Board Exam Nursing Test III NLE (Practice Mode)
Exams can be, especially if you have not prepared adequately for them. With the board exam just around the corner, you should try and ensure that you get to pass them with ease. The scope of this Nursing Test III is parallel to the NP3 NLE Coverage on Medical-Surgical Nursing. Give it a try and get started on your revision.
- 1.The nurse is going to replace the Pleur-O-Vac attached to the client with a small, persistent left upper lobe pneumothorax with a Heimlich Flutter Valve. Which of the following is the best rationale for this?
- A.
Promote air and pleural drainage
- B.
Prevent kinking of the tube
- C.
Eliminate the need for a dressing
- D.
Eliminate the need for a water-seal drainage
- 2.The client with acute pancreatitis and fluid volume deficit is transferred from the ward to the ICU. Which of the following will alert the nurse?
- A.
Decreased pain in the fetal position
- B.
Urine output of 35mL/hr
- C.
CVP of 12 mmHg
- D.
Cardiac output of 5L/min
- 3.The nurse in the morning shift is making rounds in the ward. The nurse enters the client’s room and found the client in discomfort condition. The client complains of stiffness in the joints. To reduce the early morning stiffness of the joints of the client, the nurse can encourage the client to:
- A.
Sleep with a hot pad
- B.
Take to aspirins before arising, and wait 15 minutes before attempting locomotion
- C.
Take a hot tub bath or shower in the morning
- D.
Put joints through passive ROM before trying to move them actively
- 4.The nurse is planning of care to a client with peptic ulcer disease. To avoid the worsening condition of the client, the nurse should carefully plan the diet of the client. Which of the following will be included in the diet regime of the client?
- A.
Eating mainly bland food and milk or dairy products
- B.
Reducing intake of high-fiber foods
- C.
Eating small, frequent meals and a bedtime snack
- D.
Eliminating intake of alcohol and coffee
- 5.The physician has given instruction to the nurse that the client can be ambulated on crutches, with no weight bearing on the affected limb. The nurse is aware that the appropriate crutch gait for the nurse to teach the client would be:
- A.
Tripod gait
- B.
Two-point gait
- C.
Four-point gait
- D.
Three-point gait
- 6.The client is transferred to the nursing care unit from the operating room after a transurethral resection of the prostate. The client is complaining of pain in the abdomen area. The nurse suspects of bladder spasms, which of the following is the best nursing action to minimize the pain felt by the client?
- A.
Advising the client not to urinate around catheter
- B.
Intermittent catheter irrigation with saline
- C.
Giving prescribed narcotics every 4 hour
- D.
Repositioning catheter to relieve pressure
- 7.A client is diagnosed with peptic ulcer. The nurse caring for the client expects the physician to order which diet?
- A.
NPO
- B.
Small feedings of bland food
- C.
A regular diet given frequently in small amounts
- D.
Frequent feedings of clear liquids
- 8.The nurse is going to insert a Miller-Abbott tube to the client. Before insertion of the tube, the balloon is tested for patency and capacity and then deflated. Which of the following nursing measure will ease the insertion to the tube?
- A.
Positioning the client in Semi-Fowler’s position
- B.
Administering a sedative to reduce anxiety
- C.
Chilling the tube before insertion
- D.
Warming the tube before insertion
- 9.The physician ordered a low-sodium diet to the client. Which of the following food will the nurse avoid to give to the client?
- A.
Orange juice.
- B.
Whole milk.
- C.
Ginger ale.
- D.
Black coffee.
- 10.Mr. Bean, a 70-year-old client is admitted in the hospital for almost one month. The nurse understands that prolonged immobilization could lead to decubitus ulcers. Which of the following would be the least appropriate nursing intervention in the prevention of decubitus?
- A.
Giving backrubs with alcohol
- B.
Use of a bed cradle
- C.
Frequent assessment of the skin
- D.
Encouraging a high-protein diet
- 11.The physician prescribed digoxin 0.125 mg PO qd to a client and instructed the nurse that the client is on high-potassium diet. High potassium foods are recommended in the diet of a client taking digitalis preparations because a low serum potassium has which of the following effects?
- A.
Potentiates the action of digoxin
- B.
Promotes calcium retention
- C.
Promotes sodium excretion
- D.
Puts the client at risk for digitalis toxicity
- 12.The nurse is caring for a client who is transferred from the operating room for pneumonectomy. The nurse knows that immediately following pneumonectomy; the client should be in what position?
- A.
Supine on the unaffected side
- B.
Low-Fowler’s on the back
- C.
Semi-Fowler’s on the affected side
- D.
Semi-Fowler’s on the unaffected side
- 13.A client is placed on digoxin, high potassium foods are recommended in the diet of the client. Which of the following foods will the nurse give to the client?
- A.
Whole grain cereal, orange juice, and apricots
- B.
