Board Exam Nursing Test I NLE (Practice Mode)
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Scope of this Nursing Test I is parallel to the NP1 NLE Coverage: Foundation of Nursing Nursing Research Professional Adjustment Leadership and Management
- 1.
- A.
Monitor the I&O of a comatose toddler client with salicylate poisoning
- B.
Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall
- C.
Check the IV of a preschooler with Kawasaki disease
- D.
Give an outmeal bath to an infant with eczema
- 2.
- A.
A 9-year-old child diagnosed with rheumatic fever
- B.
A young infant after pyloromyotomy
- C.
A 4-year-old with VSD following cardiac catheterization
- D.
A 5-month-old with Kawasaki disease
- 3.
- A.
A child who had multiple injuries from a serious vehicle accident
- B.
A child diagnosed with Kawasaki disease and with cardiac complications
- C.
A child who has had a nephrectomy for Wilm’s tumor
- D.
A child receiving an IV chelating therapy for lead poisoning
- 4.
- A.
A client diagnosed with diabetes and who has an infected toe
- B.
A client who had a CVA in the past two months
- C.
A client with Chronic renal failure
- D.
A client with chronic venous insufficiency
- 5.
- A.
Case management method
- B.
Primary nursing method
- C.
Team method
- D.
Functional method
- 6.
- A.
Primary nursing method
- B.
Case method
- C.
team method
- D.
functional method
- 7.
- A.
Resign on the spot from the nursing position and apply for a position that does not require floating
- B.
Inform the nursing supervisor and the charge nurse on the pediatric floor about the nurse’s lack of skill and feelings of hesitations and request assistance
- C.
Ask several other nurses how they feel about pediatrics and find someone else who is willing to accept the assignment
- D.
Refuse the assignment and leave the unit requesting a vacation a day
- 8.
- A.
Mentor
- B.
Team leader
- C.
Case manager
- D.
Change agent
- 9.
- A.
“I do not get along with one of the nurses on the pediatrics unit”
- B.
“I have a vacation day coming and would like to take that now”
- C.
“I do not feel competent to go and work on that area”
- D.
“ I am afraid I will get the most serious clients in the unit”
- 10.
- A.
Provide care to the most acutely ill client on the team
- B.
Know the condition and needs of all the patients on the team
- C.
Document the assessments completed by the team members
- D.
Supervise direct care by nursing assistants
- 11.
- A.
The Physician
- B.
The Registered Nurse caring for the client
- C.
The 15-year-old mother of the baby boy
- D.
The mother of the girl
- 12.A nurse caring to a client with Alzheimer’s disease overheard a family member say to the client, “if you pee one more time, I won’t give you any more food and drinks”. What initial action is best for the nurse to take?
- A.
Take no action because it is the family member saying that to the client
- B.
Talk to the family member and explain that what she/he has said is not appropriate for the client
- C.
Give the family member the number for an Elder Abuse Hot line
- D.
Document what the family member has said
- 13.Which is true about informed consent?
- A.
A nurse may accept responsibility signing a consent form if the client is unable
- B.
Obtaining consent is not the responsibility of the physician
- C.
A physician will not subject himself to liability if he withholds any facts that are necessary to form the basis of an intelligent consent
- D.
If the nurse witnesses a consent for surgery, the nurse is, in effect, indicating that the signature is that of the purported person and that the person’s condition is as indicated at the time of signing
- 14.
- A.
Notify the pediatric team that the mother has refused resuscitation and any treatment for the baby and take the baby to the mother
- B.
Get a court order making the baby a ward of the court
- C.
Record the statement of the mother, notify the pediatric team, and observe carefully for signs of impaired bonding and neglect as a reasonable suspicion of child abuse
- D.
Do nothing except record the mother’s statement in the medical record
- 15.The hospitalized client with a chronic cough is scheduled for bronchoscopy. The nurse is tasks to bring the informed consent document into the client’s room for a signature. The client asks the nurse for details of the procedure and demands an explanation why the process of informed consent is necessary. The nurse responds that informed consent means:
- A.
The patient releases the physician from all responsibility for the procedure.
- B.
The immediate family may make decision against the patient’s will.
- C.
The physician must give the client or surrogates enough information to make health care judgments consistent with their values and goals.
- D.
The patient agrees to a procedure ordered by the physician even if the client does not understand what the outcome will be.
- 16.A hospitalized client with severe necrotizing ulcer of the lower leg is schedule for an amputation. The client tells the nurse that he will not sign the consent form and he does not want any surgery or treatment because of religious beliefs about reincarnation. What is the role of the RN?
- A.
Call a family meeting
- B.
Discuss the religious beliefs with the physician
- C.
Encourage the client to have the surgery
- D.
Inform the client of other options
- 17.While in the hospital lobby, the RN overhears the three staff discussing the health condition of her client. What would be the appropriate nursing action for the RN to take?
