St. Charles Borromeo Hospital College of Nursing Past Questions and Answers

St. Charles Borromeo Hospital College of Nursing Past Questions and Answers

Here they are;

What is the primary purpose of a focused nursing assessment?

a) To assess the patient's overall health

b) To identify the patient's past medical history

c) To gather comprehensive data about a specific problem

d) To measure blood pressure

Answer: c) To gather comprehensive data about a specific problem

When caring for a patient with a nasogastric (NG) tube, what is the primary goal of maintaining tube patency?

a) To assess the patient's pain level

b) To promote wound healing

c) To prevent complications and ensure proper nutrition and medication administration

d) To reduce fever

Answer: c) To prevent complications and ensure proper nutrition and medication administration

A patient with a history of chronic obstructive pulmonary disease (COPD) is experiencing a sudden worsening of symptoms. What is the primary nursing intervention in this situation?

a) Administering an antipyretic

b) Assessing pain level

c) Administering oxygen and monitoring the patient's respiratory status

d) Measuring blood pressure

Answer: c) Administering oxygen and monitoring the patient's respiratory status

A patient is receiving a blood transfusion. During the transfusion, the nurse notes the patient developing signs of a transfusion reaction, such as chills, fever, and back pain. What should be the nurse's immediate action?

a) Document the findings in the patient's chart

b) Slow down the transfusion rate

c) Stop the transfusion, disconnect the tubing, and infuse normal saline

d) Administer an antipyretic

Answer: c) Stop the transfusion, disconnect the tubing, and infuse normal saline

When assessing a patient's skin for pressure ulcers, which area is particularly prone to pressure injury in a patient who is immobile and bedridden?

a) Forehead

b) Elbows

c) Shins

d) Buttocks

Answer: d) Buttocks

What is the primary purpose of the "Sbar" communication tool in healthcare?

a) To limit patient interaction

b) To enhance collaboration and improve the quality of patient care

c) To decrease the patient's comfort

d) To administer medications

Answer: b) To enhance collaboration and improve the quality of patient care

When caring for a patient with an indwelling urinary catheter, which nursing intervention is crucial to prevent infection?

a) Irrigate the catheter with sterile water daily

b) Keep the catheter bag above the level of the bladder

c) Empty the catheter bag every hour

d) Use aseptic technique when handling the catheter

Answer: d) Use aseptic technique when handling the catheter

A patient is prescribed warfarin (Coumadin). What is the primary purpose of this medication?

a) To reduce pain

b) To manage hypertension

c) To increase heart rate

d) To prevent blood clot formation

Answer: d) To prevent blood clot formation

When caring for a patient with a chest tube, what should the nurse monitor for as a potential complication of chest tube removal?

a) Elevated blood pressure

b) Hypertension

c) Air or fluid leakage from the chest tube insertion site

d) Bradycardia

Answer: c) Air or fluid leakage from the chest tube insertion site

A patient is receiving an enteral nutrition formula through a feeding tube. What should the nurse assess before initiating the feeding?

a) The patient's hearing ability

b) The patient's level of anxiety

c) The placement of the feeding tube

d) The patient's preference for feeding times

Answer: c) The placement of the feeding tube

When caring for a patient with a history of substance abuse, what is the primary goal of nursing interventions?

a) To limit access to pain medication

b) To identify opportunities for substance abuse

c) To provide emotional support

d) To monitor and manage substance abuse while promoting recovery

Answer: d) To monitor and manage substance abuse while promoting recovery

A patient has been prescribed physical therapy as part of the treatment plan. What is the primary goal of physical therapy in this context?

a) To limit physical activity

b) To promote pain

c) To evaluate vital signs

d) To restore and improve the patient's physical function and mobility

Answer: d) To restore and improve the patient's physical function and mobility

What is the primary goal of patient education in nursing practice?

a) To provide emotional support

b) To limit patient participation in decision-making

c) To enhance the patient's understanding and self-care abilities

d) To restrict access to medical records

Answer: c) To enhance the patient's understanding and self-care abilities

A patient with diabetes is prescribed a medication to lower blood glucose levels. What is the primary purpose of this medication?

a) To increase blood glucose levels

b) To manage pain

c) To stimulate the immune system

d) To lower blood glucose levels

Answer: d) To lower blood glucose levels

When caring for a patient with a gastrostomy tube, what is the primary goal of maintaining tube patency?

a) To measure blood pressure

b) To evaluate vital signs

c) To assess the patient's pain level

d) To prevent complications and ensure proper nutrition and medication administration

Answer: d) To prevent complications and ensure proper nutrition and medication administration

A patient with a recent myocardial infarction (heart attack) is at risk for developing complications. What should the nurse assess to monitor for these complications?

a) Bowel sounds

b) Urinary output

c) Vital signs, particularly blood pressure and heart rate

d) Pupil size

Answer: c) Vital signs, particularly blood pressure and heart rate

When assessing a patient's risk for falls, which factor should the nurse consider as a significant risk factor for falls in the elderly?

a) Increased muscle strength

b) Use of assistive devices

c) Active lifestyle

d) Impaired balance and gait

Answer: d) Impaired balance and gait

What is the primary purpose of the "Cultural Competence" in nursing practice?

a) To limit patient access to medications

b) To provide emotional support

c) To promote respectful and effective care for patients from diverse cultural backgrounds

d) To evaluate vital signs

Answer: c) To promote respectful and effective care for patients from diverse cultural backgrounds.