Exit Application Process Employment Application RN/LPN First Name Last Name Email Position applied for 1. The principle of autonomy includes which of the following? (Check All That Apply)* A. Protection of privacy B. Respect for person C. Egalitarian approach D. Informed consent E. Fulfillment of client goals 2. Culture can be defined as* A. A set of beliefs, values, and assumptions about life B. Ethnocentric patterns of life C. A changed belief system D. Explicit behaviors and beliefs 3. A client from another country does not make eye contact with a nurse when she speaks. This nonverbal behavior is indicative of which of the following?* A. The client has low self-esteem B. The client is exhibiting signs of fatigue C. The client has a negative attitude toward the nurse D. Further assessment of the client’s culture and his feelings is needed before a determination can be made 4. According to CMS guidelines which of the following are always eligible to receive home care services? (Check all that apply)* A. Homebound older adult client B. Terminally ill child C. Individuals dependent on healthcare technology (i.e., ventilator) D. Postoperative clients 5. A client is exhibiting suspected clinical manifestations of asthma. The client asks the RN what test will be necessary for diagnosis. Which of the following diagnostic procedure should the RN tell the client is most accurate method of diagnosis?* A. Arterial blood gases (ABGs) B. Chest x-ray C. Pulmonary function tests (PFTs) D. Allergy tests 6. Which of the following are ethical issues faced in the terminal stages of life? (Check all that apply)* A. Nutrition/hydration supplements B. Chemotherapy C. Attendance of funeral by siblings D. Presence of religious advisor E. Resuscitation order 7. Which of the following is the most appropriate nursing intervention for a client experiencing oxygen toxicity?* A. Immediately discontinue oxygen administration B. Increase humidification of oxygen C. Use the lowest possible flow rate of oxygen D. Monitor oxygenation with a pulse oximeter 8. A pregnant woman should avoid exposure to which of the following communicable diseases?* A. Whooping cough B. Mumps C. Measles (rubeola) D. German measles (rubella) E. Zika virus 9. The client has a nursing diagnosis of Decrease Cardiac Output related to decreased plasma volume. Which of the following nursing assessments supports this nursing diagnosis?* A. Flattened neck veins when the client is in supine position B. Full and bounding pedal and post-tibial pulses C. Pitting edema located in feet, ankles, and calves D. Shallow respirations with crackles on auscultation 10. Which client is most likely to receive opioids for extended periods of time?* A. A client with fibromyalgia B. A client with phantom leg pain C. A client with progressive pancreatic cancer D. A client with trigeminal neuralgia 11. You have adjusted your schedule to visit four clients today. Put each of the following in the order in which you visit first, second, third, and fourth.* A. The client with increased shortness of breath B. The peritoneal dialysis client who will need an epoetin injection C. The chemotherapy client who will need a blood draw for a CBC D. The client with a recent MI who will need an initial assessment B - A - C - D C - B - A - D D - A - B - C A - D - C - B 12. You call four clients to confirm the visits and schedule times. All goes well until you call Mrs. Rogers to schedule a visit. She states that she does not have much time today, but will be available for tomorrow. What is the best response?* A. The visit will not take very long, so I plan on seeing you today B. I have rescheduled other clients because it is essential that I see you today C. Perhaps you are feeling that you do not really need any help at home D. Because of your new heart attack, I would like to see you today 13. After rescheduling your client, you arrive at Mrs. Rogers home as arranged and she greets you at the door. You notice that her respiratory efforts seem a little labored and she looks anxious. After you introduce yourself to Mrs. Rogers and ask her how she is feeling since her discharge from the hospital yesterday. Which response indicates a need for immediate intervention?* A. I have been a bit short of breath B. I feel a slight pressure in my chest C. I don’t understand why I need to take all of these pills D. I am confused about why you are here to see me 14. Which of these abbreviations indicates that a drug is to be administered at regularly spaced intervals during each 24-hour period?* A. q 6h, prn B. q 4h C. tid, pc 15. Which of these factors is NOT important in selecting the appropriate size needle for an intramuscular injection?* A. Body weight of a patient B. Frequency of administration of the medication C. Viscosity of the solution to be administered 16. The combination of which of these drugs would create an antagonistic effect if the two drugs were administered simultaneously?* A. Tetracycline hydrochloride (Achromycin) ophthalmic and aluminum hydroxide (Amphojel). B. Probencid (Benemid) and Ampicillin (Amcill) C. Regular insulin and protamine zinc insulin suspension (PZI) 17. A major advantage of using central vein rather than a peripheral vein for the administration of total parenteral nutrition (TPN) is that:* A. The risk of infection at the insertion site is minimized B. Intravenous medication can be added more safely C. A central vein can tolerate a higher concentration of dextrose 18. One evening a patient who has been receiving nifedipine (Procardia) refuses the medication, saying “Thank you, but I would rather not take it”. Which of these actions should the nurse take Initially?* A. Emphasize to the patient the importance of continuing the medication B. Ask the patient the reason for refusing the medication C. Chart the patient’s refusal 19. The administration of which of these drugs requires monitoring the patient’s serum level of the drug?* A. Lithium carbonate (Eskalith) B. Amantadine hydrochloride (Symmetrel) C. Hydrichlorothiazide (HydroDiuril) 20. Before administering the first dose of an antibiotic to a patient, which of these actions should the nurse take?* A. Determine whether a culture and sensitivity test has been ordered for the patient B. Check the laboratory results of the patient’s white blood count C. Tell the patient what sided effect he/she may experience 21. Which of these adverse effects may occur as a result of receiving radiation therapy for an extended period of time?* A. Hyperthyroidism B. Leukocytopenia C. Raynaud’s phenomenon 22. When instructing patients with tuberculosis about their drug therapy, the nurse should provide them with which of the following information?* A. Medication will be needed only as long as symptoms of the illness are present B. It will be necessary to continue taking the medication throughout their lifetime C. The course of medication therapy may last as long as two years 23. When a patient is taking isosorbide dinitrate (Isordil) oral tablets, which of these instructions regarding the medication should be provided?* A. Discontinue the drug if throbbing headache occurs B. Take the drug at meal time C. Avoid drinking alcoholic beverages 24. Which of these actions should be taken for a patient who is on aspirin therapy for rheumatoid arthritis?* A. Advise the patient to take the medication only when pain is severe B. Assess the patient for memory disturbance C. Monitor the patient for signs of impaired hearing 25. An order has been written for a patient to receive the anti-inflammatory drug naproxen (Naprosyn). The order should be questioned if the patient has a history of:* A. Peptic ulcer B. Acute-angle glaucoma C. Diabetes mellitus
