Board Exam Nursing Test III NLE- Rnpedia

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Questions: 50 | Attempts: 1,305 | Updated: Mar 18, 2023

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The scope of this Nursing Test III is parallel to the NP3 NLE Coverage: Medical Surgical Nursing

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Mar 18, 2023

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Board Exam Nursing Test III NLE- Rnpedia

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?

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?

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:

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?

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 client is diagnosed with peptic ulcer. The nurse caring for the client expects the physician to order which diet?

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?

The physician ordered a low-sodium diet to the client. Which of the following food will the nurse avoid to give to the client?

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?

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?

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 client is placed on digoxin, high potassium foods are recommended in the diet of the client. Which of the following foods willthe nurse give to the client?

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?

What would be the recommended diet the nurse will implement to a client with burns of the head, face, neck and anterior chest?

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?

John is diagnosed with Addison’s disease and admitted in the hospital. What would be the appropriate nursing care for John?

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?

Following a needle biopsy of the kidney, which assessment is an indication that the client is bleeding?

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?

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:

The nurse encourages the client to wear compression stockings. What is the rationale behind in using compression stockings?

Mr. Whitman is a stroke client and is having difficulty in swallowing. Which is the best nursing intervention is most likely to assist the client?

Following nephrectomy, the nurse closely monitors the urinary output of the client. Which assessment finding is an early indicator of fluid retention in the postoperative period?

A nurse is completing an assessment to a client with cirrhosis. Which of the following nursing assessment is important to notify the physician?

Mr. Park is 32-year-old, a badminton player and has a type 1 diabetes mellitus. After the game, the client complains of becoming diaphoretic and light-headedness. The client asks the nurse how to avoid this reaction. The nurse will recommend to:

A client is rushed to the emergency room due to serious vehicle accident. The nurse is suspecting of head injury. Which of the following assessment findings would the nurse report to the physician?

Mrs. Moore, 62-year-old, with diabetes is in the emergency department. She stepped on a sharp sea shells while walking barefoot along the beach. Mrs. Moore did not notice that the object pierced the skin until later that evening. What problem does the client most probably have?

A client with gangrenous foot has undergone a below-knee amputation. The nurse in the nursing care unit knows that the priority nursing intervention in the immediate post operative care of this client is:

A client with a diagnosis of gastric ulcer is complaining of syncope and vertigo. What would be the initial nursing intervention by the nurse?

After a right lower lobectomy on a 55-year-old client, which action should the nurse initiate when the client is transferred from the post anesthesia care unit?

The nurse is providing a discharge instruction about the prevention of urinary stasis to a client with frequent bladder infection. Which of the following will the nurse include in the instruction?

A male client visits the clinic for check-up. The client tells the nurse that there is a yellow discharge from his penis. He also experiences a burning sensation when urinating. The nurse is suspecting of gonorrhea. What teaching is necessary for this client?

The nurse on the night shift is making rounds in the nursing care unit. The nurse is about to enter to the client’s room when a ventilator alarm sounds, what is the first action the nurse should do?

What effective precautions should the nurse use to control the transmission of methicillin-resistant Staphylococcus aureus (MRSA)?

The postoperative gastrectomy client is scheduled for discharge. The client asks the nurse, “When I will be allowed to eat three meals a day like the rest of my family?”. The appropriate nursing response is:

A client is diagnosed with detached retina and scheduled for surgery. Preoperative teaching of the nurse to the client includes:

A 70-year-old client is brought to the emergency department with a caregiver. The client has manifestations of anorexia, wasting of muscles and multiple bruises. What nursing interventions would the nurse implement?

A nurse is providing a discharge instruction to the client about the self-catheterization at home. Which of the following instructions would the nurse include?

The nurse in the nursing care unit is assigned to care to a client who is Immunocompromised. The client tells the nurse that his chest is painful and the blisters are itchy. What would be the nursing intervention to this client?

A client is admitted and has been diagnosed with bacterial (meningococcal) meningitis. The infection control registered nurse visits the staff nurse caring to the client. What statement made by the nurse reflects an understanding of the management of this client?

A client with AIDS is scheduled for discharge. The client tells the nurse that one of his hobbies at home is gardening. What will be the discharge instruction of the nurse to the client knowing that the client is prone to toxoplasmosis?