2024 Edition

Nursing Bundle Practice Test

Take this free nursing practice test to see what types of questions are on nursing exams. It includes nusing assistant, TEAS VI, NCLEX-RN, CCRN, CEN and CHPN practice questions.

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Nursing Assistant

1.	What documentation is within the role of the CNA?
		a. Heights and weights
		b. Admission assessments
		c. Ongoing assessments
		d. Nursing care plans
Nursing assistants, and CNAs, can legally measure heights and weights so they can also document it. They do NOT do any assessments or care planning so they do not document these things. Only the nurse can do these things. Incorrect answer. Please choose another answer.

2.	Which of the following is an objective observation?
		a. Mr. George has a fever.
		b. Mr. George feels warm.
		c. Mr. George told me he feels ill.
		d.Mr. George's oral temperature is 98.6
An oral temperature is an objective finding. The other answer options are subjective findings. Incorrect answer. Please choose another answer.

3.	You are caring for a group of patients in the nursing home. The highest priority, greatest need for this group of patients is the need for which of the following?
		a. esteem and respect
		b. self determination
		c. justice
		d. safety
CNAs are personally accountable and responsible to maintain the safety of all patients. Safety takes priority over esteem, respect, self-determination and justice, although these other needs are also important. Safety is a high priority. Incorrect answer. Please choose another answer.

4.	HIPAA rules on protecting identifiable health care information apply to information on:
		a. Flow sheets
		b. Verbal information such as shift report
		c. Electronic communication including email, tweets and texts
		d. All of the above
		e. Both a and c only
HIPAA protects all communication regarding protected health information of all health care consumers, including patients, residents and clients. Incorrect answer. Please choose another answer.

5.	You are giving care to a 76-year-old patient. You noticed an unusual fruity mouth odor when you are providing oral care to this patient. What should you do?
		a. Tell the person to use mouthwash and nothing else.
		b. Read a reference book about diabetes and its signs.
		c. Report this to the nurse because this observation is not normal
		d. Skip the mouth care because the person will need a sputum specimen.
You must immediately report this abnormal physical finding to the nurse. It could be a sign of high blood sugar. Incorrect answer. Please choose another answer.

TEAS VI

6.	People are often late to there next appointment when they try to complete to many tasks in an designated amount of time. Which answer below corrects the usage errors for the underlined text?
		a. their, too, a
		b.they're, to, a
		c. their, to, an
		d. there, too, an
The three words are commonly misused words. Only choice A uses the correct forms in the context of the sentence. Incorrect answer. Please choose another answer.

7.	The man with the dog walking to the park hurried his pace when he saw the dark clouds of a rainstorm roll in. What type of error exists in the sentence?
		a. Misspelled word
		b. Misplaced modifier
		c. Pronoun use
		d. Incomplete sentence
The phrase "with the dog" should be moved to after the word "park." (The man walking to the park with the dog hurried...). The original sentence is unclear who exactly is walking to the park. Incorrect answer. Please choose another answer.

8.	8 - 3 x 4 + 9 =
		a. 5
		b. - 5
		c. 65
		d. - 65
By the order of operations, you first carry out multiplication before addition or subtraction. 8 - 12 + 9 = x -4 + 9 = x X = 5 Incorrect answer. Please choose another answer.

9.	32 C = _____ F
		a. 89.6
		b. 88.9
		c. 86.9
		d. 100
To convert Celsius to Fahrenheit, first multiply by 9/5 and then add 32. 32 x 9/5 = 288/5 288/5 = 57.6 57.6 + 32 = 89.6 Incorrect answer. Please choose another answer.

10.	The nucleus of an atom is composed of which of the following?
		a. Protons and electrons
		b. Neutrons and electrons
		c. Protons and neutrons
		d. Protons only.
The nucleus of an atom contains both protons and neutrons. They are the part of the atom that makes the most mass. The protons have mass and a positive charge. The neutrons have no charge but mass. Incorrect answer. Please choose another answer.

NCLEX-RN

11.	Nursing care plans contain which of the following?
		a. nursing diagnoses
		b. medical diagnoses
		c. MD orders
		d. intake and output forms
Nursing care plans are legal documents that contain nursing diagnoses, such as an "Alteration of respiratory function". They also contain patient goals and nursing interventions. Incorrect answer. Please choose another answer.

