Fundamentals of Nursing multiple choice questions and answers.
NORCET Nursing Exam MCQs for the post of Nursing Officer
51. A nurse is preparing to administer an intramuscular injection. Where is the preferred site for this type of injection in adults?
(A) Deltoid muscle
(B) Vastus lateralis muscle
(C) Gluteus maximus muscle
(D) Ventrogluteal muscle
Ans. (D)
52. A patient has an order for 3 tablets of a medication. Each tablet is 500 mg. What dosage of the drug will be given to the patient, in milligrams?
(A) 250 mg
(B) 500 mg
(C) 1500 mg
(D) 2000 mg
Ans. (C)
53. Which of the following actions should the nurse prioritize when caring for a patient with a fever?
(A) Administering antipyretics as ordered
(B) Keeping the room temperature cool
(C) Encouraging the patient to bundle up warmly
(D) Administering a heating pad to the patient
Ans. (A)
54. What is the priority nursing intervention when a patient reports shortness of breath?
(A) Help the patient sit up by providing assistance
(B) Apply oxygen via nasal cannula
(C) Notify the healthcare provider
(D) Administer a bronchodilator
Ans. (A)
55. Which action is most important when caring for a patient with a newly inserted urinary catheter?
(A) Securing the catheter tubing to the patient's thigh
(B) Checking for the presence of urine in the drainage bag
(C) Ensuring that the catheter is draining properly
(D) Documenting the date and time of catheter insertion
Ans. (C)
56. When caring for a patient with diabetes, what is the most important aspect of foot care?
(A) Applying lotion to the feet
(B) Inspecting the feet daily
(C) Cutting the toenails regularly
(D) In warm water, soak the feet
Ans. (B)
57. Which factor is most likely to increase a patient's risk of developing a pressure ulcer?
(A) Adequate nutrition
(B) Frequent position changes
(C) Moisture on the skin
(D) Adequate hydration
Ans. (C)
58. When caring for a patient with a history of falls, what should be the nurse's priority?
(A) Placing the patient in a restraint
(B) Keeping the patient's room well-lit
(C) Encouraging the patient to be independent
(D) Assessing the patient's gait and balance
Ans. (D)
59. A nurse is caring for a patient with a tracheostomy. What is the priority intervention for preventing infection?
(A) Keeping the tracheostomy site clean and dry
(B) Using sterile gloves when suctioning the tracheostomy
(C) Changing the tracheostomy dressing once per shift
(D) Using an alcohol-based hand sanitizer before and after tracheostomy care
Ans. (A)
60. When caring for a patient with dementia, which approach is most effective in reducing agitation?
(A) Providing consistent routines and familiar surroundings
(B) Administering sedative medications as needed
(C) Avoiding all forms of stimulation
(D) Restraining the patient to prevent wandering
Ans. (A)
61. A patient is experiencing chest pain and shortness of breath. What should the nurse do first?
(A) Administer nitroglycerin as ordered
(B) Perform a thorough physical assessment
(C) Notify the healthcare provider immediately
(D) Administer a pain reliever to the patient
Ans. (B)
62. What is the priority nursing intervention when caring for a patient with a central venous catheter who reports tenderness and redness at the insertion site?
(A) Administering antibiotics as ordered
(B) Notifying the healthcare provider
(C) Removing the central line immediately
(D) putting a warm compress on the affected area
Ans. (B)
63. When caring for a patient with a urinary catheter, what is the most important action to prevent infection?
(A) Emptying the drainage bag once per shift
(B) Irrigating the catheter with normal saline
(C) Ensuring that the catheter is securely taped to the patient's thigh
(D) Maintaining a closed drainage system
Ans. (D)
64. Which assessment finding indicates a potential complication of immobility in a patient?
(A) Increased muscle strength and tone
(B) Decreased respiratory rate and depth
(C) Swelling and redness at the site of a pressure ulcer
(D) Difficulty moving joints through their full range of motion
Ans. (C)
65. A patient is receiving a blood transfusion. What is the priority nursing intervention if the patient develops sudden chills and fever during the transfusion?
