Practice Tests: Test #8 - 60 questions
All 50 questions are randomized each time you take the test, and do not appear in the same order here.
1. Doctor’s Order: Mandol 300 mg in 50 mL of D5W to infuse IVPB 15 minutes; Drop factor: 10 gtt/mL. How many mL/hr will you set on the IV infusion pump?
- 200 ml/hr
- 87.5 ml/hr
- 3.3 ml/hr
- 50 ml/hr
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2. The contingency theory of management moves the manager away from which of the following approaches?
- No perfect solution
- One size fits all
- Interaction of the system with the environment
- A method or combination of methods that will be most effective in a given situation
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3. A 23-year-old-woman comes to the emergency room stating that she had been raped. Which of the following statements BEST describes the nurse’s responsibility concerning written consent?
- The nurse should explain the procedure to the patient and ask her to sign the consent form.
- The nurse should verify that the consent form has been signed by the patient and that it is attached to her chart.
- The nurse should tell the physician that the patient agrees to have the examination.
- The nurse should verify that the patient or a family member has signed the consent form.
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4. The nurse works on a medical/surgical unit that has a shift with an unusually high number of admissions, discharges, and call bells ringing. A nurse’s aide, who looks increasingly flustered and overwhelmed with the workload, finally announces “This is impossible! I quit!” and stomps toward the break room. Which of the following statements, if made by the nurse to the nurse’s aide, is BEST?
- Fine, we’re better off without you anyway.”
- “It seems to me that you feel frustrated. What can I help you with to care for our patients?”
- “I can understand why you’re upset, but I’m tired too and I’m not quitting.”
- “Why don’t you take a dinner break and come back? It will seem more manageable with a normal blood sugar.”
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5. As a nurse manager achieves a higher management position in the organization, there is a need for what type of skills?
- Personal and communication skills
- Communication and technical skills
- Conceptual and interpersonal skills
- Visionary and interpersonal skills
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6. A home care nurse performs a home safety assessment & discovers that a client is using a space heater to heat her apartment. Which of the following instructions would the nurse provide to the client regarding the use of the space heater.
- A space heater should not be used in an apartment
- Space heater to be placed at least 3 feet from anything that can burn
- The space heater should be placed in the hallway at night
- The space heater should be kept at a low setting at all times
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7. Doctor’s Order: Streptomycin 1.75 mg/ lb IM q 12 hr; Available: Streptomycin 0.35 g / 2.3 mL. How many mL will you administer a day to a 59 Kg patient?
- 1.5 ml
- 2 ml
- 2.5 ml
- 3 ml
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8. A client expressed concern regarding the confidentiality of her medical information. The nurse assures the client that the nurse maintains client confidentiality by:
- Sharing the information with all members of the health care team.
- Limiting discussion about clients to the group room and hallways.
- Summarizing the information the client provides during assessments and documenting this summary in the chart.
- Explaining the exact limits of confidentiality in the exchanges between the client and the nurse.
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9. A nurse is preparing to initiate an IV line containing high dose of KCL & plans to use an IV infusion pump. The nurse brings the pump to the bedside prepares to plug the pump cord into the wall & notes that no receptacle Is available in the wall socket .which of the following is the most appropriate nursing action?
- Use an extension cord from nurses lounge for the pump plug
- Initiate the IV line without the use of a pump
- Plug in the pump cord in the available plug above the rooms sink
- Contact the electrical maintenance deptt for assistance
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10. Doctor’s Order: Infuse 1200 mL of 0.45% Normal Saline at 125 mL/hr; Drop Factor: 12gtt/min. How many gtt/min will you regulate the IV?
- 2 gtt/min
- 12 gtt/min
- 25 gtt/min
- 27 gtt/min
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11. What is the most important issue confronting nurse managers using situational leadership?
- Leaders can choose one of the four leadership styles when faced with a new situation.
- Personality traits and leader's power base influence the leader's choice of style.
- Value is placed on the accomplishment of tasks and on interpersonal relationships between leader and group members and among group members.
- Leadership style differs for a group whose members are at different levels of maturity.
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12. Ms. Smith's former manager demonstrated passion for serving her staff rather than being served. She takes time to listen, prefers to be a teacher first before being a leader, which is characteristic of:
- Transformational leader
- Transactional leader
- Servant leader
- Charismatic leader
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13. Doctor’s Order: ¼ L of D5W to infuse over 2 hr 45 min; Drop factor: 60 gtt/mL. How many gtt/min will you regulate the IV?
- 91 gtt/min
- 96 gtt/min
- 125 gtt/min
- 142 gtt/min
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14. Doctor’s Order: Heparin 7,855 units Sub Q bid; Available: Heparin 10,000 units per ml. How many mL will you administer?
