Nursing Board Exam Drills In Medical And Surgical Nursing

9 Questions | By Rpm_rn07 | Last updated: Mar 22, 2022 | Total Attempts: 2987

Questions

Settings

Create your own Quiz

Medical Surgical Nursing Quizzes & Trivia

The Nursing Licensure Examination is a five set of multiple choice exams to test nursing level competency which considers the broad areas of Clinical Nursing Practice and other related disciplines and competencies.

Questions and Answers

1.

When auscultating the breath sounds of a client with bacterial pneumonia, the nurse would expect to find which assessment data?
- A.
  
  Adventitious breath sounds with crackles and wheezes
- B.
  
  Bronchial breath sounds over consolidated lung fields
- C.
  
  Decreased breath sounds with crackles and a pleural friction rub
- D.
  
  Wheezing with expiration more prolonged than inspiration
2.

When documenting the assessment finding of a client with emphysema who has an increase in the anteroposterior diameter of the chest, which term would the nurse use?
- A.
  
  Barrel chest
- B.
  
  Flail chest
- C.
  
  Funnel chest
- D.
  
  Pigeon chest
3.

When caring for a client with a chest tube inserted in the right chest wall, which assessment data would lead the nurse to suspect that the client is experiencing a tension pneumothorax?
- A.
  
  A cough with purulent sputum
- B.
  
  Frothy pink-tinged sputum
- C.
  
  Markedly decreased ventilation in the left lung
- D.
  
  . Subcutaneous emphysema in the chest wall
4.

When evaluating risk for developing cancer, which client would the nurse identify as having the highest risk?
- A.
  
  An asphalt road construction worker who eats meats and potatoes
- B.
  
  A new breast-feeding mother who works in a bank
- C.
  
  An oncology nurse who takes vitamins C and E daily
- D.
  
  A vegetarian who works at a convenience store
5.

A client with a history of coronary artery disease begins to experience chest pain. After putting the client on bedrest and administering a nitroglycerin tablet sublingually, which intervention should the nurse implement first?
- A.
  
  A. Calling the health care provider
- B.
  
  Checking the heart's creatine kinase MB (CK-MB) level
- C.
  
  Getting a 12-lead electrocardiogram (ECG)
- D.
  
  Preparing the client for angioplasty
6.

Which signs and symptoms would alert the nurse to the possibility of a major complication in a client with pericarditis?
- A.
  
  Crushing chest pain and diaphoresis
- B.
  
  Dyspnea and copious blood-tinged, frothy sputum
- C.
  
  Hypotension and muffled heart sounds
- D.
  
  Tachycardia and oliguria
7.

Which assessment finding would the nurse identify as indicative of a client's altered peripheral vascular function?
- A.
  
  Ankle arm index pressure of 0.4
- B.
  
  Capillary refill time of less than 3 seconds
- C.
  
  Diastolic blood pressure of 84 mm Hg
- D.
  
  Pulses graded as being +4
8.

Which valvular disorder would the nurse suspect in a client presenting with fatigue, hemoptysis, and dyspnea on exertion?
- A.
  
  Aortic insufficiency
- B.
  
  Aortic stenosis
- C.
  
  Mitral insufficiency
- D.
  
  Mitral stenosis
9.

When developing a teaching plan for clients with chronic obstructive pulmonary disease (COPD) about the prevention of acute exacerbations, which topic should be included?
- A.
  
  Administration of antibiotics
- B.
  
  Administration of oxygen as needed
- C.
  
  Performance of deep-breathing and coughing exercises
- D.
  
  Elimination of exposure to pulmonary irritants