Board Exam Nursing Test Iv Nle (practice Mode)

50 Questions  I  By Rnpedia
The scope of  this Nursing Test IV is parallel to the NP4 NLE Coverage: Medical Surgical Nursing

  
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Question Excerpt

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1.  Following spinal injury, the nurse should encourage the client to drink fluids to avoid:
A.
B.
C.
D.
2.  The client is transferred from the operating room to recovery room after an open-heart surgery. The nurse assigned is taking the vital signs of the client. The nurse notified the physician when the temperature of the client rises to 38.8 ºC or 102 ºF because elevated temperatures:
A.
B.
C.
D.
3.  After radiation therapy for cancer of the prostate, the client experienced irritation in the bladder. Which of the following sign of bladder irritability is correct?
A.
B.
C.
D.
4.  A client is diagnosed with a brain tumor in the occipital lobe. Which of the following will the client most likely experience?
A.
B.
C.
D.
5.  A client with Addison’s disease has a blood pressure of 65/60. The nurse understands that decreased blood pressure of the client with Addison’s disease involves a disturbance in the production of:
A.
B.
C.
D.
6.  The nurse is planning to teach the client about a spontaneous pneumothorax. The nurse would base the teaching on the understanding that:
A.
B.
C.
D.
7.  During an assessment, the nurse recognizes that the client has an increased risk for developing cancer of the tongue. Which of the following health history will be a concern?
A.
B.
C.
D.
8.  The client in the orthopedic unit asks the nurse the reason behind why compact bone is stronger than cancellous bone. Which of the following is the correct response of the nurse?
A.
B.
C.
D.
9.  The nurse is reviewing the laboratory results of the client. In reviewing the results of the RBC count, the nurse understands that the higher the red blood cell count, the :
A.
B.
C.
D.
10.  The physician advised the client with Hemiparesis to use a cane. The client asks the nurse why cane will be needed. The nurse explains to the client that cane is advised specifically to:
A.
B.
C.
D.
11.  The nurse is conducting a discharge teaching regarding the prevention of further problems to a client who undergone surgery for carpal tunnel syndrome of the right hand. Which of the following instruction will the nurse includes?
A.
B.
C.
D.
12.  A female client is admitted because of recurrent urinary tract infections.  The client asks the nurse why she is prone to this disease.  The nurse states that the client is most susceptible because of:
A.
B.
C.
D.
13.  A 55-year-old client is admitted with chest pain that radiates to the neck, jaw and shoulders that occurs at rest, with high body temperature, weak with generalized sweating and with decreased blood pressure.  A myocardial infarction is diagnosed.  The nurse knows that the most accurate explanation for one of these presenting adaptations is:
A.
B.
C.
D.
14.  Following an amputation of a lower limb to a male client, the nurse provides an instruction on how to prevent a hip flexion contracture.  The nurse should instruct the client to:.
A.
B.
C.
D.
15.  The physician scheduled the client with rheumatoid arthritis for the injection of hydrocortisone into the knee joint.  The client asks the nurse why there is a need for this injection.  The nurse explains that the most important reason for doing this is to:
A.
B.
C.
D.
16.  The nurse is assigned to care for a 57-year-old female client who had a cataract surgery an hour ago.  The nurse should:
A.
B.
C.
D.
17.  A client with AIDS develops bacterial pneumonia is admitted in the emergency department.  The client’s arterial blood gases is drawn and the result is PaO2 80mmHg. then arterial blood gases are drawn again and the level is reduced from 80 mmHg to 65 mmHg.  The nurse should;
A.
B.
C.
D.
18.  An 18-year-old college student is brought to the emergency department due to serious motor vehicle accident.  Right above-knee-amputation is done.  Upon awakening from surgery the client tells the nurse, “What happened to me?  I cannot remember anything?”  Which of the following would be the appropriate initial nursing response?
A.
B.
C.
D.
19.  A 38-year-old client with severe hypertension is hospitalized.  The physician prescribed a Captopril (Capoten) and Alprazolam (Xanax) for treatment.  The client tells the nurse that there is something wrong with the medication and nursing care.  The nurse recognizes this behavior is probably a manifestation of the client’s:
A.
B.
C.
D.
20.  Before discharge, the nurse scheduled the client who had a colostomy for colorectal cancer for discharge instruction about resuming activities.  The nurse should plan to help the client understands that:
A.
B.
C.
D.
21.  A client is scheduled for bariatric surgery.  Preoperative teaching is done.  Which of the following statement would alert the nurse that further teaching to the client is necessary?
A.
B.
C.
D.
22.  The client who had transverse colostomy asks the nurse about the possible effect of the surgery on future sexual relationship.  What would be the best nursing response?
A.
B.
C.
D.
23.  A 75-year-old male client tells the nurse that his wife has osteoporosis and asks what chances he had of getting also osteoporosis like his wife.  Which of the following is the correct response of the nurse?
