Fundamental of Nursing

Fundamental of Nursing MCQs/BCQs BSc Nursing

1. A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea. The nurse administered anti diarrheal tablets to the patient. What phrase of nursing process is being implemented here by the nurse?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation

2. It is best describe as a systematic, rational method of planning and providing nursing care for individual, families, group and community.
A. Assessment
B. Nursing Process
C. Diagnosis
D. Implementation

3. The 1st technique used in examining the abdomen of a client is:
A. Palpation
B. Auscultation
C. Percussion
D. Inspection

4. During a routine examination you are assessing the putting pressure on the patient’s abdomen to evaluate that whether the patient is having tenderness or not, you are performing which of the following technique:
A. Palpation
B. Auscultation
C. Inspection
D. Percussion

5. The nurse is using otoscope for assessing the patient. Which of the following area is tested?
A. Optic
B. Olfactory
C. Oculomotor
D. Trochlear

6. A nurse is performing an initial assessment for a client. Which of the following could be considered objective information except?
A. The client’s blood pressure increases when the provider enters the room
B. The client weighs 186 pounds
C. The client rates pain at a level of 6 on the numeric rating scale
D. The client has a pinpoint rash on the face and trunk

7. A patient comes to the health care setup, you are assessing the patient and you gathered information about the patient current health status and past health status, you are doing..
A. Assessment
B. Interviewing
C. Data Collection
D. All of the above

8. A patient is brought to ED in unconscious status, you gathered data from the patient’s relatives or attendants, this type of data can be labeled as_________________
A. Primary source of data
B. Objective data
C. Secondary source of data
D. All of the above

9. During your conversation for gathering data, you asked several questions from the patient and you got the answers for those questions, you are using ________________ skill for data collection.
A. Objective data
B. Secondary data
C. Source of data
D. None of the above

10. The component of the nursing diagnose that shows the client’s health status and directs the nurse towards the formation of the nursing interventions is___________________
A. Etiology
B. Defining characteristics
C. Problem Statement
D. None of the above

11. The Nurse is providing physical care, emotional support, comfort, teaching, counseling and environmental support to the patient, all these interventions can be labeled as _______________
A. Dependent interventions
B. Independent interventions
C. Collaborative interventions
D. Systematic interventions.

12. Nursing documentation can be use in the following aspects:
A. Communication
B. Education
C. Both A & B
D. None of the above

13. While preparing the patient for surgery, Nurse is taking signatures from the patient or the patient’s relative to allow for the surgery, this document is called_______________
A. Medical record
B. Detailed chart
C. Check list
D. Patient assessment form
E. None of the above

14. The organized, purposeful and disciplined thinking process is known as______________
A. Deep thinking
B. Enhanced thinking
C. Critical thinking
D. Dependent thinking

15. The following are the steps that are involved in critical thinking_____________
A. Interpretation
B. Analysis
C. Evaluation
D. Self regulation
E. Both A & B
F. All of the above

16. An unpleasant sensory and emotional experience associated with actual or potential tissue damage is known as:
A. Pain
B. Stimulus
C. Stress
D. None of the above

17. A 50 year old male patient is admitted in the medicine department, is complaining of the pain in the right lower limb, The nurse assessed the patient and was unable to know the etiology of the pain, this pain can be labeled as ________________
A. Nociceptive pain
B. Psychogenic pain
C. Neuropathic pain
D. Relative pain.

18. A 62 year old patient is brought to the Emergency Department, with severe chest pain on the left side, spreading towards the left shoulder and left arm, when the nurse assessed the patient she came to know that the patient is suspected for MI, the nurse labeled the type of pain as_____
A. Phantom pain
B. Referred pain
C. Radiating pain
D. Psychogenic pain

19. Retrosternal chest pain can be labeled as______________
A. Phantom pain
B. Referred pain
C. Radiating pain
D. Psychogenic pain

20. A 780 year old patient is brought to the Emergency Department, with diabetic foot gangrene with severe pain in the foot, the doctor performed surgery and amputated the foot, post operatively the patient was perceiving pain in the foot, the nurse informed the doctor that the patient is having _________________ pain.
A. Referred pain
B. Radiating pain
C. Psychogenic pain
D. Nociceptive pain
E. None of the above

21. According to this theory pain is produced when any sensory nerve is stimulated to a certain level:
A. Intensity theory
B. Specificity Theory
C. Gate control Theory
D. All of the above

22. All of the following are Non Pharmacological measures for relieving pain except__________
A. Distraction
B. Humor
C. Music
D. Opoids
E. Relaxation

