offer him a suppository
d. Have him sit on the commode once a day

76. Two units of packed cells are ordered for a male client. What should the PN do before
administering the blood infusion?
a. Ask the client if he knows his blood type
b. Assess and record the client’s vital signs
c. Administer a prophylactic antipyretic medication
d. Determine whether the client is HIV positive

77. The PN is told by a nurse that Gabby, one-year-old, is to have an elbow restraints applied. Which
of the following must the PN take first?
a. Check Gabby’s chart for a physician’s order
b. Explain to Gabby’s parents what is to be done
c. Obtain well padded restraints
d. Consider alternative approaches to restrain Gabby

78. Mrs. F’s pulse usually ranges from 72 to 88 bpm. When the PN takes Mrs. F’s radial pulse it was
104 per minute, the rhythm was regular but it was difficult to feel unless pressure is applied.
Which one is an appropriate description?
a. Tachycardia and dysrhythmia
b. Pulse deficit and orthostatic hypotension
c. Bradycardia and dyspnea
d. Tachycardia and thread pulse
79. Metoprolol tartate has been prescribed for a client with hypertension. Which among the following
is correct about the medication?
a. The common side effect of the drug is tachycardia
b. It is best taken with meal to enhance its absorption
c. It can be crushed in apple sauce for a client with dysphagia
d. It is best taken with one oz of aluminum hydroxide

80. What should the PN do to prepare Mr. R for his surgery?

a. Provide him with information about his surgery prior to signing his operative consent
b. Discuss about his preoperative tests and activities
c. Provide him information about postoperative management
d. Explain the need and extent of his surgery

81. Mr. B reports that his traction device is causing him discomfort on the groin area. Which action
made by the PN is appropriate?
a. I will examine the area tomorrow during your bath time
b. I will get the RN to come and take a look on your next visit
c. Why don’t you mention this to the doctor on your next visit?
d. Describe the discomfort while I examine you

82. Mrs. S refuses dressing change on her left foot. Which approach by the PN is appropriate?
a. Respect the client’s wishes and document the situation
b. Inform the physician of the client’s decision and record in the nursing notes
c. Seek clarification from the nurse in charge regarding the hospital policy and ensure that the
physician is informed
d. Clarify with the client her reason for refusing treatment and notify the nurse in charge of the
patient decision

83. The PN observes a colleague, Jane, slapping a 3-year-old client. What initial action taken by the
PN is appropriate?
a. Suggest to the colleague that she should take some time off
b. Share the observation with another PN
c. Report the observation to the CNO
d. Report the observation to the nurse in charge

84. An aboriginal client wishes to have a “sweet grass smudge” ceremony in her room before her
surgery. What should the PN do?
a. Ask the client to describe the ceremony
b. State that this activity is not allowed in the hospital
c. Invite members of the health team to come and participate in the ceremony
d. Encourage her to go ahead and perform the ceremony
85. The PN receives cues from Mr. C suggesting that he is attracted to her. He has asked her to go out
with him when he leaves the hospital and says, “I love you.” Which response by the PN is
appropriate?
a. “Mr. C, I cannot continue caring for you. You must stop expressing your feeling.”
b. “I also feel a physical attraction towards you, Mr. C. Once you are released from the hospital
perhaps we can go out together.”
c. “Mr. C, the relationship we have is professional. Please, stop this behaviour.”
d. “Please do not say that you love me. Someone may hear you and suspect that I am not being
professional in my relationship with you.”

86. Mrs. B, who has just delivered her first baby, is having difficulty with breast feeding and says, “I
am discourage and I think I am going to give my baby the bottle.” Which statement made by the
PN is most appropriate?
a. “Formula feedings are just as good as breast milk.”
b. “Don’t be discouraged. You will have a lot of time to learn how to breast feed your baby.”
c. “I understand your frustration. Let’s position the baby so that this feeding will be better.”
d. “Bottle feeding is fine, but don’t give up easily.”

87. Nancy, 13 years old, has chlamydial infection and is receiving the appropriate treatment. She
decides to discontinue the treatment and inform the PN of her reasons. What should the PN do?
a. Try to convince Nancy of the importance of treatment
b. Explain to Nancy the consequences of stopping the treatment
c. Inform the physician
d. Inform the nurse in charge

88. Which among the client statement would the PN concerned the most after a major bowel surgery?
a. “Can you get me a blanket?”
b. “I feel very sick. Can you pass me a basin?”
c. “I am surprised that I am not the least bit hungry.”
d. “I feel dizzy. I think I am going to faint.”

