Post RN Entry Test Cycle 02 Section A General Nursing

1. A 68-year-old male presents to the clinic with complaints of shortness

of breath on exertion, swelling in his lower legs, and fatigue. On
examination, jugular venous distension is noted.What is the most likely
cause of the patient’s symptoms?

A. Chronic obstructive pulmonary disease (COPD)

B. Congestive heart failure (CHF)

C. Deep vein thrombosis (DVT)

D. Pulmonary embolism

2. During a physical examination, a nurse observes asymmetrical chest

expansion in a patient.What is the most likely underlying condition?

A. Pneumothorax

B. Bronchitis

C. Pleural effusion

D. Asthma

3. A nurse performs a skin assessment on a bedridden patient and notes

a reddened area on the sacral region that does not blanch when
pressed.What is the most appropriate initial nursing intervention?

A. Apply a topical antibiotic

B. Reposition the patient frequently

C. Massage the area gently

D. Cover the area with a dry dressing

4. A patient reports intermittent episodes of dizziness when standing up

quickly. Upon assessment, the nurse records a drop in systolic blood
pressure of 20 mmHg when the patient moves from lying to
standing.What is the likely condition?

A. Orthostatic hypotension

B. Hypertension

C. Arrhythmia

D. Vertigo

5. During a health assessment, the nurse auscultates a patient’s heart and

hears a “whooshing” sound.This finding is most consistent with:

A. Pericarditis

B. A heart murmur

C. Myocardial infarction

D. Atrial fibrillation

6. A 45-year-old female patient presents with complaints of severe

headaches, vision changes, and high blood pressure.What additional
assessment finding would most support a diagnosis of hypertensive
crisis?

A. Hyperreflexia
B. Peripheral edema

C. Sudden nosebleed

D. Bradycardia

7. A nurse notes a yellowish discoloration of the sclera in a patient.This

finding is most likely associated with:

A. Anemia

B. Jaundice

C. Cyanosis

D. Hypoxia

8. A patient presents with a deep wound on the lower leg. During

assessment, the wound is pale, cold to the touch, and has diminished
peripheral pulses. These findings are most indicative of:

A. Venous insufficiency

B. Arterial insufficiency

C. Cellulitis

D. Pressure ulcer

9. A 23-year-old patient presents with fever, neck stiffness, and sensitivity

to light. During a physical exam, the nurse observes a positive Kernig’s
sign. This finding is most indicative of:

A. Encephalitis
B. Meningitis

C. Migraine

D. Tension headache

10. A patient reports a persistent productive cough for three months in

two consecutive years. The nurse observes cyanosis and clubbing of the
fingers. What is the most likely diagnosis?

A. Chronic bronchitis

B. Pneumonia

C. Asthma

D. Lung cancer

11. A 75-year-old patient has been admitted to the hospital with

dehydration. During the nurse's initial assessment, the patient shows
signs of confusion and dry mucous membranes. What is the nurse's
priority intervention?

A. Administer prescribed oral rehydration solution.

B. Monitor the patient’s urine output hourly.

C. Establish and maintain intravenous (IV) access for fluid therapy.

D. Educate the patient about the importance of hydration.

12. A nurse is caring for a patient who has been vomiting and has a
potassium level of 2.8 mmol/L. Which clinical finding should the nurse
expect?
A. Hypertension

B. Cardiac arrhythmias

C. Increased deep tendon reflexes

D. Respiratory alkalosis

13. A 56-year-old diabetic patient presents with a foot ulcer. The nurse
notes the wound has a foul smell and purulent drainage. What is the best
initial nursing action?

A. Clean the wound with hydrogen peroxide.

B. Notify the healthcare provider immediately.

C. Obtain a wound culture.

D. Apply a sterile dressing to the wound.

14. A nurse is caring for a patient who recently underwent abdominal

surgery. The patient reports sudden, severe pain and notices drainage
from the surgical site. Upon inspection, the wound has dehisced, and
intestines are visible. What should the nurse do first?

