Board Exam Nursing Test

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1. 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?

Explanation

These are likely signs of an acute myocardial infarction (MI). An acute MI is a cardiovascular emergency requiring immediate attention. Acute MI is potentially fatal if not treated immediately.

Submit
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About This Quiz
Board Exam Nursing Test - Quiz

The Board Exam Nursing Test is designed to help nursing students prepare effectively for their licensure exams. This comprehensive test covers fundamental nursing concepts, clinical skills, patient care, pharmacology, medical-surgical nursing, and ethical practices. It evaluates critical thinking, decision-making, and application of nursing knowledge in real-world scenarios.

By practicing with... see morethis test, candidates can identify areas for improvement, reinforce essential principles, and boost their confidence. The test reflects the format and difficulty level of actual nursing board exams, making it an invaluable tool for exam readiness. Use this Board Exam Nursing Test to solidify your understanding, enhance clinical competency, and increase your chances of success in achieving nursing licensure. see less

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2. 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?

Explanation

This response is the most direct and immediate. This is a case of potential need for advocacy and patient’s rights.

Submit
3. A newly hired nurse on an adult medicine unit with 3 months experience was asked to float to pediatrics.  The nurse hesitates to perform pediatric skills and receive an interesting assignment that feels overwhelming.  The nurse should:

Explanation

The nurse is ethically obligated to inform the person responsible for the assignment and the person responsible for the unit about the nurse’s skill level. The nurse therefore avoids a situation of abandoning clients and exposing them to greater risks

Submit
4. 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?

Explanation

The behavior should be stopped. The first step is to remind the staff that confidentiality may be violated

Submit
5. Which is true about informed consent?

Explanation

The nurse who witness a consent for treatment or surgery is witnessing only that the client signed the form and that the client’s condition is as indicated at the time of signing. The nurse is not witnessing that the client is “informed”.

Submit
6. 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:

Explanation

Informed consent means that the physician must provide the client or their surrogates with enough information about the procedure so that they can make healthcare judgments that align with their own values and goals. This ensures that the client is fully aware of the risks, benefits, and alternatives of the procedure and can make an informed decision about their healthcare. It also respects the client's autonomy and right to make decisions about their own body.

Submit
7. A staff nurse has had a serious issue with her colleague.  In this situation, it is best to:

Explanation

Waiting for emotions to dissipate and sitting down with the colleague is the first rule of conflict resolution.

Submit
8. 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?

Explanation

Frequent hand washing and good hygiene are the best means of preventing infection.

Submit
9. 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:

Explanation

Phenytoin (Dilantin) can cause venous irritation due to its alkalinity, therefore it should be mixed with normal saline.

Submit
10.  A male client comes to the clinic for check-up.  In doing a physical assessment, the nurse should report to the physician the most common symptom of gonorrhea, which is:

Explanation

Pus is usually the first symptom, because the bacteria reproduce in the bladder.

Submit
11. An experienced nurse who voluntarily trained a less experienced nurse with the intention of enhancing the skills and knowledge and promoting professional advancement to the nurse is called a:

Explanation

This describes a mentor

Submit
12. 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?

Explanation

The physician may not be aware of the role that religious beliefs play in making a decision about surgery.

Submit
13.  The nurse in the medication unit passes the medications for all the clients on the nursing unit.  The head nurse is making rounds with the physician and coordinates clients’ activities with other departments.  The nurse assistant changes the bed lines and answers call lights.  A second nurse is assigned for changing wound dressings; a licensed practitioner nurse takes vital signs and bathes the clients.  This illustrates of what method of nursing care?

Explanation

It describes functional nursing. Staff is assigned to specific task rather than specific clients.

Submit
14. A nurse is assigned to care to a client with Parkinson’s disease.  What interventions are important if the nurse wants to improve nutrition and promote effective swallowing of the client?

Explanation

Client with Parkinson’s disease are at a high risk for aspiration and undernutrition. Sitting upright promotes more effective swallowing.

Submit
15. The nurse is to perform tracheal suctioning.  During tracheal suctioning, which nursing action is essential to prevent hypoxemia?

Explanation

Presuctioning and postsuctioning ventilation with 100% oxygen is important in reducing hypoxemia which occurs when the flow of gases in the airway is obstructed by the suctioning catheter.

