护理专业英语试题及答案

护理专业英语试题及答案1.Whenassessingapatientwithsuspecteddeepveinthrombosis(DVT),whichofthe

followingsymptomsismostindicativeofthecondition?

A.Suddenonsetofshortnessofbreath.B.Painandswellingintheaffectedleg(Answer:B).

C.Chestpainradiatingtotheleftarm.D.Persistentcoughwithbloodysputum.2.Anurseiscaringforapatientwithanewcolostomy.Whichofthefollowing

instructionsismostimportanttoprovideduringtheinitialteachingsession?

A.Howtoapplymakeupoverthestomasite.B.Theimportanceofmaintainingalow-fiberdiet.C.Propertechniqueforemptyingandchangingthepouch(Answer:C).

D.Whentoschedulefollow-upappointmentswiththesurgeon.3.Duringtheadministrationofintravenous(IV)fluids,thenurseobservesswellingatthe

IVsite.Whatisthemostappropriateinitialaction?A.IncreasetheIVflowrate.B.Applyawarmcompresstothesite.C.Stoptheinfusionandassessforinfiltration(Answer:C).

D.Documentthefindingandcontinuetomonitor.4.Apatientwithheartfailureisprescribeddigoxin.Whichofthefollowinglaboratory

valuesshouldthenursemonitormostcloselytopreventtoxicity?

A.Bloodglucoselevels.B.Serumpotassiumlevels(Answer:B).

C.Whitebloodcellcount.D.Plateletcount.5.Whenprovidingcaretoapatientwithatracheostomy,whichofthefollowingisa

prioritynursingintervention?A.Ensuringthepatienthasacallbellwithinreach.B.Suctioningthetracheostomytubeasneededtomaintainairwaypatency(Answer:B).

C.Applyinganewtracheostomydressingevery12hours.D.Encouragingthepatienttospeakasmuchaspossible.6.Anurseispreparingtoadministerabloodtransfusion.Whichofthefollowingisthe

mostcriticalsteptopreventatransfusionreaction?A.Verifyingthepatient'sidentityandbloodtypewithanothernurse(Answer:A).

B.Warmingthebloodtoroomtemperaturebeforeadministration.

C.Administeringthetransfusionthroughalarge-boreIVcatheter.

D.Instructingthepatienttoreportanyitchingorhivesimmediately.7.Duringtheassessmentofapatientwithchronicobstructivepulmonarydisease

(COPD),whichofthefollowingfindingsrequiresimmediateintervention?

A.Arespiratoryrateof18breathsperminute.B.Oxygensaturationof88%onroomair(Answer:B,ifit'slowerthantheprescribed

rangeorshowssuddendrop).C.Useofaccessorymusclesforbreathing.D.Aproductivecoughwithclearsputum.8.Apatientisscheduledforacolonoscopy.Whichofthefollowingpre-procedure

instructionsismostimportantforthenursetoprovide?A.Maintainaclearliquiddietthedaybeforetheprocedure(Answer:A).

B.Takealaxativethemorningoftheprocedure.C.Avoiddrinkingwaterfor12hoursbeforetheprocedure.

D.Wearloose-fittingclothingtotheappointment.9.Whencaringforapatientwithanewlyinsertednasogastric(NG)tube,whichofthe

followingactionsshouldthenursetakefirsttoconfirmproperplacement?

A.Auscultateforairbubblesoverthestomach.B.ObtainanX-raytoverifytubeplacement(Answer:B).

C.CheckthepHofaspiratedgastriccontents.D.Measurethelengthofthetubefromthenosetothestomach.10.Apatientwithdiabetesmellitusisprescribedinsulin.Whichofthefollowingisthe

mostimportantinstructionforthenursetoprovideregardinginsulinadministration?

A.Rotateinjectionsitestopreventlipohypertrophy(Answer:A).

B.Alwaysusethesamebrandofinsulinsyringe.C.Storeinsulininthefreezerwhennotinuse.D.Mixshort-actingandlong-actinginsulininthesamesyringe.11.Duringthepostoperativeperiod,apatientdevelopsafever.Whichofthefollowingis

themostlikelycauseofthefeverwithinthefirst24hoursaftersurgery?