- A.
Tell them it is not appropriate to discuss the condition of the client
- B.
Ignore them, because it is their right to discuss anything they want to
- C.
Join in the conversation, giving them supportive input about the case of the client
- D.
Report this incident to the nursing supervisor
- 18.A staff nurse has had a serious issue with her colleague. In this situation, it is best to:
- A.
Discuss this with the supervisor
- B.
Not discuss the issue with anyone. It will probably resolve itself
- C.
Try to discuss with the colleague about the issue and resolve it when both are calmer
- D.
Tell other members of the network what the team member did
- 19.
- A.
The nurse discusses the condition of the client in a clinical conference with other nurses
- B.
The client asks the nurse to discuss the her condition with the family
- C.
The father of a woman who just delivered a baby is on the phone to find out the sex of the baby
- D.
A researcher from an institutionally approved research study reviews the medical record of a patient
- 20.
- A.
Call the surgeon
- B.
Ask the spouse to sign the consent
- C.
Obtain a consent from the client as soon as possible
- D.
Get a verbal consent from the parents of the client
- 21.A 12-year-old client is admitted to the hospital. The physician ordered Dilantin to the client. In administering IV phenytoin (Dilantin) to a child, the nurse would be most correct in mixing it with:
- A.
Normal Saline
- B.
Heparinized normal saline
- C.
5% dextrose in water
- D.
Lactated Ringer’s solution
- 22.
- A.
Feet and legs elevated 20 degrees, trunk horizontal, head on small pillow
- B.
Low Fowler’s with knees gatched at 30 degrees
- C.
Supine with the head turned to the left
- D.
Bed sloped at a 45 degree angle with the head lowest and the legs highest
- 23.
- A.
Assess the level of consciousness and circulation
- B.
Check respirations, circulation, neurological response
- C.
Align the spine, check pupils, check for hemorrhage
- D.
Check respiration, stabilize spine, check circulation
- 24.
- A.
Eat solid food
- B.
Give liquids with meals
- C.
Feed the client
- D.
Sit in an upright position to eat
- 25.During tracheal suctioning, the nurse should implement safety measures. Which of the following should the nurse implements?
- A.
Limit suction pressure to 150-180 mmHg
- B.
suction for 15-20 seconds
- C.
Wear eye goggles
- D.
Remove the inner cannula
- 26.The nurse is conducting a discharge instructions to a client diagnosed with diabetes. What sign of hypoglycemia should be taught to a client?
- A.
Warm, flushed skin
- B.
Hunger and thirst
- C.
Increase urinary output
- D.
Palpitation and weakness
- 27.A client admitted to the hospital and diagnosed with Addison’s disease. What would be the appropriate nursing action to the client?
- A.
Administering insulin-replacement therapy
- B.
Providing a low-sodium diet
- C.
Restricting fluids to 1500 ml/day
- D.
reducing physical and emotional stress
- 28.
- A.
Aucultating the lungs to determine the baseline data to assess the effectiveness of suctioning
- B.
Removing oral and nasal secretions
- C.
Encouraging the patient to deep breathe and cough to facilitate removal of upper-airway secretions
- D.
Administering 100% oxygen to reduce the effects of airway obstruction during suctioning.
- 29.
- A.
Facial edema with ecchymosis and handprint mark: crackles and wheezes
- B.
Facial edema, with red marks; crackles in the lung
- C.
Facial edema with ecchymosis that looks like a handprint
- D.
Red bruise mark and ecchymosis on face
- 30.On the evening shift, the triage nurse evaluates several clients who were brought to the emergency department. Which in the following clients should receive highest priority?
- A.
an elderly woman complaining of a loss of appetite and fatigue for the past week
- B.
A football player limping and complaining of pain and swelling in the right ankle
- C.
A 50-year-old man, diaphoretic and complaining of severe chest pain radiating to his jaw
- D.
A mother with a 5-year-old boy who says her son has been complaining of nausea and vomited once since noon
- 31.A 80-year-old female client is brought to the emergency department by her caregiver, on the nurse’s assessment; the following are the manifestations of the client: anorexia, cachexia and multiple bruises. What would be the best nursing intervention?
- A.
check the laboratory data for serum albumin, hematocrit, and hemoglobin
- B.
talk to the client about the caregiver and support system
- C.
Complete a police report on elder abuse
- D.
Complete a gastrointestinal and neurological assessment
- 32.The night shift nurse is making rounds. When the nurse enters a client’s room, the client is on the floor next to the bed. What would be the initial action of the nurse?
- A.
Chart that the patient fell
- B.
Call the physician
- C.
Chart that the client was found on the floor next to the bed
- D.
fill out an incident report
- 33.The nurse on the night shift is about to administer medication to a preschooler client and notes that the child has no ID bracelet. The best way for the nurse to identify the client is to ask:
- A.