- 0.79 ml
- 1.79 ml
- 0.17 ml
- 1.17 ml
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15. When caring for clients with psychiatric diagnoses, the nurse recalls that the purpose of psychiatric diagnoses or psychiatric labeling is to:
- Identify those individuals in need of more specialized care.
- Identify those individuals who are at risk for harming others.
- Enable the client’s treatment team to plan appropriate and comprehensive care.
- Define the nursing care for individuals with similar diagnoses.
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16. A 52-year-old man is admitted to a hospital after sustaining a severe head injury in an automobile accident. When the patient dies, the nurse observes the patient’s wife comforting other family members. Which of the following interpretations of this behavior is MOST justifiable?
- She has already moved through the stages of the grieving process.
- She is repressing anger related to her husband’s death.
- She is experiencing shock and disbelief related to her husband’s death.
- She is demonstrating resolution of her husband’s death.
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17. Doctor’s Order: Kantamycin 7.5 mg/kg IM q 12 hr; Available: Kantamycin 0.35 Gm/mL. How many mL will you administer for each dose to a 157 lb patient?
- 2 ml
- 1 ml
- 2.5 ml
- 1.5 ml
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18. Which of the following situations on a psychiatric unit are an example of a trusting patient-nurse relationship?
- The patient tells the nurse that he feels suicidal
- The nurse offers to contact the doctor if the patient has a headache.
- The nurse gives the patient his daily medications right on schedule.
- The nurse enforces rules strictly on the unit
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19. Doctor’s Order: Synthroid 75 mcg po daily; Available: Synthroid 0.15 mg tab (scored). How many tab will you administer?
- 1 tab
- 0.5 tab
- 2 tabs
- 1.5 tabs
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20. Doctor’s Order: Demerol 50 mg IVP q 6 hr prn pain; Available: Demerol 75 mg/ 1.3mL. How many mL will you administer?
- 0.87 ml
- 1.87 ml
- 2 ml
- 2.87 ml
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21. Which of the following conclusions of Ms. Smith about leadership characteristics is TRUE?
- There is a high correlation between the communication skills of a leader and the ability to get the job done.
- A manager is effective when he has the ability to plan well.
- Assessment of personal traits is a reliable tool for predicting a manager's potential.
- There is good evidence that certain personal qualities favor success in managerial role.
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22. One leadership theory states that "leaders are born and not made," which refers to which of the following theories?
- Trait
- Charismatic
- Great Man
- Situational
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23. Your patient has had the following intake: 8 oz glasses of iced tea, 4 oz cartons of grape juice, ¾ pt of ice cream, 32 oz of juice, 1 ½ L of D5W IV and 6 oz of cottage cheese. What will you record as the total intake in mL for this patient?
- 3,357 ml
- 3,375 ml
- 3,915 ml
- 3,195 ml
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24. A mother calls the home care nurse & tells the nurse that her 3 year old child has ingested liquid furniture polish. The home care nurse would direct the mother immediately to:
- Induce vomiting
- Bring the child to the ER
- Call an ambulance
- Call the poison control centre
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25. Doctor’s Order: Nafcillin 500 mg po pc; Available: Nafcillin 1 gm tab (scored). How many tab will you administer per day?
- 2.5 tabs
- 2 tabs
- 1.5 tabs
- 1 tab
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26. She came across a theory which states that the leadership style is effective dependent on the situation. Which of the following styles best fits a situation when the followers are self-directed, experts and are matured individuals?
- Democratic
- Authoritarian
- Laissez faire
- Bureaucratic
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27. Transformational leadership is characterized by all of the following elements except:
- charisma.
- inspirational leadership
- intellectual stimulation
- incentives to promote loyalty and performance.
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28. Doctor’s Order: 1 ½ L of NS to be infused over 7 hours; Drop factor: 15 gtt/mL. What flow rate (mL/hr) will you set on the IV infusion pump?
- 53.6 ml/hr
- 214.3 ml/hr
- 35.7 ml/hr
- 142.9 ml/hr
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29. Doctor’s Order: Bumex 0.8 mg IV bolus bid; Reconstitution instructions: Constitute to 1000 micrograms/3.1 mL with 4.8mL of 5% Dextrose Water for Injection. How many mL will you administer?
- 2 ml
- 3.5 ml
- 3 ml
- 2.5 ml
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30. She surfs the internet for more information about leadership styles. She reads about shared leadership as a practice in some magnet hospitals. Which of the following describes this style of leadership?