Turkey, green bean, and Italian bread
- C.
Cottage cheese, cooked broccoli, and roast beef
- D.
Fish, green beans and cherry pie
- 14.The nurse is assigned to care to a client who undergone thyroidectomy. What nursing intervention is important during the immediate postoperative period following a thyroidectomy?
- A.
Assess extremities for weakness and flaccidity
- B.
Support the head and neck during position changes
- C.
Position the client in high Fowler’s
- D.
Medicate for restlessness and anxiety
- 15.What would be the recommended diet the nurse will implement to a client with burns of the head, face, neck and anterior chest?
- A.
Serve a high-protein, high-carbohydrate diet
- B.
Encourage full liquid diet
- C.
Serve a high-fat diet, high-fiber diet
- D.
Monitor intake to prevent weight gain
- 16.A client with multiple fractures of both lower extremities is admitted for 3 days ago and is on skeletal traction. The client is complaining of having difficulty in bowel movement. Which of the following would be the most appropriate nursing intervention?
- A.
Administer an enema
- B.
Perform range-of-motion exercise to all extremities
- C.
Ensure maximum fluid intake (3000ml/day)
- D.
Put the client on the bedpan every 2 hours
- 17.John is diagnosed with Addison’s disease and admitted in the hospital. What would be the appropriate nursing care for John?
- A.
Reducing physical and emotional stress
- B.
Providing a low-sodium diet
- C.
Restricting fluids to 1500ml/day
- D.
Administering insulin-replacement therapy
- 18.Mr. Smith is scheduled for an above-the-knee amputation. After the surgery he was transferred to the nursing care unit. The nurse assigned to him knows that 72 hours after the procedure the client should be positioned properly to prevent contractures. Which of the following is the best position to the client?
- A.
Side-lying, alternating left and right sides
- B.
Sitting in a reclining chair twice a day
- C.
Lying on abdomen several times daily
- D.
Supine with stump elevated at least 30 degrees
- 19.A client is scheduled to have an inguinal herniorraphy in the outpatient surgical department. The nurse is providing health teaching about post surgical care to the client. Which of the following statement if made by the client would reflect the need for more teaching?
- A.
“I should call the physician if I have a cough or cold before surgery”
- B.
“I will be able to drive soon after surgery”
- C.
“I will not be able to do any heavy lifting for 3-6 weeks after surgery”
- D.
“I should support my incision if I have to cough or turn”
- 20.Ms Jones is brought to the emergency room and is complaining of muscle spasms, numbness, tremors and weakness in the arms and legs. The client was diagnosed with multiple sclerosis. The nurse assigned to Ms. Jones is aware that she has to prevent fatigue to the client to alleviate the discomfort. Which of the following teaching is necessary to prevent fatigue?
- A.
Avoid extremes in temperature
- B.
Install safety devices in the home
- C.
Attend support group meetings
- D.
Avoid physical exercise
- 21.Mr. Stewart is in sickle cell crisis and complaining pain in the joints and difficulty of breathing. On the assessment of the nurse, his temperature is 38.1 ºC. The physician ordered Morphine sulfate via patient-controlled analgesia (PCA), and oxygen at 4L/min. A priority nursing diagnosis to Mr. Stewart is risk for infection. A nursing intervention to assist in preventing infection is:
- A.
Using standard precautions and medical asepsis
- B.
Enforcing a “no visitors” rule
- C.
Using moist heat on painful joints
- D.
Monitoring a vital signs every 2 hour
- 22.Mrs. Maupin is a professor in a prestigious university for 30 years. After lecture, she experience blurring of vision and tiredness. Mrs. Maupin is brought to the emergency department. On assessment, the nurse notes that the blood pressure of the client is 139/90. Mrs. Maupin has been diagnosed with essential hypertension and placed on medication to control her BP. Which potential nursing diagnosis will be a priority for discharge teaching?
- A.
Sleep Pattern disturbance
- B.
Impaired physical mobility
- C.
Noncompliance
- D.
Fluid volume excess
- 23.Following a needle biopsy of the kidney, which assessment is an indication that the client is bleeding?
- A.
Slow, irregular pulse
- B.
Dull, abdominal discomfort
- C.
Urinary frequency
- D.
Throbbing headache
- 24.A client with acute bronchitis is admitted in the hospital. The nurse assigned to the client is making a plan of care regarding expectoration of thick sputum. Which nursing action is most effective?
- A.
Place the client in a lateral position every 2 hour
- B.
Splint the patient’s chest with pillows when coughing
- C.
Use humified oxygen
- D.
Offer fluids at regular intervals
- 25.The nurse is going to assess the bowel sound of the client. For accurate assessment of the bowel sound, the nurse should listen for at least:
- A.
5 minutes
- B.
60 seconds
- C.
30 seconds
- D.
2 minutes
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