89. Which among the following would strongly indicate that an adult is experiencing hypoglycaemic
reaction?
a. Dry, pale skin
b. RR 24
c. Dry, flushed skin
d. Diaphoresis, tremors

90. Mr. D, 65 years old, diagnosed with Multiple Sclerosis is confined to a wheelchair. Which of the
following nursing diagnosis should the PN recognized as the highest priority?
a. “Body image disturbance.”
b. “Impaired verbal communication.”
c. “High for infection.”
d. “Risk for impaired skin integrity.”
91. The PN is answering a call light and discovers that Kristie, 12 years old, has vomited large amount
of gastric contents with streaked of blood. The vomitus is all over Kristie’s gown and on the floor.
After notifying the nurse-in-charge, which action will the PN take next?
a. Collect emesis specimen for the nurse-in-charge to assess
b. Put on gloves and gown before providing care for Kristie
c. Call housekeeping to clean the floor after providing care for Kristie
d. Gown, glove, and mask when providing care for Kristie

92. A patient with DM type II is found by the PN unresponsive. After calling for help, she will also
delegate which of the following to the unregulated worker?
a. Grab a glucometer
b. Check heart rate
c. Give insulin
d. Get the code cart

93. Which position is appropriate when administering vaginal suppository?

a. Sim’s position
b. Sim’s lateral
c. Supine with knees flexed
d. Prone position

94. The patient with dementia was admitted in the nursing home. His wife comes and visits him very
often. When the wife leaves the nursing home, the patient used to cry. But one day, the wife
started screaming at her husband, as she saw him hand-in-hand with another female. What should
the PN do?
a. Tell her that it is inappropriate to scream as it affects other patients
b. Explore her feelings and listen to her concern
c. Tell the husband to forget about his new girlfriend because it’s affecting his wife
d. Recommend marriage counselling

95. A co-worker who works with you is unable to carry out his responsibilities at work. His breath
smells alcohol. What action taken by the PN is appropriate?
a. Inform the nursing supervisor
b. Tell him that his behaviour is inappropriate
c. Tell him to take a nap
d. Help him with his workload

96. The mother delivered a baby that weights 3.368 lbs. Twenty four hours following delivery, the PN
expects which of the possible complications?
a. Dehydration
b. Fever
c. Hemorrhage
d. Respiratory problem on the newborn
97. A mother who just delivered a baby girl informs the PN that she has 5 children at home. When
meeting the needs of the mother, which of the following is appropriate?
a. Referral to social service
b. Provide a safe sex education
c. Recommend home care
d. Connect the mother to the appropriate support group

98. A teen-ager confided to the nurse that she is pregnant and said that she does not want her parents
to know about it. What would be an appropriate respond?
a. The PN says, “It’s my duty to inform your parents.”
b. Explore her concern and ask her why her parents are not to be informed
c. Tell her to inform her parents
d. Inform the physician

99. A 36-year-old was admitted for colostomy. He informs the PN that he is worried about what might
his friends feel when they learned about his colostomy. What would be an appropriate respond by
the PN?
a. “Don’t worry, your friends will not know that you have a colostomy.”
b. “How do you feel when caring for your colostomy?”
c. “How do feel about having a colostomy?”
d. “ Avoid wearing well-fitting shirts so that your colostomy will not be detected from outside.”

100. The patient has her foley catheter for two days now. Which of the following catheter care
provided by the PN is appropriate?
a. Wear gloves while repositioning the drainage system.
b. Clean the catheter from distal to the proximal.
c. Clean the area around the catheter entry site in circular motion starting from the proximal to
distal
d. Use sterile technique when doing catheter care

101. A 4-year-old -child complaints of pain after a skeletal traction was applied. Morphine 10 mg SC
PRN for pain was ordered. What action should the PN take?
a. Call the ordering physician to clarify the order
b. Approach the pharmacist
c. Administer the medication
d. Ask another nurse to double check the medication prior to administering it to the child

