NO.1 A newborn is diagnosed with ventricular septal defect. The baby is discharged with a
prescription for digoxin syrup 20 micrograms bid. The bottle of digoxin is labeled as 0.05 mg/ml. The
nurse should teach the mother to administer on each dose:
A. 0.1 ml
B. 0.2 ml
C. 0.4 ml
D. 0.8 ml
Answer: C

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NO.2 A patient undergoes laminectomy. In the immediate post-operative period, the nurse shoulD.
A. Monitor the patient's vital signs and log roll him to prone position
B. Monitor the patient's vital signs and encourage him to ambulate
C. Monitor the patient's vital signs and auscultate his bowel sounds
D. Monitor the patient's vital signs, check sensation and motor power of the feet
Answer: D

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NO.3 Which of the following techniques should the nurse implement to prevent the patient's
mucous membranes from drying when the oxygen flow rate is higher than 4 liters per minute?
A. Use a non rebreather mask
B. Add humidity to the delivery system
C. Use a high flow oxygen delivery system
D. Ensure that the prongs are in the nares correctly
Answer: B

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NO.4 A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine
(Apresoline) 20mg IV stat for blood pressure greater than 190/100 mmHg. The best response of the
nurse to this order is to:
A. Give the dose immediately and once
B. Give medication if patient's blood pressure is > 190/100 mmHg
C. Call the physician because the order is not clear
D. Administer the dose and repeat as necessary
Answer: A

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NO.5 To remove soft contact lenses from the eyes of an unconscious patient the nurse should:
A. Uses a small suction cup placed on the lenses
B. Pinches the lens off the eye then slides it off the cornea
C. Lifts the lenses with a dry cotton ball that adheres to the lenses
D. Tenses the lateral canthus while stimulating a blink reflex by the patient
Answer: B

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NO.6 A newborn infant is assessed using the Apgar assessment tool and scores 6. The infant has a
heart rate of 95, slow and irregular respiratory effort, and some flexion of extremities. The infant is
pink, but has a weak cry. The nurse should know that this Apgar score along with the additional
symptoms indicates the neonate is:
A. Functioning normally
B. Needing immediate life-sustaining measures
C. Needing special assistance
D. Needing to be warmed
Answer: C

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NO.7 Whilst recovering from surgery a patient develops deep vein thrombosis. The sign that would
indicate this complication to the nurse would be:
A. Intermittent claudication
B. Pitting edema of the area
C. Severe pain when raising the legs
D. Localized warmth and tenderness of the site
Answer: D

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NO.8 A patient presents to the emergency department with diminished and thready pulses,
hypotension and an increased pulse rate. The patient reports weight loss, lethargy, and decreased
urine output. The lab work reveals increased urine specific gravity. The nurse should suspect:
A. Renal failure
B. Sepsis
C. Pneumonia
D. Dehydration
Answer: D

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