Simulated Nursing Tests For Registered Nurses
Registered Nurse (RN) is an individual who has studied nursing for 2,3 or 4 years and who has passed a licensed examination (NCLEX).
"At the first level, the educational programme prepares the nurse, through study of behavioral, life and nursing science and clinical experience, for effective practice and the direction of nursing care, and for the leadership role. The first-level nurse is responsible for planning care in all settings for the promotion of health, prevention of illness, care of the sick, and rehabilitation; and functions as a member of the health team." —— ICN Constitution 1983
Simulated Tests
1. A patient on the psychiatric unit tells the nurse that people want to infect him with AIDS because he has the secret to preventing famine in the world. Which of these comments, if made by the nurse, would be therapeutic?
A. "Tell me more about this."
B. "When did you start believing this?"
C. "I know that idea seems real to you, don't see it that way.
D. “I can't imagine anyone mean enough to want to prevent you from improving food supply.”
2. Which of these goals would be most important for a female patient who has a borderline personality disorder while the patient is in group therapy?
A. The patient will be able to explain the motivation for her behavior
B. The patient will select her own activities
C. The patient will interact with more people
D. The patient will consider consequences before acting
3. A patient who is taking a monoamine oxidase inhibitor would demonstrate knowledge about the effectiveness of the medication by selecting foods that are
A. Low in cholesterol B. Low in tyramine C. Free of gluten D. Free of lactose
4. To discuss methods of stress reduction with a patient, the nurse should use which of these approaches first?
A. Explain to the patient the physiological effects of stress
B. Teach the patient relaxation techniques that reduce stress
C. Determine if the patient is able to identify sources of stress
D. Describe to the patient the benefits of active exercise in coping with stress
5. To detect for signs of bleeding following a thyroidectomy, it is most important for the nurse to include which of these measures in the patient's care plan?
A. Palpating around the patient's incision site
B. Lifting up the edge of the patient's dressing
C. Turning the patient's head to the side
D. Feeling the dressing at the sides and back the patient's neck
6. A patient who has had a thyroidectomy and is on thyroid extract says to the nurse, "The doctor says I should have thyroid test in a flew weeks. Why do I need tests when my thyroid has been removed?" which of these responses would give the patient accurate information?
A. "It is important to evaluate the function of the parathyroid glands.'
B. "It is important to determine when the pituitary gland begins to produce thyroid."
C. "It is important to detect the presence of residual thyroid tissue."
D. "It is important to know how your body is utilizing the medication."
7. Twelve hours after a thyroidectomy the patient develops carpal spasm. After notifying the physician, the nurse should be prepared to take which of these actions?
A. Assist with a tracheostomy
B. Administer calcium gluconate
C. Prepare anticonvulsive medication for intravenous administration
D. Schedule a carotid angiogram
Bill Brown, 25 years old, is brought to the emergency room complaining of fight flank pain. A renal calculus is suspected. He is given morphine sulfate and admitted to the hospital. He is scheduled for an intravenous pyelogram. His orders include morphine sulfate, q. 3. h, p.r.n, to relieve the pain of renal colic. He is to be out of bed as desired.
8. Mr. Brown is receiving morphine every 3 to 5 hours. He should be observed for side effects of morphine, which include:
A. Dizziness B. Diplopia C. Hypersalivation D. Diarrhea
9. In preparing Mr. Brown for the IVP( intravenous pueloqnam), which of these statements should be included in the explanation given to him?
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