- Leadership behavior is generally determined by the relationship between the leader's personality and the specific situation
- Leaders believe that people are basically good and need not be closely controlled
- Leaders rely heavily on visioning and inspire members to achieve results
- Leadership is shared at the point of care.
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31. After two weeks of receiving lithium therapy, a patient in the psychiatric unit becomes depressed. Which of the following evaluations of the patient’s behavior by the nurse would be MOST accurate?
- The treatment plan is not effective; the patient requires a larger dose of lithium.
- This is a normal response to lithium therapy; the patient should continue with the current treatment plan.
- This is a normal response to lithium therapy; the patient should be monitored for suicidal behavior.
- The treatment plan is not effective; the patient requires an antidepressant
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32. An adolescent male being treated for depression arrives with his family at the Adolescent Day Treatment Center for an initial therapy meeting with the staff. The nurse explains that one of the goals of the family meeting is to encourage the adolescent to:
- Trust the nurse who will solve his problem.
- Learn to live with anxiety and tension
- Accept responsibility for his actions and choices.
- Use the members of the therapeutic milieu to solve his problems.
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33. A nurse obtains an order from a physician to restraint a client by using a jacket restraint. The nurse instructs nursing assistant to apply the restraint. Which of the following would indicate inappropriate application of the restraint by the nursing assistant.
- A safety knot in the restraint straps
- Restraint straps that are safely secured to the side rails
- The jacket restraint secured such that two fingers can slide easily between the restraints & the client skin
- Jacket restraint straps that do no tighten when force is applied against them
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34. Harry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going in his unit. Patient satisfaction rate is 60% for two consecutive months and staff morale is at its lowest. He decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following actions is a priority for Harry?
- Call for a staff meeting and take this up in the agenda.
- Seek help from her manager.
- Develop a strategic action on how to deal with these concerns.
- Ignore the issues since these will be resolved naturally
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35. When prioritizing a client’s plan of care based on Maslow’s hierarchy of needs, nurse Charles first priority would be:
- allowing the family to see a newly admitted client
- ambulating the client in the hallway
- administering pain medication
- placing wrist restraints on the client
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36. Doctor’s Order: Tylenol supp 1 g pr q 6 hr prn temp > 101; Available: Tylenol supp 325 mg (scored). How many supp will you administer?
- 2 supp
- 1 supp
- 3 supp
- 5 sup
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37. What are essential competencies for today's nurse manager?
- A vision and goals
- Communication and teamwork
- Self and group awareness
- Strategic planning and design
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38. Doctor’s Order: Rocephin 0.5 grams in 250 mL of D5W to infuse IVPB 45 minutes; Drop Factor: 12gtt/min. How many gtt/ min will you regulate the IVPB?
- 6 gtt/min
- 30 gtt/min
- 67 gtt/min
- 87 gtt/min
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39. Ms. Smith is newly-promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this?
- Organization Man
- Impoverished Management
- Country Club Management
- Team Management
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40. An emergency room nurse receives a telephone call & is informed that a tsunami has hit a local residential area & that numerous casualties have occurred. The victims will be brought to the ER. The initial nursing action is which of the following
- Prepare the triage room
- Obtain additional supplies from the central supply deptt
- Activate the agency disaster plan
- Obtain additional nursing staff to assist in treating the casualties
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41. Doctor’s Order: Diuril 1.8 mg/kg po tid; Available: Diuril 12.5 mg caps. How many cap will you administer for each dose to a 31 lb child?
- 2 caps
- 2.5 caps
- 3 caps
- 1.5 caps
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42. A client comes to the local clinic complaining that sometimes his heart pounds and he has trouble sleeping. The physical exam is normal. The nurse learns that the client has recently started a new job with expanded responsibilities and is worried about succeeding. Which of the following responses by the nurse is BEST?
- “Have you talked to your family about your concerns?
- You appear to have concerns about your ability to do your job
- “You could benefit from counseling.
- “It’s normal to feel anxious when starting a new job.”
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43. Ms. Smith notices that the Chief Nurse Executive has charismatic leadership style. Which of the following behaviors best describes this style?
- Possesses inspirational quality that makes followers gets attracted of him and regards him with reverence
- Acts as he does because he expects that his behavior will yield positive results
- Uses visioning as the core of his leadership
- Matches his leadership style to the situation at hand.
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44. Ms. Jane is to have a pelvic exam, which of the following should the nurse do first:
- Have the client remove all her clothes, socks & shoes
- Have the client go to the bathroom & void saving a sample
- Place the client in lithotomy position on the exam table
- Assemble all the equipment needed for the examination
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45. Doctor’s Order: Sulfasalazine Oral Susp 500 mg q 6 hr; Directions for mixing: Add 125 mL of water and shake well. Each tbsp will yield 1.5 g of Sulfasalazine. How many mL will you give?