23. The sum of all the interactions between an organism and the food it consumes is called_____
A. Nutrients
B. Nutrition
C. Food availability
D. All of the above

24. Rate at which food is metabolized to maintain energy requirements of a person who is awake and at rest
A. Catabolism
B. Anabolism
C. Basal Metabolic Rate
D. Metabolism

25. The nurse is assessing a 3 year old baby for nutritional status, The nurse measures the Height and weight, Growth curve, Head and chest circumferences, Skin fold thickness, and Mid arm circumference, the nurse asks the student nurse that which type of measurements she had taken, the student nurse will answer _______________
A. Anthropometric measurement
B. Body measurement
C. Height and weight
D. Physical measurement

26. You are asked to calculate the BMI for the patient having Weight = 70 kg (154 lb) and Height= 5 feet (60 inches or 1.52 m) , what will be the BMI of the patient _____________
A. 20
B. 30.1
C. 55
D. 22

27. You calculated the BMI of the patient in question no. 26, look at the patient BMI and label the patient into one category:
A. Under weight
B. Normal weight
C. Obesity
D. None of the above

28. You are taking history from the patient at OPD, and the patient tell you that he pass feces 2 times a day in routine, he tells now he has not passed stool from 4 days, the nurse will consider that the patient is having:
A. Diarrhea
B. Constipation
C. Flatulence
D. Bowel incontinence

29. If constipation is prolonged it can lead to _____________
A. More Constipation
B. Bowel incontinence
C. Fecal impaction
D. Fecal incontinence.

30. A 25year old male patient is admitted in the medicine department, is complaining of excessively liquid stool, Difficult to control urge for defecation and Spasmodic cramps, on assessment you came to know that the patient is dehydrated and have increase bowel sound, what will be your diagnoses?
A. Diarrhea
B. Constipation
C. Flatulence
D. Bowel incontinence

31. The loss of voluntary ability to control the fecal and gaseous discharge through the anal sphincter is called _________________
A. Diarrhea
B. Constipation
C. Flatulence
D. Bowel incontinence

32. you are taking history from the patient, and the patient tells you that he is unable to control flatus, as well as complain of minor soiling: you can consider this condition as___________
A. Diarrhea
B. Partial bowel incontinence
C. Major bowel incontinence
D. None of the above.

33. The presence of excessive flatus in the intestines is called_______________
A. Diarrhea
B. Constipation
C. All of the above
D. None of the above

34. A nursing student ask you a question that, in which stage of sleep the dreaming occurs, what will be your answer ????
A. NREM Stage 3
B. NREM Stage 4
C. REM Stage
D. Deep Sleep Stage
E. All of the above

35. While caring for a client with disturbed sleep pattern, which of the following will be your nursing intervention on priority?
A. Maintain a good circadian rhythm
B. Get adequate exercise during day time, but avoid excessive exertion before bed time.
C. Avoid dealing with office work or family problem before bedtime.
D. Use the bed mainly for sleep, so that you associate it with sleep.

36. The most common form of sexual activity is _______________
A. Homosexual genital intercourse
B. Orgasm
C. Libido
D. Heterosexual genital intercourse

37. Sexual response cycle includes the following phases except__________
A. Excitement phase
B. Plateau phase
C. Maintenance phase
D. Orgasmic phase
E. Resolution phase

38. “Many sexual therapist advise to increase sexual communication to avoid this problem” which of the following best justifies the above statement.
A. Erectile dysfunction
B. Pre mature Ejaculation
C. Dysparunia
D. All of the above

39. The chronic vulvar discomfort or pain that characterized by complaints of burning or pain or irritation of the female genitalia is known as:
A. Dysparunia
B. Vaginal infection
C. Vulvodynia
D. Vaginismus

40. You are on duty in urology department and you are asked to, asses the male patient’s genital organs, you will assess all of the following in physical examination except?
A. Inspect for any scars or lesions on the external genitals.
B. Ask for Current problem in sexual activity
C. Inspect for any changes in the shape of genital organs.
D. Compare the size of both testes

41. Nurse Elisabeth is teaching about sexual health to client, she taught about various things, some of them are the following, the head nurse noted Elisabeth that all of her teaching was right except:
A. Encourage open communication between partners.
B. Teach about kegel exercise to women.
C. Teach about any changes in sexual pattern due to any medications or following surgical procedure.
D. Do you have any problem in your sexuality?