12.	A nurse is at the beginning of her shift in a long-term care facility. Which of the following clients should she check on first?
		a. A 91-year old man who needs help eating breakfast
		b. An 86-year old man who has been incontinent in his bed
		c. An 82-year old woman who needs IV antibiotics
		d. A 75-year old man who is recovering from an injury who needs an ice pack
When determining which client to see first while in a long-term care facility, the nurse should decide what tasks are most important that only she can do. If other assistive personnel are present, the nurse can delegate some tasks to continue to meet the needs of the clients. In this scenario, the IV medication is the only task that must be done by the nurse. Incorrect answer. Please choose another answer.

13.	All of the following actions are components of a peripherally inserted IV dressing change EXCEPT:
		a. Remove the current dressing
		b. Cleanse the areas under the dressing
		c. Pat the area dry with a towel
		d. Apply the new dressing and label it with the date
Changing a peripherally inserted IV dressing may be necessary due to facility policy or if the site becomes soiled. When performing this procedure, the nurse should remove the old dressing and cleanse the site, allowing it to air dry. The new dressing should be applied and labeled with the date of the change. Incorrect answer. Please choose another answer.

14.	A nurse is treating a client with suspected carbon monoxide poisoning. Which of the following symptoms are associated with this condition?
		a. Red rash across the trunk and extremities
		b. Nausea, vomiting, seizures
		c. Flushing of the face and neck
		d. Abdominal pain radiating to the back
A client with carbon monoxide poisoning may present with nausea, vomiting, muscle weakness, or lightheadedness. Untreated, the condition may lead to seizures, coma, or death. Carbon monoxide toxicity is a safety risk because it is a colorless and odorless gas. Many people exposed to carbon monoxide may be unaware of toxic levels that can cause serious illness. Incorrect answer. Please choose another answer.

15.	Select the age group that is coupled with an infectious disease that is most common in this age group.
		a. Infants: High bilirubin
		b. Pre-School and School Age Children: Shingles
		c. Young Adults and Teenagers: Sexually transmitted diseases
		d. The Elderly: Malaria
Young adults and teenagers are at greatest risk for sexually transmitted diseases. High bilirubin is a laboratory finding and not an infectious disease. Pre-school and school age children are not at great risk for shingles, the elderly are. Lastly, old age is not associated with malaria. It is associated with shingles. Incorrect answer. Please choose another answer.

16.	Your 47-year-old patient is concerned about guiding the next generation. What developmental task is this 47-year-old patient addressing?
		a. Generativity
		b. Initiative
		c. Industry
		d. Ego integrity
The patient is addressing the developmental task of generativity. The other developmental tasks for the other age groups are below: Initiative: Preschool child Industry: School age child Ego integrity: Elderly. Incorrect answer. Please choose another answer.

17.	Your patient ate an 8-ounce cup of Italian ice. How much will you record on the patient's Intake and Output form in terms of this patient's fluid intake?
		a. 240 cc
		b. 120 cc
		c. 8 cc
		d. 0 cc because Italian ice is not a fluid.
There are 30cc per ounce. You will record 240 cc of fluid intake. Italian ice is considered a fluid. Incorrect answer. Please choose another answer.

CCRN

18.	What type of heart block is characterized by AV dissociation?
		a. Second degree
		b. Wenckebach
		c. Mobitz II
		d. Third degree
Third degree heart block lacks conduction through the AV node, and is characterized by QRS complexes being conducted at their own rate, with no relation to the p waves. Bradycardia and its effects are the significant symptoms to monitor in patients with this type of conduction system defect. Often, this defect is associated with a causative agent, which must be discovered and removed. Temporary pacemaker use is often necessary, and the patient usually requires permanent pacemaker placement. Incorrect answer. Please choose another answer.

19.	Wilma is being prepped to have a percutaneous coronary intervention (PCI) to attempt revascularization of her occluded coronary artery. What is the optimal door-to-balloon time for this intervention?
		a. 60 minutes
		b. 3 hours
		c. 90 minutes
		d. 6 hours
The optimal door-to-balloon time for PCI is 90 minutes. PCI is the preferred treatment for most patients with STEMI, as it has a lower risk of bleeding than use of thrombolytic therapy. Further information can also be obtained during the procedure about the extent of the patient's underlying disease. Generally, patients who have PCI are in the hospital for a shorter duration and require less medical support than patients who receive fibrinolytic therapy. Incorrect answer. Please choose another answer.