A.Infectionatthesurgicalsite.B.Atelectasis(Answer:B).C.Deepveinthrombosis.D.Medicationreaction.12.Anurseiscaringforapatientwithapressureulcer.Whichofthefollowing

interventionsismosteffectiveinpromotingwoundhealing?

A.Applyingadrydressingtotheulcer.B.Keepingtheulcercleanandmoist(Answer:B).

C.Massagingtheareaaroundtheulcer.D.Exposingtheulcertoairforseveralhoursaday.13.Whenassessingapatientforpain,whichofthefollowingquestionsismost

appropriatetoask?A."Areyouinalotofpainrightnow?"B."Canyourateyourpainonascaleof0to10,with0beingnopainand10beingthe

worstpainyou'veeverexperienced?"(Answer:B).C."Doyouthinkyouneedpainmedication?"D."Hasyourpainbeenconstantorintermittent?"14.Apatientisreceivingchemotherapyandreportsnauseaandvomiting.Whichofthe

followingisthemostappropriatenursingintervention?A.Administeranantiemeticmedicationasprescribed(Answer:A).

B.Encouragethepatienttoeatlarge,infrequentmeals.C.Limitfluidintaketopreventfurthervomiting.D.Suggestthepatientavoidallphysicalactivity.15.Duringthecareofapatientwithaurinarycatheter,whichofthefollowingisa

prioritynursingactiontopreventinfection?A.Emptyingthedrainagebagevery8hours.B.Keepingthecatheteranddrainagesystembelowthelevelofthebladder(Answer:B).

C.Changingthecatheterevery7days.D.Usingsteriletechniqueonlyduringcatheterinsertion.16.Apatientwithahistoryoffallsisatriskforinjury.Whichofthefollowingisthe

mosteffectiveinterventiontopreventfalls?A.Placingthepatientinaroomnearthenurses'station(Answer:A,alongwithother

measureslikekeepingthebedinlowestposition,usingbedalarms).

B.Encouragingthepatienttowalkindependentlywithoutassistance.

C.Keepingthepatient'sroomdimlylitatnight.D.Removingallfurniturefromthepatient'sroom.17.Whenprovidingdischargeinstructionstoapatientwithheartfailure,whichofthe

followingismostimportanttoemphasize?A.Takingdailyweightsandreportingagainof2poundsormoreinaday(Answer:A).

B.Limitingfluidintaketo1literperday.C.Avoidingallphysicalactivity.D.Takingover-the-countermedicationsforanysymptoms.18.Anurseiscaringforapatientwithanewostomy.Whichofthefollowingisapriority

nursingdiagnosisforthispatient?A.Riskforimpairedskinintegrityrelatedtoostomyeffluent(Answer:A).

B.Ineffectivecopingrelatedtobodyimagechanges.C.Knowledgedeficitrelatedtoostomycare.

D.Activityintolerancerelatedtofatigue.19.Duringtheadministrationoforalmedications,thenurseobservesthatthepatienthas

difficultyswallowingpills.Whatisthemostappropriateaction?

A.Crushthepillsandmixthemwithapplesauce(ifallowedbymedicationtype)

(Answer:A,ifthemedicationcanbecrushed).B.Administerthepillswithalargeglassofwater.C.Askthepatienttotryswallowingthepillswithoutwater.

D.Withholdthemedicationsuntilthepatientcanswallowbetter.20.Apatientwithchronickidneydiseaseisprescribedalow-proteindiet.Whichofthefollowingfoodsshouldthenurseinstructthepatienttolimit?

A.Freshfruits.B.Leanmeats(Answer:B).

C.Wholegrains.D.Vegetables.21.Whenassessingapatientfordehydration,whichofthefollowingsignsismost

indicativeofthecondition?A.Warm,dryskin.B.Decreasedurineoutputandconcentratedurine(Answer:B).

C.Increasedappetite.D.Boundingpulses.22.Anurseispreparingtoadministerasubcutaneousinjection.Whichofthefollowingis

themostappropriateneedlesizeforthisroute?A.18-gaugeneedle.B.23-gaugeneedle(Answer:B).C.25-gaugeneedle(alsoacceptable,but23iscommonlyused).

