Friday, September 3, 2010

Nursing Pre-board Exam

June 4, 2009 by Admin · 87 Comments  · Email This Post Email This Post · Print This Post Print This Post

Mark the letter of your choice then click on the next button. Your score will be posted as soon as you are done with the test. You may leave your score on the comments area to see who got the highest score.

1.    A 10 year old who has sustained a head injury is brought to the emergency department by his mother. A diagnosis of a mild concussion is made. At the time of discharge, nurse Ron should instruct the mother to:





2.    A male client has suffered a motor accident and is now suffering from hypovolemic shock. Nurse Helen should frequency assess the client’s vital signs during the compensatory stage of shock, because:





3.    A paranoid male client with schizophrenia is losing weight, reluctant to eat, and voicing concerns about being poisoned. The best intervention by nurse Dina would be to:





4.    One day the mother of a young adult confides to nurse Frida that she is very troubled by he child’s emotional illness. The nurse’s most therapeutic initial response would be:





5.    To check for wound hemorrhage after a client has had a surgery for the removal of a tumor in the neck, nurse grace should:





6.    A 16-year-old primigravida arrives at the labor and birthing unit in her 38th week of gestation and states that she is labor. To verify that the client is in true labor nurse Trina should:





7.    As part of the diagnostic workup for pulmonic stenosis, a child has cardiac catheterization. Nurse Julius is aware that children with pulmonic stenosis have increased pressure:





8.    An obese client asks nurse Julius how to lose weight. Before answering, the nurse should remember that long-term weight loss occurs best when:





9.    As a very anxious female client is talking to the nurse May, she starts crying. She appears to be upset that she cannot control her crying. The most appropriate response by the nurse would be:





10.    A patient has partial-thickness burns to both legs and portions of his trunk.  Which of the following I.V. fluids is given first?





11.    During the first 48 hours after a severe burn of 40% of the clients body surface, the nurse’s assessment should include observations for water intoxication. Associated adaptations include:





12.    After a muscle biopsy, nurse Willy should teach the client to:





13.    Before a client whose left hand has been amputated can be fitted for a prosthesis, nurse Joy is aware that:





14.    Nurse Cathy applies a fetal monitor to the abdomen of a client in active labor. When the client has contractions, the nurse notes a 15 beat per minute deceleration of the fetal heart rate below the baseline lasting 15 seconds. Nurse Cathy should:





15.    A male client receiving prolonged steroid therapy complains of always being thirsty and urinating frequently. The best initial action by the nurse would be to:





16.    Nurse Bea recognizes that a pacemaker is indicated when a client is experiencing:





17.    When administering pancrelipase (Pancreases capsules) to child with cystic fibrosis, nurse Faith knows they should be given:





18.    A preterm neonate is receiving oxygen by an overhead hood. During the time the infant is under the hood, it would be appropriate for nurse Gian to:





19.    A client’s sputum smears for acid fast bacilli (AFB) are positive, and transmission-based airborne precautions are ordered. Nurse Kyle should instruct visitors to:





20.    A client with a head injury has a fixed, dilated right pupil; responds only to painful stimuli; and exhibits decorticate posturing. Nurse Kate  should recognize that these are signs of:





21.    After a lateral crushing chest injury, obvious right-sided paradoxic motion of the client’s chest demonstrates multiple rib fraactures, resulting in a flail chest. The complication the nurse should carefully observe for would be:





22.    When planning care for a client at 30-weeks gestation, admitted to the hospital after vaginal bleeding secondary to placenta previa, the nurse’s primary objective would be:





23.    When planning discharge teaching for a young female client who has had a pneumothorax, it is important that the nurse include the signs and symptoms of a pneumothorax and teach the client to seek medical assistance if she experiences:





24.    After a laryngectomy, the most important equipment to place at the client’s bedside would be:





25.    Nurse Oliver interviews a young female client with anorexia nervosa to obtain information for the nursing history. The client’s history is likely to reveal a:





26.    Nurse Bea should plan to assist a client with an obsessive-compulsive disorder to control the use of ritualistic behavior by:





27.    A 2 ½ year old child undergoes a ventriculoperitoneal shunt revision. Before discharge, nurse John, knowing the expected developmental behaviors for this age group, should tell the parents to call the physician if the child:





28.    A urinary tract infection is a potential danger with an indwelling catheter. Nurse Gina can best plan to avoid this complication by:





29.    A client has sustained a fractured right femur in a fall on stairs. Nurse Troy with the emergency response team assess for signs of circulatory impairment by:





30.    To assess orientation to place in a client suspected of having dementia of the alzheimers type, nurse Chris should ask:





31.    Nurse Mary assesses a postpartum client who had an abruption placentae and suspects that disseminated intravascular coagulation (DIC) is occurring when assessments demonstrate:





32.    When a client on labor experiences the urge to push a 9cm dilation, the breathing pattern that nurse Rhea should instruct the client to use is the:





33.    Nurse Ronald should explain that the most beneficial between-meal snack for a client who is recovering from the full-thickness burns would be a:





34.    Nurse Wilma recognizes that failure of a newborn to make the appropriate adaptation to extrauterine life would be indicated by:





35.    The laboratory calls to state that a client’s lithium level is 1.9 mEq/L after 10 days of lithium therapy. Nurse Reese should:





36.    A client has a regular 30-day menstrual cycles. When teaching about the rhythm method, Which the client and her husband have chosen to use for family planning, nurse Dianne should emphasize that the client’s most fertile days are:





37.    Before an amniocentesis, nurse Alexandra should:





38.    While a client is on intravenous magnesium sulfate therapy for preeclampsia, it is essential for nurse Amy to monitor the client’s deep tendon reflexes to:





39.    A preschooler is admitted to the hospital with a diagnosis of acute glomerulonephritis. The child’s history reveals a 5-pound weight gain in one week and peritoneal edema. For the most accurate information on the status of the child’s edema, nursing intervention should include:





40.    Nurse Mickey is administering dexamethasome (Decadron) for the early management of a client’s cerebral edema. This treatment is effective because:





41.    During newborn nursing assessment, a positive Ortolani’s sign would be indicated by:





42.    When caring for a dying client who is in the denial stage of grief, the best nursing approach would be to:





43.    To decrease the symptoms of gastroesophageal reflux disease (GERD), the physician orders dietary and medication management. Nurse Helen should teach the client that the meal alteration that would be most appropriate would be:





44.    After a mastectomy or hysterectomy, clients may feel incomplete as women. The statement that should alert nurse Gina to this feeling would be:





45.    A client with obstruction of the common bile duct may show a prolonged bleeding and clotting time because:





46.    Realizing that the hypokalemia is a side effect of steroid therapy, nurse Monette should monitor a client taking steroid medication for:





47.    When assessing a newborn suspected of having Down syndrome, nurse Rey would expect to observe:





48.    A 10 year old girl is admitted to the pediatric unit for recurrent pain and swelling of her joints, particularly her knees and ankles. Her diagnosis is juvenile rheumatoid arthritis. Nurse Janah recognizes that besides joint inflammation, a unique manifestation of the rheumatoid process involves the:





49.    A disturbed client is scheduled to begin group therapy. The client refuses to attend. Nurse Lolit should:





50.    Because a severely depressed client has not responded to any of the antidepressant medications, the psychiatrist decides to try electroconvulsive therapy (ECT). Before the treatment the nurse should:





51.    Nurse Vicky is aware that teaching about colostomy care is understood when the client states, “I will contact my physician and report ____":





52.    The client’s history that alerts nurse Henry to assess closely for signs of postpartum infection would be:





53.    A client is experiencing stomatitis as a result of chemotherapy. An appropriate nursing intervention related to this condition would be to:





54.    During a group therapy session, one of the clients ask a male client with the diagnosis of antisocial personality disorder why he is in the hospital. Considering this client’s type of personality disorder, the nurse might expect him to respond:





55.    A child visits the clinic for a 6-week checkup after a tonsillectomy and adenoidectomy. In addition to assessing hearing, the nurse should include an assessment of the child’s:





56.    A client is diagnosed with cancer of the jaw. A course of radiation therapy is to be followed by surgery. The client is concerned about the side effects related to the radiation treaments. Nurse Ria should explain that the major side effects that will experienced is:





57.    Nurse Katrina prepares an older-adult client for sleep, actions are taken to help reduce the likelihood of a fall during the night. Targeting the most frequent cause of falls, the nurse should:





58.    When evaluating a growth and development of a 6 month old infant, nurse Patty would expect the infant to be able to:





59.    A breastfeeding mother asks the nurse what she can do to ease the discomfort caused by a cracked nipple. Nurse Tina should instruct the client to:





60.    Nurse Sandy observes that there is blood coming from the client’s ear after head injury. Nurse Sandy should:





61.    Nurse Gio plans a long term care for parents of children with sickle-cell anemia, which includes periodic group conferences. Some of the discussions should be directed towards:





62.    The central problem the nurse might face with a disturbed schizophrenic client is the client’s:





63.    When planning care with a client during the postoperative recovery period following an abdominal hysterectomy and bilateral salpingo-oophorectomy, nurse Frida should include the explanation that:





64.    An adolescent client with anorexia nervosa refuses to eat, stating, “I’ll get too fat.” Nurse Andrea can best respond to this behavior initially by:





65.    A pain scale is used to assess the degree of pain. The client rates the pain as an 8 on a scale of 10 before medication and a 7 on a scale of 10 after being medicated. Nurse Glenda determines that the:





66.    To enhance a neonate’s behavioral development, therapeutic nursing measures should include:





67.    Before formulating a plan of care for a 6 year old boy with attention deficit hyperactivity disorder (ADHD), nurse Kyla is aware that the initial aim of therapy is to help the client to:





68.    Nurse Wally knows that the most important aspect of the preoperative care for a child with Wilms’ tumor would be:





69.    At 11:00 pm the count of hydrocodone (Vicodin) is incorrect. After several minutes of searching the medication cart and medication administration records, no explanation can be found. The primary nurse should notify the:





70.    When caring for the a client with a pneumothorax, who has a chest tube in place, nurse Kate should plan to:





71. According to C.E.Winslow, which of the following is the goal of Public Health?





72. What other statistic may be used to determine attainment of longevity?





73. Which of the following is the most prominent feature of public health nursing?





74. Which of the following is the mission of the Department of Health?





75. Nurse Pauline determines whether resources were maximized in implementing Ligtas Tigdas, she is evaluating:





76. Lissa is a B.S.N. graduate. She want to become a Public Health Nurse. Where will she apply?





77. As an epidemiologist, Nurse Celeste is responsible for reporting cases of notifiable diseases. What law mandates reporting of cases of notifiable diseases?





78. Nurse Fay is aware that isolation of a child with measles belongs to what level of prevention?





79. Nurse Gina is aware that the following is an advantage of a home visit?





80. The PHN bag is an important tool in providing nursing care during a home visit. The most important principle of bag technique states that it:





81. Nurse Willy reads about Path Goal theory. Which of the following behaviors is manifested by the leader who uses this theory?





82. Nurse Cathy learns that some leaders are transactional leaders. Which of the following does NOT characterize a transactional leader?





83. Functional nursing has some advantages, which one is an EXCEPTION?





84. Which of the following is the best guarantee that the patient’s priority needs are met?





85. Nurse Tony stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Which of the following principles does he refer to?





86. Nurse Joey discusses the goal of the department. Which of the following statements is a goal?





87. Nurse Lou considers shifting to transformational leadership. Which of the following statements best describes this type of leadership?





88. Nurse Mae tells one of the staff, “I don’t have time to discuss the matter with you now. See me in my office later” when the latter asks if they can talk about an issue. Which of the following conflict resolution strategies did she use?





89. Nurse Bea plans of assigning competent people to fill the roles designed in the hierarchy. Which process refers to this?





90. Nurse Linda tries to design an organizational structure that allows communication to flow in all directions and involve workers in decision making. Which form of organizational structure is this?





91. When documenting information in a client's medical record, the nurse should:





92. Which of the following factors are major components of a client's general background drug history?





93. Which procedure or practice requires surgical asepsis?





94. The nurse is performing wound care using surgical asepsis. Which of the following practices violates surgical asepsis?





95. On admission, a client has the following arterial blood gas (ABG) values: PaO2, 50 mm Hg; PaCO2, 70 mm Hg; pH, 7.20; HCO3–, 28 mEq/L. Based on these values, the nurse should formulate which nursing diagnosis for this client?





96. The use of larvivorous fish in malaria control is the basis for which strategy of malaria control?





97. In Integrated Management of Childhood Illness, severe conditions generally require urgent referral to a hospital. Which of the following severe conditions DOES NOT always require urgent referral to a hospital?





98. A mother brought her daughter, 4 years old, to the RHU because of cough and colds. Following the IMCI assessment guide, which of the following is a danger sign that indicates the need for urgent referral to a hospital?





99. Food fortification is one of the strategies to prevent micronutrient deficiency conditions. R.A. 8976 mandates fortification of certain food items. Which of the following is among these food items?





100.  The major sign of iron deficiency anemia is pallor. What part is best examined for pallor?







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Comments

87 Responses to “Nursing Pre-board Exam”
  1. lolo says:

    tnx fot the post

  2. Malou says:

    Bad for me, naka-64 lang ako, I need a lot of effort in reviewing my notes.

  3. Rapong BSN says:

    You have completed Preboard June 2009 NLE.
    You scored 84 out of 100.
    Your performance have been rated as ‘Very Good’

    i hope bago boards ma try na naten yung pre-boards for july 2010

  4. You scored 59 out of 100.
    Your performance have been rated as ‘Satisfactory’

    :( :(

    Nung nalaman ko yung mga sagot sabi ko sa sarili ko ang tanga ko naman bakit hindi ko naisip yun WHAAHAHAH!

  5. jerx says:

    bakit pu ganun? d po kompleto? ung 100 items na sinagutan ko e hanggang 45 lang pnkta. i need to see the answers and rationale pa namn. sna po matulungan nyko. :o

  6. dees says:

    i tried answering the NLE Nov 2009 Preboard, but cannot generate the answers when i clicked the “Next” or even the “Show Results”. what could have been the problem? …

  7. joe22 says:

    You have completed Preboard June 2009 NLE.
    You scored 69 out of 100.
    Your performance have been rated as ‘Competent’

    huh

  8. akeL says:

    ahm xan bA mkKta ung aanSeran? dku lam kng xan eh. d nMn nag aaPear

  9. JOHN KARLO DE GUZMAN B.S.N. R.N. says:

    You have completed Preboard June 2009 NLE.

    You scored 99 out of 100.
    Your performance have been rated as ‘Excellent’
    ——————————————————————————–
    wow naka tsamba na naman yata ako…. ahaha…

  10. venom says:

    saan po nki2ta ung password? salamat po!

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