20.	Which of the following medications affect cardiac contractility?
		a. Ionotropic
		b. Chronotropic
		c. Dromotropic
		d. Analgesic
Chronotropic drugs affect heart rate; dromotropic drugs affect conductivity; analgesic medications are not cardiac specific. Incorrect answer. Please choose another answer.

CEN

21.	A physician wants to insert an ICP monitor. The purpose of ICP monitoring is:
		a. Diagnosing cranial hypertension
		b. Assessing for CSF leak
		c. Diagnosing subarachnoid hemorrhage
		d. None of the above
Depending on the ICP monitor inserted, the system diagnoses cranial hypertension, allows for drainage of CSF, and allows the medical team to assess the outcome of medical therapies. Incorrect answer. Please choose another answer.

22.	What type of leukocyte is the primary defense against bacterial infection?
		a. Eosinophil
		b. Basophil
		c. Neutrophil
		d. Lymphocyte
The neutrophil is the primary defense against bacterial infection. Normally, neutrophils will constitute about 62% of total white blood cells. In an acute bacterial infection, this number may rise. The neutrophils are released into the blood stream very early in infection. Immature neutrophils (bands) indicate an acute infection. Incorrect answer. Please choose another answer.

23.	There are several types of isolation precautions when caring for a patient with an infectious disease. All of the following require airborne precautions EXCEPT?
		a. Measles
		b. Tuberculosis
		c. Pertussis
		d. Varicella
Pertussis requires droplet precautions. Agents that require airborne precautions are agents that remain infectious over long distances in the air. These include measles, chicken pox (varicella), herpes zoster and tuberculosis. Droplet precautions include pathogens that spread through close respiratory or mucous membrane contact with respiratory secretions. Those include sepsis, scarlet fever, strep, pertussis, parvovirus B19, influenza, pneumonia, diphtheria, epiglottitis, rubella, RSV, mumps, meningitis, mycoplasma and adenovirus. Last type of precaution is contact, which includes any organisms that are spread by direct or indirect contact. Incorrect answer. Please choose another answer.

CHPN

24.	What type of physical pain responds well to anti-depressant medications as a primary or adjuvant analgesic?
		a. Visceral pain
		b. Nociceptive pain
		c. Neuropathic pain
		d. Bone pain
Neuropathic pain responds well to anti-depressants, anticonvulsants and corticosteroids as either primary or adjuvant analgesics. This type of pain is described as sharp, burning and shooting. Examples include spinal nerve compression, invasion of nerves by tumors, post-herpetic neuralgia and post-stroke pain syndromes. Incorrect answer. Please choose another answer.

25.	What is one of the primary challenges of adequate pain management in oncology care?
		a. Oncology staff lack training on pain management.
		b. Curative care is the focus, rather than comfort care.
		c. Patients may have fear that the disease is progressing.
		d. Patients may have been "drug seeking" during their oncology care.
It is not uncommon for patients to have fear that their disease is progressing and either under-report their pain or not want to fully describe it to providers out of concern that it may distract them from their treatment or for another reason. The other three options are false. Incorrect answer. Please choose another answer.

26.	What is the most important factor in treating terminal agitation?
		a. Titrating sedatives to effect
		b. Determining the cause
		c. Providing family support
		d. Initiating continuous care nursing
Since there can be many causes for terminal agitation, attempting to determine the cause is the most important factor in treating this distressing symptom. Since determining the cause can be difficult, the treatment approach may need to be a trial of various interventions to see what the patient responds best to. Incorrect answer. Please choose another answer.

Quality starts with who wrote the material.

Our practice exam writer

Eileen Johnson, RN, MSN

is a registered nurse and medical writer who has worked in nursing for over 20 years. Eileen was an item writer for the Board of Certification of Emergency Nursing.

Alene Burke, RN, MSN

is a registered nurse since 1976. She is a multidisciplinary nursing educator who has taught nurses for the last 25 years and developed college level curriculum.

Chelsea Homich, RN, MSN

is a nurse educator at the Pittsburgh Technical Institute where she teaches nursing students foundational nursing courses.

Meg Brannagan, RN, BSN

is a medical writer, specializing in courses and curriculum designed for practicing nurses. She has practiced clinical nursing and medical writing for over 12 years.

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