102. The presence of swelling, temperature, and hard-to-feel on the vein are indication of which of the
following?
a. Infection
b. Phlebitis
c. Infiltration
d. Cellulitis
103. The PN was on her way to the blood bank to pick up a unit of blood for her patient when she was
asked by another nurse to pick another unit of packed cells for another patient. When promoting
safety, which of the following should the PN take?
a. Pick both unit of blood at the same time
b. Pick one unit at a time
c. Inform the blood bank
d. Refuse to pick up the other unit of blood

104. Which of the following activities is appropriate for a patient who is sun downing?
a. Promote her usual activity
b. Promote physical safety
c. Prevent sensory deprivation
d. Administer sedative

105. Which of the following is difficult to digest and may not be appropriate to patients with
colostomy?
a. Corn
b. Yogurt
c. Onion
d. Cabbage

106. How often does the PN monitor the vital signs of a patient who will receive blood transfusion?
a. 30 minutes before the start of the blood and 30 minutes after blood transfusion ends.
b. Before starting the blood and 15 minutes after.
c. Only after blood was infused.
d. Hospital policy

107. The patient with CHF informs the PN that he needs help to stop smoking. The PN will refer the
patient to:
a. Social worker
b. Support group who helps the alcoholics
c. Smoking cessation program
d. One-on-one smoking cessation program

108. How would the PN approach a 3-year-old child when starting IV?
a. Ask the child whether he wants blue or green
b. Allow child to participate IV insertion on a teddy bear, then ask the child if you now can do it
on him
c. Ask another staff to restrain the child while the IV is being inserted.
d. Use distraction technique

109. You need to administer medication IM injection to a 4-year-old boy. How would you make him
cooperate with you?
 a. Ask the boy whether he wants his mother to stay with him while receiving the injection.
b. Ask the mother whether she wants to stay with her child while the IM injection is given.
c. Ask the boy which part of the body he would like have the injection
d. Do not give the boy any choices

110. Following chemotherapy and radiation therapy, the patient complains of itch all over her body.
Which nursing care is appropriate for the patient?
a. Betadine wash
b. Instruct her to avoid the use of soap
c. Encourage her to take warm bath
d. Use normal saline for skin wash

111. Which of the following manifestation in a newborn indicate respiratory distress?

a. Abdominal breathing
b. Respiratory rate of 60
c. Nasal flaring
d. Irregular respiratory rate

112. Which of the following mode of transmission is true to chickenpox?

a. Direct
b. Airborne
c. Direct and airborne
d. Blood

113. Which test is performed on a patient who is on anticoagulant?

a. Blood sugar
b. INR
c. WBC
d. Urinalysis

114. A patient came in to ER with 70% burn. What should be a nursing priority?
a. Start IV fluids
b. Place the patient in fowler’s position
c. Administer oxygen
d. Administer pain medication

115. You found your colleague stealing narcotics. What will be your appropriate action?
a. Notify the nursing supervisor
b. Confront your colleague and tell him that his action is inappropriate.
c. Inform the nurse-in-charge
d. Ignore and keep an eye on her

116. You witnessed the unregulated health care provider taking BP on the arm of a mastectomy
patient. What initial action should the PN take?
 a. Stop her immediately and tell her that this will impair the patient’s circulation
b. Tell her to take the BP on the unaffected hand next time
c. Wait 15 seconds and take it again
d. The patient’s arm with the BP cuff must be at heart level

117. While working on a night shift, you were assigned to a child with bronchial asthma. You called
the doctor on-call but he tells you that he is in a party and cannot come to the unit. What is nursing
responsibility?
a. Call another time
b. Call another pediatric doctor
c. Call the RN
d. Call the nursing supervisor

118. An 8-year-old boy came for physical exam. As the physician checks his eyes, the PN will expect
which of the following as normal finding?
a. One eye constrict and one eye dilate to light
b. Both eyes dilate to light then constrict
c. Both eyes constrict then dilate after few seconds
d. Both eyes constrict and normalize after few seconds
119. A lady came to ER with whole body burned from a bomb explosion from a suspect terrorist
attacked. As the PN administers analgesic, the best route will be:
a. IV
b. IM
c. SC
d. Refuse to give it

120. The Physician orders Heparin 1200 units SC to the patient who came in with DVT. Which action
taken by the PN is appropriate?
a. Inform the MD that the order is not correct
b. Administer the medication as ordered
c. Monitor the vital signs prior to administering the medication
d. Refuse to give the medication because the dose is not correct