The adult visiting, “The child’s name is ____________________?”
- B.
The child, “Is your name____________?”
- C.
Another staff nurse to identify this child
- D.
The other children in the room what the child’s name is
- 34.The nurse caring to a client has completed the assessment. Which of the following will be considered to be the most accurate charting of a lump felt in the right breast?
- A.
“abnormally felt area in the right breast, drainage noted”
- B.
“hard nodular mass in right breast nipple”
- C.
“firm mass at five ‘ clock, outer quadrant, 1cm from right nipple’
- D.
“mass in the right breast 4cmx1cm
- 35.
- A.
Outline the kidney vasculature
- B.
Determine the size, shape, and placement of the kidneys
- C.
Test renal tubular function and the patency of the urinary tract
- D.
Measure renal blood flow
- 36.A client visits the clinic for screening of scoliosis. The nurse should ask the client to:
- A.
Bend all the way over and touch the toes
- B.
Stand up as straight and tall as possible
- C.
Bend over at a 90-degree angle from the waist
- D.
Bend over at a 45-degree angle from the waist
- 37.
- A.
wash their hands when leaving
- B.
Put on gowns, gloves and masks
- C.
Avoid contact with the client’s roommate
- D.
Keep the client’s room door open
- 38.
- A.
“Your baby eats too rapidly and overfills the stomach, which causes vomiting
- B.
“Your baby can’t empty the formula that is in the stomach into the bowel”
- C.
“The vomiting is due to the nausea that accompanies pyloric stenosis”
- D.
“Your baby needs to be burped more thoroughly after feeding”
- 39.
- A.
reactivation of an old tuberculosis infection
- B.
increased incidence of new cases of tuberculosis in persons over 65 years old
- C.
Greater exposure to diverse health care workers
- D.
Respiratory problems are characteristic in this population
- 40.The nurse is making a health teaching to the parents of the client. In teaching parents how to measure the area of induration in response to a PPD test, the nurse would be most accurate in advising the parents to measure:
- A.
Both the areas that look red and feel raised
- B.
The entire area that feels itchy to the child
- C.
Only the area that looks reddened
- D.
Only the area that feels raised
- 41.A community health nurse is schedule to do home visit. She visits to an elderly person living alone. Which of the following observation would be a concern?
- A.
Picture windows
- B.
Unwashed dishes in the sink
- C.
Clear and shiny floors
- D.
Brightly lit rooms
- 42.
- A.
Examine the infant for any observable abnormalities
- B.
confirm identification of the infant and apply bracelet to mother and infant
- C.
Instill prophylactic medication in the infant’s eyes
- D.
Wrap the infant in a prewarmed blanket and cover the head
- 43.
- A.
Elbow restraints to the arms
- B.
Mittens to the hands
- C.
Clove-hitch restraints to the hands
- D.
A posey jacket to the torso
- 44.The parents of the hospitalized client ask the nurse how their baby might have gotten pyloric stenosis. The appropriate nursing response would be:
- A.
There is no way to determine this preoperatively
- B.
Their baby was born with this condition
- C.
Their baby developed this condition during the first few weeks of life
- D.
Their baby acquired it due to a formula allergy
- 45.
- A.
Pruritus
- B.
Pus in the urine
- C.
WBC in the urine
- D.
Dysuria
- 46.Which of the following would be the most important goal in the nursing care of an infant client with eczema?
- A.
preventing infection
- B.
Maintaining the comfort level
- C.
providing for adequate nutrition
- D.
Decreasing the itching
- 47.The nurse is making a discharge instruction to a client receiving chemotherapy. The client is at risk for bone marrow depression. The nurse gives instructions to the client about how to prevent infection at home. Which of the following health teaching would be included?
- A.
“Get a weekly WBC count”
- B.
“Do not share a bathroom with children or pregnant woman”
- C.
“Avoid contact with others while receiving chemotherapy”
- D.
“Do frequent hand washing and maintain good hygiene”
- 48.The nurse is assigned to care the client with infectious disease. The best antimicrobial agent for the nurse to use in handwashing is:
- A.
Isopropyl alcohol
- B.
Hexachlorophene (Phisohex)
- C.
Soap and water
- D.
Chlorhexidine gluconate (CHG) (Hibiclens)
- 49.The mother of the client tells the nurse, “ I’m not going to have my baby get any immunization”. What would be the best nursing response to the mother?
- A.
“You and I need to review your rationale for this decision”
- B.
“Your baby will not be able to attend day care without immunizations”
- C.
“Your decision can be viewed as a form of child abuse and neglect”
- D.
“You are needlessly placing other people at risk for communicable diseases”
- 50.
- A.
Tender, movable lump
- B.
Pain on breast self-examination
- C.
round, well-defined lump
- D.
Dimpling of the breast tissue
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