Nursing Board Exam Drills In Medical And Surgical Nursing

9 Questions | Total Attempts: 2781

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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. 
    • 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