Nursing Board Exam Drills In Medical And Surgical Nursing
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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.
- 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
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