D.16-gaugeneedle.23.Duringthecareofapatientwithawoundinfection,whichofthefollowingisthe

mostimportantinterventiontopromotehealing?A.Applyingawarmcompresstothewound.B.Administeringantibioticsasprescribed(Answer:B).

C.Keepingthewoundcoveredwithadrydressing.D.Massagingthewoundgentlytopromotecirculation.24.Apatientisscheduledforamagneticresonanceimaging(MRI)scan.Whichofthe

followingisthemostimportantpre-procedureinstruction?

A.Wearingloose-fittingclothingwithoutmetalfasteners(Answer:A).

B.Fastingfor8hoursbeforethescan.C.Takingallregularmedicationswithasipofwater.

D.Arrangingforadriverifsedationwillbeused.25.Whencaringforapatientwithacentralvenouscatheter,whichofthefollowingisa

prioritynursingactiontopreventinfection?A.Changingthecatheterdressingevery7days.B.Usingsteriletechniqueduringdressingchangesandaccess(Answer:B).

C.Flushingthecatheterwithnormalsalinebeforeandafteruse.

D.Avoidingtheuseofthecatheterforblooddraws.26.Apatientwithasthmaisexperiencinganacuteexacerbation.Whichofthefollowing

medicationsshouldthenurseadministerfirst?A.Oralcorticosteroids.B.Short-actingbeta-agonistinhaler(Answer:B).

C.Long-actingbeta-agonistinhaler.D.Anticholinergicinhaler.27.Duringtheassessmentofapatientwithapossiblestroke,whichofthefollowingsignsrequiresimmediateintervention?

A.Slurredspeechandfacialdroop(Answer:A).

B.Mildheadache.C.Fatigue.D.Nausea.28.Anurseiscaringforapatientwithahistoryofseizures.Whichofthefollowingisthe

mostimportantsafetymeasuretoimplement?A.Keepingthebedinthehighestposition.B.Placingpaddingonthesiderailsofthebed(Answer:B).

C.Encouragingthepatienttowalkindependently.

D.Removingallcallbellsfromtheroom.29.Whenprovidingcaretoapatientwithafever,whichofthefollowingisthemost

appropriatenursingintervention?A.Administeringantipyreticmedicationsasprescribed(Answer:A).

B.Applyingicepackstothepatient'sbody.C.Encouragingthepatienttowearheavyclothing.

D.Limitingfluidintaketopreventsweating.30.Apatientisreceivingtotalparenteralnutrition(TPN).Whichofthefollowingisthe

mostimportantnursinginterventiontopreventcomplications?

A.Monitoringbloodglucoselevelsregularly(Answer:A).

B.ChangingtheTPNsolutionevery48hours.C.KeepingtheTPNbagatroomtemperature.D.AdministeringTPNthroughaperipheralIVcatheter.31.Duringthecareofapatientwithanewileostomy,whichofthefollowingisapriority

nursingconcern?A.Thepatient'sabilitytoperformself-care.B.Theriskforfluidandelectrolyteimbalances(Answer:B).

C.Thepatient'sacceptanceoftheostomy.D.Thecostofostomysupplies.32.Anurseispreparingtoadministerarectalsuppository.Whichofthefollowingisthe

mostappropriatepositionforthepatient?A.Supinepositionwithlegsextended.B.LeftlateralSims'position(Answer:B).

C.Proneposition.D.Sittinguprightinachair.33.Whenassessingapatientforpainintheabdominalarea,whichofthefollowing

questionsismostappropriatetoask?A."Doesthepainradiatetoyourback?"(Answer:A).

B."Haveyoueatenanythingspicyrecently?"

C."Doyouexerciseregularly?"D."Whatisyourfavoritefood?"34.Apatientwithahistoryofheartfailureisprescribedadiuretic.Whichofthe

followinglaboratoryvaluesshouldthenursemonitormostclosely?

A.Serumsodiumlevels.B.Serumpotassiumlevels(Answer:B).C.Bloodureanitrogen(BUN)levels.D.Creatininelevels.35.Duringthecareofapatientwithawoundvacuum-assistedclosure(VAC)device,

whichofthefollowingisaprioritynursingaction?A.ChangingtheVACdressingevery12hours.B.MonitoringthepressuresettingsoftheVACdevice(Answer:B).