Submit
16. A 2-year-old client is admitted to the hospital with severe eczema lesions on the scalp, face, neck and arms.  The client is scratching the affected areas.  What would be the best nursing intervention to prevent the client from scratching the affected areas?

Explanation

The purpose of restraints for this child is to keep the child from scratching the affected areas. Mittens restraint would prevent scratching, while allowing the most movement permissible.

Submit
17.  A mother in labor told the nurse that she was expecting that her  baby has no chance to survive and expects that the baby will be born dead.  The mother accepts the fate of the baby and informs the nurse that when the baby is born and requires resuscitation, the mother refuses any treatment to her baby and expresses hostility toward the nurse while the pediatric team is taking care of the baby.  The nurse is legally obligated to:

Explanation

Although the statements by the mother may not create a suspicion of neglect, when they are coupled with observations about impaired bonding and maternal attachment, they may impose the obligation to report child neglect. The nurse is further obligated to notify caregivers of refusal to consent to treatment

Submit
18. 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?

Explanation

It is a safety hazard to have shiny floors because they can cause falls.

Submit
19. The newly hired staff nurse has been working on a medical unit for 3 weeks.  The nurse manager has posted the team leader assignments for the following week.  The new staff knows that a major responsibility of the team leader is to:

Explanation

The team leader is responsible for the overall management of all clients and staff on the team, and this information is essential in order to accomplish this

Submit
20. After a birth, the physician cut the cord of the baby, and before the baby is given to the mother, what would be the initial nursing action of the nurse?

Explanation

The first priority, beside maintaining a newborn’s patent airway, is body temperature.

Submit
21. The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP).  Which of the following task could the registered nurse safely assigned to a UAP?

Explanation

Bathing an infant with eczema can be safely delegated to an aide; this task is basic and can competently performed by an aid.

Submit
22. The parents of the hospitalized client ask the nurse how their baby might have gotten pyloric stenosis.  The appropriate nursing response would be:

Explanation

Pyloric stenosis is not a congenital anatomical defect, but the precise etiology is unknown. It develops during the first few weeks of life.

Submit
23. Which of the following would be the most important goal in the nursing care of an infant client with eczema?

Explanation

Preventing infection in the infant with eczema is the nurse’s most important goal. The infant with eczema is at high risk for infection due to numerous breaks in the skin’s integrity. Intact skin is always the infant’s first line of defense against infection.

Submit
24. 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?

Explanation

It describes the mass in the greatest detail.

Submit
25. 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?

Explanation

The mother may have many reasons for such a decision. It is the nurse’s responsibility to review this decision with the mother and clarify any misconceptions regarding immunizations that may exist.

Submit
26. The nurse is conducting a discharge instructions to a client diagnosed with diabetes. What sign of hypoglycemia should be taught to a client?

Explanation

There has been too little food or too much insulin. Glucose levels can be markedly decreased (less than 50 mg/dl). Severe hypoglycemia may be fatal if not detected

Submit
27. The physician instructed the nurse that intravenous pyelogram will be done to the client.  The client asks the nurse what is the purpose of the procedure.  The appropriate nursing response is to:

Explanation

Intravenous pyelogram tests both the function and patency of the kidneys. After the intravenous injection of a radiopaque contrast medium, the size, location, and patency of the kidneys can be observed by roentgenogram, as well as the patency of the urethra and bladder as the kidneys function to excrete the contrast medium.

Submit
28. A 15-year-old girl just gave birth to a baby boy who needs emergency surgery.  The nurse prepared the consent form and it should be signed by:

Explanation



In most jurisdictions, a 15-year-old is considered a minor and cannot legally provide consent for medical procedures. In this case, the legal guardian, typically the parent or legal guardian of the minor mother, would be authorized to sign the consent form for the baby's surgery.

However, it's important to note that specific laws and regulations regarding minor consent can vary by jurisdiction. Some jurisdictions may have exceptions for emancipated minors or specific medical circumstances.
Submit
29. A 17-year-old married client is scheduled for surgery.  The nurse taking care of the client realizes that consent has not been signed after preoperative medications were given.  What should the nurse do?

Explanation

The priority is to let the surgeon know, who in turn may ask the husband to sign the consent.

Submit
30. A 70-year-old client with suspected tuberculosis is brought to the geriatric care facilities.  An intradermal tuberculosis test is schedule to be done.  The client asks the nurse what is the purpose of the test.  Which of the following would be the best rationale for this?

