Nursing Exam Paper PDF

1. The nurse is listening to morning report and learns that an assigned client received a unit of granulocytes the previous evening. The nurse makes a note to assess the results of which daily serum laboratory study to assess the effectiveness of the transfusion? A. Hematocrit level B. Erythro...

1. The nurse is listening to morning report and learns that an assigned client received a unit of granulocytes the previous evening. The nurse makes a note to assess the results of which daily serum laboratory study to assess the effectiveness of the transfusion? A. Hematocrit level B. Erythrocyte count C. Hemoglobin level D. White blood cell count 2. A client with antisocial personality disorder is begging to use the phone to call his wife, even though it is against the unit rules. The client begs, “It is just this once, and she will be so hurt if I don't call her.” Which would be the most appropriate response by the nurse? A. “Only to help your wife, you can call this time.” B. “I will get in trouble with my supervisor if I let you call.” C. “You may not use the phone to call your wife.” D. “You cannot call because you need to focus on your recovery while you are here, not your wife.” 3. What is the primary purpose of the CHN bag technique in community health nursing? A. To reduce the amount of equipment nurses needed to carry B. To prevent spread of infection C. To organize equipment for easier access D. To ensure the safety of the nurse during visits 4. The nurse is preparing to give a Z-track intramuscular injection. This technique is indicated in which situation? A. When there is insufficient muscle mass in the landmarked area  B. Whenever massaging the area after medication administration is contraindicated C. With medications that are known to be irritating, painful, and/or staining to tissues D. With any injection that is given into the dorsogluteal muscle 5. A client who suffers from frequent panic attacks describes the attack as feeling disconnected from himself. The nurse notes in the client's chart that the client reports experiencing: A. hallucinations B. depersonalization C. derealization D. denial 6. What is the causative agent of leprosy and how it is transmitted? A. Mycobacterium leprae; primarily through respiratory droplets and prolonged close contact B. Mycobacterium leprae; primarily through direct skin contact C. Staphylococcus aureus; primarily through contaminated surfaces D. Treponema pallidum; primarily through sexual contact 7. The nurse has obtained a unit of blood from the blood bank and has checked the blood bag properly with another nurse. Just before beginning the transfusion, the nurse assesses which priority item? A. Vital signs B. Skin color C. Urine output D. Latest hematocrit level 8. A client asks how his prescribed alprazolam (Xanax) helps his anxiety disorder. The nurse explains that antianxiety medications such as alprazolam affect the function of which neurotransmitter that is believed to be dysfunctional in anxiety disorders? A. Serotonin B. Norepinephrine C. GABA D. Dopamine 9. What is the primary solvent used in tincture preparation? A. Water B. Glycerin C. Vinegar D. Alcohol 10. A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called: A. systematic desensitization B. flooding C. cognitive restructuring D. exposure therapy 11. Which of the following is a psychosocial explanation for the development of personality disorders? A. Highly self-directed people reflect uncooperativeness and intolerance B. Cooperative people become increasingly helpless over time  C. Failure to complete a developmental task jeopardizes future personality development D. Self-transcendence contributes to self-consciousness and materialism 12. Which of the following are cognitive-behavioral therapy techniques that may be used effectively with anxious clients? Select all that apply. A. Positive reframing B. Decatastrophizing C. Assertiveness training D. Humor E. Unlearning 13. Which of the following is a realistic outcome for the care of a person with a personality disorder? A. Outcomes that focus on satisfaction with daily life B. Outcomes that focus on the client's perception of others C. Outcomes that focus on increased client insight D. Outcomes that focus on change in behavior 14. The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. The nurse should use a matter-of-fact approach with clients with which types of personality disorders? Select all that apply. A. Paranoid B. Antisocial C. Schizotypal D. Narcissistic E. Avoidant 15. Which of the following abilities are characteristic of the Preoperational stage (ages 2-7)? (Select all that apply) A. Use of symbolic thinking B. Egocentrism C. Logical operational thought D. Conservation of mass E. Development of imagination 16. Which of the following plants is commonly used to relieve cough and asthma symptoms? A. Lagundi B. Bawang C. Bayabas D. Ulasimang bato 17. What is the most common diagnostic test used to confirm meningitis? A. Chest X-Ray B. MRI of the brain and spine C. Blood culture from both arms D. Lumbar puncture 18. Which of the following is a key challenge Nurse Ellen might encounter when coordinating with local health workers to implement this PHC initiative, and how could it be addressed? A. Challenge: Limited communication; Solution: Implement regular meetings and communication channels  B. Challenge: High cost of specialized medical equipment; Solution: Invest in advanced medical technology C. Challenge: Excessive administrative paperwork; Solution: Reduce documentation requirements D. Challenge: Overreliance on internal funding; Solution: Seek additional grants 19. Which disorder is characterized by pervasive mistrust and suspiciousness of others? A. Paranoid personality disorder B. Schizoid personality disorder C. Histrionic personality disorder D. Dependent personality disorder 20. A client says to the nurse, “I just can't talk in front of the group. I feel like I'm going to pass out.” The nurse assesses the client's anxiety to be at which level? A. Mild B. Moderate C. Severe D. Panic