C.ApplyingantibioticointmenttothewoundbeforeapplyingtheVACdressing.

D.EncouragingthepatienttomovetheVACdevicearoundfrequently.36.Apatientisscheduledforalumbarpuncture.Whichofthefollowingisthemost

importantpre-procedureinstruction?A.Emptyingthebladderbeforetheprocedure(Answer:A).

B.Fastingfor6hoursbeforetheprocedure.C.Takingasedativebeforetheprocedure.D.Arrangingforadriverifgeneralanesthesiawillbeused.37.Whencaringforapatientwithanewcolostomy,whichofthefollowingisthemost

appropriatetimetoinitiateostomyself-careteaching?A.Immediatelyaftersurgery.B.Whenthepatientisalertandorientedandhasstablevitalsigns(Answer:B).

C.Beforethepatientisdischargedfromthehospital.D.Duringthefirstfollow-upappointmentafterdischarge.38.Duringtheadministrationofanintramuscularinjection,thenurseselectsthedeltoidmuscle.Whichofthefollowingisthemostappropriateneedlelengthforthissiteinanadult?A.1-inchneedle.B.1.5-inchneedle(Answer:B).

C.2-inchneedle.D.0.5-inchneedle.39.Apatientwithchronicpainisprescribedopioidanalgesics.Whichofthefollowingis

themostimportantnursinginterventiontopreventopioidoverdose?

A.Monitoringthepatient'srespiratoryrateregularly(Answer:A).

B.Encouragingthepatienttotakethemedicationwithfood.C.Advisingthepatienttostorethemedicationinalockedcabinet.

D.Instructingthepatienttodoublethedoseifthepainissevere.40.Whenassessingapatientforsignsofinfectionatanintravenous(IV)site,whichof

thefollowingismostindicativeofinfection?A.Rednessandwarmthatthesite(Answer:A).B.Asmallamountofcleardrainage.C.Mildpainatthesite.D.Swellingwithoutredness.41.Anurseiscaringforapatientwithatracheostomywhoishavingdifficultybreathing.

Whatisthemostappropriateinitialaction?A.Suctionthetracheostomytubeimmediately(Answer:A).

B.Administeroxygenviaafacemask.C.Callthephysicianfororders.D.Repositionthepatienttoasemi-Fowler'sposition.42.Duringthecareofapatientwithanewpacemaker,whichofthefollowingisa

prioritynursingintervention?A.Instructingthepatienttoavoidraisingthearmonthesideofthepacemakerabovethe

shoulderfor6weeks(Answer:A).B.Encouragingthepatienttoengageinstrenuousexerciseimmediately.

C.Allowingthepatienttouseamicrowaveovenwithoutrestrictions.

D.Advisingthepatienttohavemagneticresonanceimaging(MRI)scansasneeded.43.Apatientisreceivingchemotherapyandhasdevelopedstomatitis.Whichofthe

followingisthemostappropriatenursingintervention?A.Encouragingthepatienttoeatspicyfoodstostimulateappetite.

B.Rinsingthemouthwithasalinesolutionorprescribedmouthwash(Answer:B).

C.Applyingatopicalantibioticointmenttotheoralmucosa.D.Advisingthepatienttoavoidalloralhygienemeasures.44.Whenprovidingcaretoapatientwithawound,whichofthefollowingisthemost

importantfactorinpreventingwoundinfection?A.Usingsteriletechniqueduringwoundcare(Answer:A).

B.Applyingathicklayerofantibioticointmenttothewound.

C.Keepingthewoundcoveredwithanon-occlusivedressing.

D.Changingthewounddressingevery24hoursregardlessofdrainage.45.Apatientwithahistoryoffallsisprescribedawalkingaid.Whichofthefollowingis

themostappropriatewalkingaidforthispatient?

A.Astandardcane.B.Awalkerwithfourwheels(Answer:B,ifstabilityisamajorconcern).

C.Crutches.D.Nowalkingaidisneeded.46.Duringtheassessmentofapatientwithsuspectedappendicitis,whichofthe

followingsignsismostindicativeoft