A. Notify the surgeon immediately.

B. Cover the wound with a sterile saline-soaked dressing.

C. Administer prescribed pain medication.

D. Reassure the patient and monitor vital signs.

15. A patient is scheduled for surgery and is anxious about the procedure.
During preoperative teaching, the patient asks, "What if something goes
wrong?" How should the nurse respond?

A. “Don’t worry; the surgeons are very experienced.”

B. “Let me call the surgeon to explain the risks again.”

C. “Can you tell me more about your specific concerns?”

D. “Anesthesia ensures you won’t feel anything during the surgery.”

16. A 48-year-old patient with a history of hypertension is prescribed a low

-sodium diet. During a follow-up, the nurse notices the patient has been
consuming processed foods. What is the most appropriate nursing
diagnosis?

A. Noncompliance with medical regimen.

B. Knowledge deficit related to dietary restrictions.

C. Impaired nutrition: more than body requirements.

D. Risk for electrolyte imbalance.

17. A nurse is caring for a patient post-hip replacement surgery. The

patient is unable to bear weight on the affected leg and reports pain.
Which intervention should the nurse prioritize?

A. Administer prescribed pain medication.

B. Perform passive range-of-motion exercises.

C. Teach the patient to use a walker.

D. Assess the surgical site for signs of infection.

18. A patient with pneumonia has a respiratory rate of 30 breaths per
minute and an oxygen saturation of 88% on room air. What is the nurse’s
first action?

A. Notify the healthcare provider.

B. Administer oxygen as prescribed.

C. Perform chest physiotherapy.

D. Increase the head of the bed to Fowler's position.

19. A nurse notices that a patient with a urinary catheter has not produced
urine in the past 6 hours. What should the nurse do first?

A. Irrigate the catheter to remove potential blockages.

B. Encourage the patient to drink more fluids.

C. Assess the catheter tubing for kinks or obstruction.

D. Notify the healthcare provider.

20. A patient is receiving enteral feeding via a nasogastric tube. During

the nurse's assessment, the patient reports nausea and has a distended
abdomen. What is the nurse’s priority action?

A. Stop the feeding and check for gastric residual volume.

B. Administer an antiemetic as prescribed.

C. Slow down the rate of the feeding.

D. Encourage the patient to lie on their left side.

21. A 55-year-old patient underwent abdominal surgery 24 hours ago. On
assessment, the nurse observes shallow breathing and decreased oxygen
saturation (SpO₂ at 88%). The patient also reports mild chest pain. What
should the nurse do first?

A) Administer prescribed analgesics

B) Encourage deep breathing and coughing exercises

C) Increase oxygen delivery via nasal cannula

D) Notify the physician immediately

22. A 72-year-old male with congestive heart failure presents with

dyspnea, bilateral pitting edema, and jugular vein distension. Which
medication would most likely be administered to manage these
symptoms?

A) Digoxin

B) Furosemide

C) Aspirin

D) Metoprolol

23. A 40-year-old patient with type 1 diabetes reports sweating, tremors,

and confusion. Blood glucose level is 50 mg/dL. What is the nurse's
immediate action?

A) Administer 10 units of insulin

B) Provide 15 g of carbohydrates orally

C) Start an IV insulin drip

D) Notify the physician

24. A patient receiving nasogastric suctioning is lethargic and has muscle

weakness. Lab results show potassium level at 2.8 mEq/L. What is the
most appropriate nursing intervention?

A) Administer potassium chloride orally or intravenously as prescribed

B) Increase the rate of nasogastric suctioning

C) Restrict dietary potassium intake

D) Administer calcium gluconate

25. A 65-year-old diabetic patient has a surgical wound that is not healing
as expected. What factor is most likely delaying wound healing in this
patient?

A) High protein intake

B) Controlled blood glucose levels

C) Presence of infection

D) Regular dressing changes

26. A patient presents with a blood pressure of 200/120 mmHg, severe

headache, and blurred vision. What is the nurse's priority action?