(A) Slow down the rate of the transfusion
(B) Administer acetaminophen as ordered
(C) Stop the transfusion and notify the healthcare provider
(D) Increase the rate of the transfusion
Ans. (C)
66. When caring for a patient with a history of heart failure, which assessment finding requires immediate attention?
(A) 142/90 mm Hg of blood pressure
(B) 16 breathe per minute respiration
(C) Crackles in the lower lobes of the lungs
(D) Pedal edema at the end of the day
Ans. (C)
67. Which action should the nurse prioritize when caring for a patient with a gastrointestinal bleed?
(A) Administering pain medication as ordered
(B) Monitoring vital signs frequently
(C) Encouraging the patient to eat a high-fiber diet
(D) Administering an antacid to the patient
Ans. (B)
68. What is the priority nursing intervention when caring for a patient with a nasogastric tube for gastric decompression?
(A) Monitoring the color and volume of gastric aspirate
(B) Administering enteral feedings through the tube
(C) Every four hours, flush the tube with water
(D) Securing the tube to the patient's nose with tape
Ans. (A)
69. When caring for a patient with a chest tube, which finding requires immediate nursing intervention?
(A) Fluctuation of fluid in the water-seal chamber with respiration
(B) Continuous bubbling in the suction control chamber
(C) Collection of 100 mL of serosanguinous drainage over the past hour
(D) The chest tube is accidentally disconnected from the drainage system
Ans. (D)
70. What is the priority nursing intervention for a patient experiencing a seizure?
(A) Placing a padded tongue blade in the patient's mouth
(B) Restraining the patient to prevent injury
(C) Turning the patient onto their side to maintain a clear airway
(D) Administering a sedative medication
Ans. (C)
71. When caring for a patient with a suspected myocardial infarction, what is the priority nursing intervention?
(A) Administering pain medication as ordered
(B) Initiating continuous cardiac monitoring
(C) Preparing the patient for surgery
(D) Administering a diuretic medication
Ans. (B)
72. Which action should the nurse prioritize when caring for a patient with pneumonia who is experiencing difficulty breathing?
(A) Administering an antipyretic medication
(B) Providing supplemental oxygen as ordered
(C) Encouraging the patient to take deep breaths
(D) Restricting fluid intake
Ans. (B)
73. What is the priority nursing intervention when caring for a patient with diabetic ketoacidosis (DKA)?
(A) Administering insulin as ordered
(B) Encouraging the patient to eat a high-carbohydrate diet
(C) Administering sodium bicarbonate
(D) Monitoring blood glucose levels every 12 hours
Ans. (A)
74. When caring for a patient with a head injury, what is the priority nursing intervention?
(A) Administering an opioid pain reliever
(B) Maintaining the patient in a flat, supine position
(C) Administering an anticoagulant medication
(D) Assessing neurologic status frequently
Ans. (D)
75. What is the priority nursing intervention for a patient with a suspected drug overdose?
(A) Administering naloxone as ordered
(B) Administering a sedative medication
(C) Encouraging the patient to sleep it off
(D) Initiating continuous cardiac monitoring
Ans. (A)
76. When caring for a patient with an infection, which action is most important in preventing the spread of the infection to others?
(A) Wearing a mask and gown at all times
(B) Washing hands frequently and thoroughly
(C) Administering prophylactic antibiotics to close contacts
(D) Isolating the patient in a negative-pressure room
Ans. (B)
77. Which action should the nurse prioritize when caring for a patient with Acute Respiratory Distress Syndrome?
(A) Administering bronchodilators as ordered
(B) Providing positive pressure ventilation
(C) Administering high-dose corticosteroids
(D) Initiating continuous cardiac monitoring
Ans. (B)
78. What is the priority nursing intervention for a patient with a suspected cervical spine injury?
(A) Administering pain medication as ordered
(B) Administering a muscle relaxant
(C) Keeping the patient's head and neck still
(D) Initiating continuous cardiac monitoring
Ans. (C)
79. Which type of pressure sore affects the superficial layers of the skin?
(A) Stage I
(B) Stage II
(C) Stage III
(D) Stage IV
Ans. (A)
80. Which type of pressure sore involves partial-thickness skin loss involving epidermis and possibly dermis?
(A) Stage I
(B) Stage II
(C) Stage III
(D) Stage IV
Ans. (B)