42. The permanent cessation of function of vital organs of the body, including heart beat, spontaneous breathing and brain activity is known as_____________
A. Rest
B. Sleep
C. Death
D. All of the above

43. You have a 75 years old patient in ICU in critical condition, the physician tells you that the patient is not in satisfactory condition and going towards death, he noted the following manifestation and made his statement:
A. Loss of muscle tone
B. Slowing of the circulation
C. Changes in the vital signs
D. Sensory impairment
E. All of the above
F. None of the above

44. In the same case (as in question 43), the patient is expired, and the doctor declares the patient death, on which of the following basis the doctor declared this death?
A. Total lack of response to external stimuli
B. No muscular movement
C. No reflexes
D. Flat encephalogram
E. All of the above
F. Both B, C and D

45.” Does not understand concept of death, believes death is reversible, temporary departure or sleep.” From whom we can expect the above mentioned response?
A. A 5 year child
B. An Adult
C. A person in late adulthood
D. None of the above

46. “Fears prolonged illness, sees death as having multiple meanings, freedom from pain, and reunion with already deceased family members” From whom we can expect the above mentioned response?
A. An Adult having age of 20 years
B. A child
C. Above 65 years
D. All of the above
E. None of the above

47. The stiffening of the body that occurs about 2 to 4 hours after death is called _____________
A. Algor Mortis
B. Rigor Mortis
C. Livor Mortis
D. Stiffening of the body
E. Discoloration

48. _______________Is the gradual decrease of the body temperature after death.
A. Algor Mortis
B. Rigor Mortis
C. All of the above
D. None of the above

49. The loss that can be identified by others and can arise in response to a situation is called_________
A. Anticipatory loss
B. Perceived loss
C. Actual loss
D. None of the above

50. All of the following are Kubler Ross propose stages of grief except____________
A. Denial
B. Adopting
C. Anger
D. Depression.

Fundamental of Nursing MCQs/BCQs

Fundamental of Nursing-I|1stYear|2nd Semester| BSN(Generic)

1. Which of the following is not true about rapid eye movement sleep?
A) metabolic rate increases
B) dreams occur
C) slow wave sleep
D) pulse blood pressure and breathing increases
E) fast waves sleep

2. The client who doesn’t have fever is called:
A) Febrile
B) Hyperpyrexia
C) Afebrile
D) Pyrexia
E) Hypothermia

3. Which of the following is an example of objective data?
A) Severe headache
B) feeling of very severe pain in abdomen
C) feeling worry
D) discoloration of skin
E) complain of loose motion

4. Factors that affect sexual functioning includes
A) Family
B) Personal expectations
C) Religion
D) all of these
E) Culture

5. Concern for the Welfare and wellbeing for others is:
A) Altruism
B) Autonomy
C) Integrity
D) Social Justice
E) human dignity

6. Complicated grieving may not characterize by:
A) suicidal thoughts
B) severe physiologic symptoms
C) extended time of denial
D) sleep disturbance
E) Depression

7. Which of the following statement is true regarding non rapid eye movement (NREM)
A) also called paradoxical sleep
B) sleepoccursevery20minutesandlastfor5to30minutes
C) Brain is highly active
D) usually dream takes place in this sleep
E) sleepers heart rate and respiratory rate drops

8. Which of the following is not a component of nursing process:
A) Intervention
B) Scientific Rationale
C) Assessment & Nursing Diagnosis
D) Expected Outcome
E) Evaluation

9. Loss of voluntary ability to control fecal and gaseous discharge through anal sphincters:
A) Bowel incontinence
B) Constipation
C) Diarrhea
D) Flatulence
E) Urinary incontinence

10. Which of the following is not correct for chronic pain:
A) parasympathetic nervous system responses
B) client appears depressed and withdrawn
C) it lasted six months or longer
D) sympathetic nervous system responses
E) vital signs normal

11. After al medication have been given through nasogastric tube the nurse should:
A) Flush the tube with 30cc water
B) No Need to Flush
C) Flush the tube with 100cc water
D) Flush the tube with 50 water IN
E) Wash out tube thoroughly

12. The Most commonly used methods for stress management includes the following except
A) age
B) Minimize anxiety
C) Exercise
D) Nutrition
E) Mediating anger

13. Inability to obtain and adequate amount or quality of sleep is:
A) Hypersomnia
B) Narcolepsy
C) sleep apnea
D) insomnia
E) parainsomnia

14. Characteristics of normal color of urine is?
A) Dark amber
B) Straw, amber transparent
C) Cloudy
D) Red or dark brown
E) Dark orange

15. Painful or difficult urination is called?
A) hematuria
B) Oliguria
C) polyuria
D) residual urine
E) dysuria

16. Which of the following is a micronutrient?
A) Proteins
B) carbohydrates
C) Water
D) Fat
E) Minerals

17. The major source of body energy is:
A) Minerals
B) Vitamins
C) Carbohydrates
D) Lipids
E) Proteins

18. Data on health status of the client can be obtained by:
A) Lab. reports
B) Diagnostic test results
C) Nursing history
D) Physical assessment
E) All of these