A) Administer antihypertensive medications as prescribed

B) Encourage relaxation techniques

C) Initiate fluid restriction

D) Assess dietary sodium intake

27. A 50-year-old patient scheduled for surgery has a history of heavy

smoking. What pre-operative instruction is most critical?

A) Take deep breaths regularly before surgery

B) Stop smoking at least 24 hours before surgery

C) Reduce caffeine intake

D) Avoid taking pain medication before the procedure

28. A patient with AKI has serum creatinine of 4.2 mg/dL and urine output
of 200 mL in 24 hours. What intervention should the nurse prioritize?

A) Increase oral fluid intake

B) Prepare the patient for hemodialysis

C) Administer diuretics

D) Encourage ambulation

29. A 60-year-old patient recovering from a myocardial infarction suddenly

develops shortness of breath, frothy pink sputum, and crackles on
auscultation. What condition should the nurse suspect?

A) Pneumonia

B) Pulmonary embolism

C) Left-sided heart failure

D) Asthma exacerbation
30. A patient with a urinary tract infection becomes febrile, tachycardic,
and hypotensive. What is the nurse's priority?

A) Administer antipyretics

B) Obtain blood cultures before starting antibiotics

C) Start IV fluids to manage hypotension

D) Insert a urinary catheter

31. Which ethical principle refers to the obligation to do good and act in
the best interest of the patient?

a. Autonomy

b. Beneficence

c. Nonmaleficence

d. Justice

32. A nurse respects a patient’s decision to refuse treatment despite

disagreeing with it. Which ethical principle is the nurse upholding?

a. Fidelity

b. Autonomy

c. Veracity

d. Confidentiality

33. The principle of nonmaleficence emphasizes that nurses should:

a. Promote fairness and equity in healthcare.

b. Prevent harm to patients.

c. Always tell the truth to patients.

d. Respect a patient’s right to make decisions.

34. A nurse promises to return to a patient within 10 minutes but fails to

do so. This violates which ethical principle?

a. Veracity

b. Beneficence

c. Fidelity

d. Autonomy

35. A nurse discovers a colleague has made a medication error but

chooses not to report it. Which principle is being violated?

a. Nonmaleficence

b. Justice

c. Veracity

d. Autonomy

36. The nurse on a busy medical-surgical unit, you are managing a team
of nurses and support staff. One of your RNs is overwhelmed with patient
assessments and has asked you to reassign some tasks.Which task is
most appropriate to delegate to an experienced Licensed Practical Nurse
(LPN)?
A. Administering IV push medications.

B. Developing a discharge teaching plan.

C. Performing a dressing change for a patient with a diabetic foot ulcer.

D. Assessing a new admission for baseline vitals and health history.

37. Two nurses in your team have an ongoing conflict regarding the
division of tasks during shifts, causing tension in the workplace.What is
the best approach to address the issue as a leader?

A. Schedule a joint meeting with both nurses to discuss their perspectives

and mediate a resolution.

B. Reassign one nurse to a different shift permanently.

C. Ignore the situation to see if it resolves on its own.

D. Assign tasks equally without consulting the nurses to prevent further

conflict.

38. During a shift, a nurse informs you that they cannot complete all their
tasks because of an unexpected patient deterioration.As the nurse
manager, how should you respond to ensure patient care and team
efficiency?

A. Tell the nurse to work overtime to finish their tasks.

B. Reassign some of the nurse’s tasks to available staff members.

C. Advise the nurse to prioritize patient safety and leave other tasks for the
next shift.

D. Step in and personally complete the remaining tasks for the nurse.
39. You notice that some team members are unmotivated and perform
only the minimum required. You want to foster a more engaging and
proactive work environment. Which leadership style is most likely to
achieve this goal?

A. Autocratic

B. Transformational

C. Laissez-faire

D. Transactional

40. A nurse reports that another nurse on your team has been
documenting medications as administered, but the medication vials were
found unused.What is the first action you should take as a manager?

A. Confront the nurse directly and demand an explanation.

B. Review the documentation and gather evidence before taking further

action.

C. Report the nurse immediately to the board of nursing for investigation.

D. Reassign the nurse to administrative duties while you investigate.