81. What is a common cause of bed sores?
(A) Increased mobility
(B) Prolonged pressure on the skin
(C) Adequate blood circulation
(D) Frequent position changes
Ans. (B)
82. Which of the following is a risk factor for developing bed sores?
(A) Regular repositioning
(B) Adequate nutrition and hydration
(C) Immobility
(D) Healthy skin
Ans. (C)
83. What is an early sign of a developing bed sore?
(A) Redness of the skin
(B) Swelling
(C) Open wound
(D) Numbness
Ans. (A)
84. Which of the following is a symptom of an infected bed sore?
(A) Increased redness
(B) Reduced pain at the site
(C) Decreased swelling
(D) Pale skin color
Ans. (A)
85. Which stage of bed sore involves full-thickness skin loss with exposed subcutaneous tissue?
(A) Stage I
(B) Stage II
(C) Stage III
(D) Stage IV
Ans. (C)
86. In which stage of bed sore may muscle and bone be exposed?
(A) Stage I
(B) Stage II
(C) Stage III
(D) Stage IV
Ans. (D)
87. What is an essential component of a bed sore prevention plan?
(A) Frequent massage of bony areas
(B) Keeping the patient in one position for extended periods
(C) Using pressure-reducing devices
(D) Restricting fluid intake
Ans. (C)
88. How often should a patient at risk for bed sores be repositioned?
(A) Every hour
(B) Every 4 hours
(C) Once a day
(D) Only when the patient complains of discomfort
Ans. (B)
89. What is the primary goal of bed sore treatment?
(A) Promoting rapid wound closure
(B) Relieving pain
(C) Preventing infection and promoting wound healing
(D) Making the sore less visible
Ans. (C)
90. How should a nurse clean a bed sore?
(A) Vigorously scrubbing the sore with a washcloth
(B) Using a gentle cleanser and sterile technique
(C) Pouring hydrogen peroxide directly onto the sore
(D) Applying alcohol to the sore and allowing it to air dry
Ans. (B)
91. Which factor contributes to the delayed healing of bed sores?
(A) Adequate blood flow to the area
(B) Presence of infection
(C) Regular dressing changes
(D) Application of adhesive bandages
Ans. (B)
92. In addition to nutrition, what other factor plays a crucial role in wound healing, including bed sores?
(A) Medication administration
(B) Adequate oxygenation of tissues
(C) Frequent application of heat packs
(D) Immobilization of the affected area
Ans. (B)
93. How often should a patient at risk for bed sores be repositioned?
(A) Every hour
(B) Every 4 hours
(C) Once a day
(D) Only when the patient complains of discomfort
Ans. (B)
94. Which type of pressure sore affects the superficial layers of the skin?
(A) Stage I
(B) Stage II
(C) Stage III
(D) Stage IV
Ans. (A)
95. What is an essential component of a bed sore prevention plan?
(A) Limiting fluid intake
(B) Using pressure-reducing devices
(C) Restricting mobility
(D) Applying heat packs to bony areas
Ans. (B)
96. What is the name of the first indication sign of a developing pressure sore?
(A) Swelling
(B) Numbness
(C) Discoloration
(D) Coolness
Ans. (C)
97. Which action should a nurse prioritize when caring for a patient with a bed sore?
(A) Keeping the area moist with petroleum jelly
(B) Elevating the affected limb to improve blood flow
(C) Conducting regular skin assessments and implementing preventive measures
(D) Using adhesive bandages to cover the sore
Ans. (C)
98. Which factor contributes to the development of bed sores in immobile patients?
(A) Increased blood flow to affected areas
(B) Decreased pressure over bony prominences
(C) Friction and shear forces on the skin
(D) Adequate muscle strength
Ans. (C)
99. Which action should a nurse take if a patient develops a bed sore?
(A) Apply adhesive bandages directly on the sore
(B) Inform the healthcare provider and implement appropriate interventions
(C) Ignore the bed sore if it is not causing pain
(D) Apply talcum powder to keep the area dry
Ans. (B)
100. In which stage of bed sore may muscle and bone be exposed?
(A) Stage I
(B) Stage II
(C) Stage III
(D) Stage IV
Ans. (D)