Explanation

Increased incidence of TB has been seen in the general population with a high incidence reported in hospitalized elderly clients. Immunosuppression and lack of classic manifestations because of the aging process are just two of the contributing factors of tuberculosis in the elderly.

Submit
31. A client admitted to the hospital and diagnosed with Addison’s disease.  What would be the appropriate nursing action to the client?

Explanation

Because the client’s ability to react to stress is decreased, maintaining a quiet environment becomes a nursing priority. Dehydration is a common problem in Addison’s disease, so close observation of the client’s hydration level is crucial.

Submit
32. The nurse is teaching the client about breast self-examination.  Which observation should the client be taught to recognize when doing the examination for detection of breast cancer?

Explanation

The tumor infiltrates nearby tissue, it can cause retraction of the overlying skin and create a dimpling appearance.

Submit
33. A nurse in charge in the pediatric unit is absent.  The nurse manager decided to assign the nurse in the obstetrics unit to the pediatrics unit.  Which of the following patients could the nurse manager safely assign to the float nurse?

Explanation

RN floated from the obstetrics unit should be able to care for a client with major abdominal surgery, because this nurse has experienced caring for clients with cesarean births.

Submit
34.  The registered nurse is planning to delegate task to a certified nursing assistant.  Which of the following clients should not be assigned to a CAN?

Explanation

The patient is experiencing a potentially serious complication related to diabetes and needs ongoing assessment by an RN

Submit
35. The pediatrics unit is understaffed and the nurse manager informs the nurses in the obstetrics unit that she is going to assign one nurse to float in the pediatric units.  Which statement by the designated float nurse may put her job at risk?

Explanation

This action demonstrates a lack of responsibility and the nurse should attempt negotiation with the nurse manager.

Submit
36. The nurse is caring to a client who just gave birth to a healthy baby boy.  The nurse may not disclose confidential information when:

Explanation

The nurse may not disclose confidential information when the father of a woman who just delivered a baby is on the phone to find out the sex of the baby. This is because revealing the sex of the baby without the mother's consent would be a breach of confidentiality. The nurse must prioritize protecting the privacy and confidentiality of the client and her medical information.

Submit
37. An infant is brought to the emergency department and diagnosed with pyloric stenosis.  The parents of the client ask the nurse, “Why does my baby continue to vomit?”  Which of the following would be the best nursing response of the nurse?

Explanation

Pyloric stenosis is an anomaly of the upper gastrointestinal tract. The condition involves a thickening, or hypertrophy, of the pyloric sphincter located at the distal end of the stomach. This causes a mechanical intestinal obstruction, which leads to vomiting after feeding the infant. The vomiting associated with pyloric stenosis is described as being projectile in nature. This is due to the increasing amounts of formula the infant begins to consume coupled with the increasing thickening of the pyloric sphincter.

Submit
38. 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?

Explanation

Assessment and more data collection are needed. The client may have gastrointestinal or neurological problems that account for the symptoms. The anorexia could result from medications, poor dentition, or indigestion, and the bruises may be attributed to ataxia, frequent falls, vertigo or medication.

Submit
39. 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?

Explanation

This is closest to suggesting action-assessment, rather than paperwork- and is therefore the best of the four.

Submit
40. The nurse is caring to a client who is hypotensive.  Following a large hematemesis, how should the nurse position the client?

Explanation

This position increases venous return, improves cardiac volume, and promotes adequate ventilation and cerebral perfusion

Submit
41. A nurse manager assigned a registered nurse from telemetry unit to the pediatrics unit.  There were three patients assigned to the RN.  Which of the following patients should not be assigned to the floated nurse?

Explanation

The RN floated from the telemetry unit would be least prepared to care for a young infant who has just had GI surgery and requires a specific feeding regimen.

Submit
42. 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:

Explanation

The only acceptable way to identify a preschooler client is to have a parent or another staff member identify the client.

Submit
43. During tracheal suctioning, the nurse should implement safety measures.  Which of the following should the nurse implements?

Explanation

It is important to protect the RN’s eyes from the possible contamination of coughed-up secretions

Submit
44. A client with tuberculosis is admitted in the hospital for 2 weeks.  When a client’s family members come to visit, they would be adhering to respiratory isolation precautions when they:

Explanation

Handwashing is the best method for reducing cross-contamination. Gowns and gloves are not always required when entering a client’s room.