A.
B.
C.
D.
24.  An older adult client with acute pain is admitted in the hospital.  The nurse understands that in managing acute pain of the client during the first 24 hours, the nurse should ensure that:
A.
B.
C.
D.
25.  A nurse is caring to an older adult with presbycusis.  In formulating nursing care plan for this client, the nurse should expect that hearing loss of the client that is caused by aging to have:
A.
B.
C.
D.
26.  The nurse is reviewing the client’s chart about the ordered medication.  The nurse must observe for signs of hyperkalemia when administering:
A.
B.
C.
D.
27.  The physician prescribed Albuterol (Proventil) to the client with severe asthma.  After the administration of the medication the nurse should monitor the client for:
A.
B.
C.
D.
28.  A client is receiving diltiazem (Cardizem).  What should the nurse include in a teaching plan aimed at reducing the side effects of this medication?
A.
B.
C.
D.
29.  A client is receiving  simvastatin (Zocor).  The nurse is aware that this medication is effective when there is decrease in:
A.
B.
C.
D.
30.  A client is taking nitroglycerine tablets,  the nurse should teach the client the importance of:
A.
B.
C.
D.
31.  The physician prescribes Ibuprofen (Motrin) and hydroxychloroquine sulfate (Plaquenil) for a 58-year-old male client with arthritis.  The nurse provides information about toxicity of the hydroxychloroquine.  The nurse can determine if the information is clearly understood if the client states:
A.
B.
C.
D.
32.  The client with an acute myocardial infarction is hospitalized for almost one week.  The client experiences nausea and loss of appetite.  The nurse caring for the client recognizes that these symptoms may indicate the:
A.
B.
C.
D.
33.  A client with a partial occlusion of the left common carotid artery is scheduled for discharge.  The client is still receiving Coumadin.  The nurse provided a discharge instruction to the client regarding adverse effects of Coumadin.  The nurse should tell the client to consult with the physician if:
A.
B.
C.
D.
34.  Levodopa is ordered for a client with Parkinson’s disease. Before starting the medication, the nurse should know that:
A.
B.
C.
D.
35.  In making a diagnosis of myasthenia gravis Edrophonium HCI (Tensilon) is used.  The nurse knows that this drug will cause a temporary increase in:
A.
B.
C.
D.
36.  The nurse can determine the effectiveness of carbamazepine (Tegretol) in the management of trigeminal neuralgia by monitoring the client’s:
A.
B.
C.
D.
37.  Administration of potassium iodide solution is ordered to the client who will undergo a subtotal thyroidectomy.  The nurse understands that this medication is given to:
A.
B.
C.
D.
38.  A client with Addison’s disease is scheduled for discharge.  Before the discharge, the physician prescribes hydrocortisone and fludrocortisone.  The nurse expects the hydrocortisone to:
A.
B.
C.
D.
39.  A client with diabetes insipidus is taking Desmopressin acetate (DDAVP).  To determine if the drug is effective, the nurse should monitor the client’s:
A.
B.
C.
D.
40.  A client with recurrent urinary tract infections is to be discharged.  The client will be taking nitrofurantoin (Macrobid) 50 mg po every evening at home.  The nurse provides discharge instructions to the client.  Which of the following instructions will be correct?
A.
B.
C.
D.
41.  A client with cancer of the lung is receiving chemotherapy.  The physician orders antibiotic therapy for the client.  The nurse understands that chemotherapy destroys rapidly growing leukocytes in the:
A.
B.
C.
D.
42.  The physician reduced the client’s Dexamethasone (Decadron) dosage gradually and to continue a lower maintenance dosage.  The client asks the nurse about the change of dosage.  The nurse explains to the client that the purpose of gradual dosage reduction is to allow:
A.
B.
C.
D.
43.  The nurse is assigned to care for a client with diarrhea.  Excessive fluid loss is expected.  The nurse is aware that fluid deficit can most accurately be assessed by:
A.
B.
C.
D.
44.  Which of the following is the most important electrolyte of intracellular fluid?
A.
B.
C.
D.
45.  Which of the following client has a high risk for developing hyperkalemia?
A.
B.
C.
D.
46.  The nurse is reviewing the laboratory result of the client.  The client’s serum potassium level is 5.8 mEq/L. Which of the following is the initial nursing action?
A.
B.
C.
D.
47.  Potassium chloride, 20 mEq, is ordered and to be added in the IV solution of a client in a diabetic ketoacidosis.  The primary reason for administering this drug is:
A.
B.
C.
D.
48.  A female client is brought to the emergency unit. The client is complaining of abdominal cramps.  On assessment, client is experiencing anorexia and weight is reduced.  The physician’s diagnosis is colitis.  Which of the following symptoms of fluid and electrolyte imbalance should the nurse report immediately?
A.
B.
C.
D.
49.  The client is to receive an IV piggyback medication.  When preparing the medication the nurse should be aware that it is very important to:
A.
B.
C.
D.
50.  The nurse is reviewing the laboratory result of the client.  An arterial blood gas report indicates the client’s pH is 7.20, PCO2 35 mmHg and HCO3 is 19 mEq/L.  The results are consistent with:
A.
B.
C.
D.
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