- 5 ml
- 3 ml
- 4 ml
- 2 ml
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46. A nurse enters a patient’s room & finds that the waste basket is on fire . the nurse immediately assists the patient out of the room. The next nursing action would be:
- Confine the fire by closing the room door
- Activate the fire alarm
- Call for help
- Extinguish the fire
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47. Doctor’s Order: Infuse 50 mg of Amphotericin B in 250 mL NS over 4 hr 15 min; Drop factor: 12gtt/mL. What flow rate (mL/hr) will you set on the IV infusion pump?
- 11.8 ml/hr
- 58.8 ml/hr
- 14.1 ml/hr
- 60.2 ml/hr
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48. Your patient has had the following intake: 2 1/2 cups of coffee (240 mL/cup), 11.5 oz of grape juice, 3/4 qt of milk, 320 mL of diet coke, 1 1/4L of D5W IV and 2 oz of grits. What will you record as the total intake in mL for this patient?
- 2,325 ml
- 3,265 ml
- 3,325 ml
- 2,235 ml
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49. The nurse cares for an elderly patient with moderate hearing loss. The nurse should teach the patient’s family to use which of the following approaches when speaking to the patient?
- Raise your voice until the patient is able to hear you.
- Face the patient and speak quickly using a high voice.
- Face the patient and speak slowly using a slightly lowered voice.
- Use facial expressions and speak as you would formally
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50. A client has been voluntarily admitted to the hospital. The nurse knows that which of the following statements is inconsistent with this type of hospitalization?
- The client retains all of his or her rights
- The client has a right to leave if not a danger to self or others
- The client can sign a written request for discharge
- The client cannot be released without medical advice
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51. The nurse restrains a client in a locked room for 3 hours until the client acknowledges who started a fight in the group room last evening. The nurse’s behavior constitutes:
- False imprisonment.
- Duty of care.
- Standard of care practice.
- Contract of care
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52. Doctor’s Order: Tazidime 0.3 g IM tid; Reconstitution instructions: For IM solution add 1.5 mL of diluent. Shake to dissolve. Provides an approximate volume of 1.8 mL (280 mg/mL). How many mL will you give?
- 1.9 ml
- 2 ml
- 3 ml
- 1.1 ml
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53. A patient with a history of schizophrenia is admitted to the acute psychiatric care unit. He mutters to himself as the nurse attempts to take a history and yells, “I don’t want to answer any more questions! There are too many voices in this room!” Which of the following assessment questions should the nurse ask NEXT?
- “Are the voices telling you to do things?
- “Do you feel as though you want to harm yourself or anyone else?”
- “Who else is talking in this room? It’s just you and me.
- “I don’t hear any other voices”
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54. Which nursing delivery model is based on a production and efficiency model and stresses a task-oriented approach?
- Case management
- Primary nursing
- Differentiated practice
- Functional method
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55. The client is being involuntarily committed to the psychiatric unit after threatening to kill his spouse and children. The involuntary commitment is an example of what bioethical principle?
- Fidelity
- Veracity
- Autonomy
- Beneficence
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56. When group members are unable and unwilling to participate in making a decision, which leadership style should the nurse manager use?
- Participative
- Authoritarian
- Laissez-faire
- Democratic
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57. Doctor’s Order: Cleocin Oral Susp 600 mg po qid; Directions for mixing: Add 100 mL of water and shake vigorously. Each 2.5 mL will contain 100 mg of Cleocin. How many tsp of Cleocin will you administer?
- 3 tsp
- 5 tsp
- 3.5 tsp
- 1 tsp
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58. The nurse cares for a client diagnosed with conversion reaction. The nurse identifies the client is utilizing which of the following defense mechanisms?
- Introjection
- Displacement
- Identification
- Repression
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59. After discussing the possible effects of the low patient satisfaction rate, the staff started to list down possible strategies to solve the problems head-on. Should they decide to vote on the best change strategy, which of the following strategies is referred to this?
- Collaboration
- Majority rule
- Dominance
- Compromise
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60. The characteristics of an effective leader include:
- attention to detail
- financial motivation
- sound problem-solving skills and strong people skills
- emphasis on consistent job performance
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61. She reads about Path Goal theory. Which of the following behaviors is manifested by the leader who uses this theory?
- Recognizes staff for going beyond expectations by giving them citations
- Challenges the staff to take individual accountability for their own practice
- Admonishes staff for being laggards.
- Reminds staff about the sanctions for non performance.
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