Submit
45. A registered nurse has been assigned to six clients on the 12-hour shift.  The RN is responsible for every aspect of care such as formulating the care of plan, intervention and evaluating the care during her shift.  At the end of her shift, the RN will pass this same task to the next RN in charge.  This nursing care illustrates of what kind of method?

Explanation

Case management. The nurse assumes total responsibility for meeting the needs of the client during her entire duty.

Submit
46.  The client is brought to the emergency department after a serious accident.  What would be the initial nursing action of the nurse to the client?

Explanation

Checking the airway would be a priority, and a neck injury should be suspected

Submit
47. An infant is admitted and diagnosed with pneumonia and suspicious-looking red marks on the swollen face resembling a handprint.  The nurse does further assessment to the client.  How would the nurse document the finding?

Explanation

This is an example of objective data of both pulmonary status and direct observation on the skin by the nurse.

Submit
48. A client visits the clinic for screening of scoliosis.  The nurse should ask the client to:

Explanation

This is the recommended position for screening for scoliosis. It allows the nurse to inspect the alignment of the spine, as well as to compare both shoulders and both hips.

Submit
49.  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:

Explanation

Parents should be taught to feel the area that is raised and measure only that.

Submit
50. The nurse is assigned to care the client with infectious disease. The best antimicrobial agent for the nurse to use in handwashing is:

Explanation

CHG is a highly effective antimicrobial ingredient, especially when it is used consistently over time.

Submit
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On the evening shift, the triage nurse evaluates several clients who ...
A nurse caring to a client with Alzheimer’s ...
A newly hired nurse on an adult medicine unit with 3 months experience...
While in the hospital lobby, the RN overhears the three staff...
Which is true about informed consent?
The hospitalized client with a chronic cough is scheduled for ...
A staff nurse has had a serious issue with her colleague.  In...
The nurse is making a discharge instruction to a client receiving ...
A 12-year-old client is admitted to the hospital.  The physician...
 A male client comes to the clinic for check-up.  In doing a...
An experienced nurse who voluntarily trained a less experienced nurse...
A hospitalized client with severe necrotizing ulcer of the lower leg...
 The nurse in the medication unit passes the medications for all...
A nurse is assigned to care to a client with Parkinson’s...
The nurse is to perform tracheal ...
A 2-year-old client is admitted to the hospital with severe eczema ...
 A mother in labor told the nurse that she was expecting that...
A community health nurse is schedule to do home visit.  She...
The newly hired staff nurse has been working on a medical unit for 3 ...
After a birth, the physician cut the cord of the baby, and before the...
The registered nurse is planning to delegate tasks to unlicensed ...
The parents of the hospitalized client ask the nurse how their baby ...
Which of the following would be the most important goal in the nursing...
The nurse caring to a client has completed the assessment.  Which...
The mother of the client tells the nurse, “ I’m not going to have...
The nurse is conducting a discharge instructions to a client diagnosed...
The physician instructed the nurse that intravenous pyelogram will be...
A 15-year-old girl just gave birth to a baby boy who needs emergency...
A 17-year-old married client is scheduled for surgery.  The nurse...
A 70-year-old client with suspected tuberculosis is brought to the ...
A client admitted to the hospital and diagnosed with Addison’s...
The nurse is teaching the client about breast self-examination. ...
A nurse in charge in the pediatric unit is absent.  The nurse...
 The registered nurse is planning to delegate task to a certified...
The pediatrics unit is understaffed and the nurse manager informs the...
The nurse is caring to a client who just gave birth to a healthy baby...
An infant is brought to the emergency department and diagnosed with ...
A 80-year-old female client is brought to the emergency department by...
The night shift nurse is making rounds.  When the nurse enters a...
The nurse is caring to a client who is hypotensive.  Following a...
A nurse manager assigned a registered nurse from telemetry unit to the...
The nurse on the night shift is about to administer medication to a ...
During tracheal suctioning, the nurse should implement safety...
A client with tuberculosis is admitted in the hospital for 2...
A registered nurse has been assigned to six clients on the 12-hour ...
 The client is brought to the emergency department after a...
An infant is admitted and diagnosed with pneumonia and ...
A client visits the clinic for screening of scoliosis.  The nurse...
 The nurse is making a health teaching to the parents of the...
The nurse is assigned to care the client with infectious disease. The...
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