19. Amount of urine output less than 400 ml in 24 hours is called:
A) Anuria

B) Oliguria
C) Polyuria
D) Hematuria
E) Dysuria

20. Which of The nursing intervention is not included to promote a positive concept in client:
A) establish therapeutic relationship with the client
B) avoid eye contact with patient
C) helping our clients to identify areas of strength
D) assist the client to evaluate himself
E) assist the client to make behavioral change

21. Which of The following is not a physiological manifestation of stress?
A) Depression
B) increase cardiac output
C) Hyperglycemia
D) Constipation
E) dry mouth

22. According to Maslow’s hierarchy of human need which of the following human need should met first:
A) Self-actualization
B) Safety and security
C) Self Esteem
D) Love and belonging
E) Physiologic needs

23. When Giving ophthalmic medication in the form of gtts it should be installed
A) Conjunctiva
B) Pupil
C) Sclera
D) Outer canthus
E) Inner canthus

24. Leakage of urine despite of voluntary control of urination is called:
A) Incontinence
B) Urgency
C) Dribbling
D) residual urine
E) hesitancy

25. Average daily urine output by the age of 14years through adulthood is?
A) 1500ml

B) 600-700ml
C) 800-1400ml
D) 1500ml or less
E) 700-1000ml

26. Which of The following statement regarding subcutaneous injection is not true?
A) It is injected just below the skin subcutaneous layer
B) Given at 25-degree angle
C) Only 0.5-1 ml is given
D) Insulin is also given subcutaneously
E) Given at 45-degree angle

27. Non rapid eye movement (NREM) sleep occurs about:
A) 50 to 60%
B) 70 to 80%
C) 40 to 50%
D) 30 to 40%
E) 20 to 30%

28. Physical Change of pain includes the following Except:
A) Elevated respiratory rate
B) Elevated dilated pupils, cyanosed and perspiration
C) Elevated blood pressure
D) Elevated pulse rate
E) Stress and restless

29. Process of designing nursing action required to prevent, reduce or eliminate patients’ problem is:
A) Planning
B) Assessment
C) nursing diagnosis
D) Evaluation
E) Implementation

30. The Type of functional Health Pattern which focus on the person’ perceived level of health and wellbeing and on practices for maintaining health is:
A) Self-perception/Self-concept pattern
B) Role and relationship pattern
C) Health perception/health management pattern
D) Value belief pattern
E) Cognitive/perceptual pattern

31. Which of The following statement regarding intradermal injection is not true?
A) Check for bleb or wheal
B) Use 26-27-gauge needle
C) Given at 5-15-degree angle
D) Given for allergy test
E) Inject into deep muscles

32. The first step of nursing process is?
A) Planning
B) Evaluation
C) Diagnosis
D) Assessment
E) Implementation

33. Which of The Following is a dependent nursing action?
A) Giving mouth care
B) Intake and output monitoring
C) Giving bed bath
D) Changing clients position 2hourly
E) Giving medications according to physician’s order

34. Draw The person that attention away from the pain through listening music:
A) Relaxation
B) guided imagery
C) imagery meditation
D) Distraction

35. The ability to listen actively can:
A) improve cooperation
B) improve interpersonal relationship
C) block understanding
D) minimize is communicate
E) reduce conflicts

36. One of The most important factor affecting person sleep and rest periods
A) lifestyle and habits
B) Environment
C) Illness
D) Fatigue
E) Age

37. Which of the following is not a disadvantage of oral route of medication?
A) Not suitable for unconscious patient
B) May cause irritation to gastric mucosa
C) Sometime may have adverse reaction
D) Portable, no pain, easy to take
E) Foodland Gastrointestinal motility can affect drug absorption

38. Intramuscular injection should be given at the angle of _______ degree.
A) 45
B) 75
C) 25
D) 35
E) 90

39. When Assessing a Person with altered concept the nurse should not:
A) minimize interruption
B) ask close ended questions
C) create a quiet environment
D) maintain appropriate eye contact
E) sit at eyelevel with the client


Answer key

1. E
2. C
3. D
4. D
5. A
6. E
7. A
8. D
9. A
10. D
11. A
12. A
13. D
14. B
15. E
16. E
17. C
18. E
19. B
20. B
21. C
22. E
23. A
24. A
25. A
26. B
27. B
28. B
29. A
30. C
31. E
32. D
33. E
34. A
35. E
36. A
37. D
38. E
39. B