Nursing Pre-Board Exam for December 2012 NLE
by Daisy Jane Antipuesto RN MN · November 15, 2012
This Pre-Board Nursing Exam contains 100 questions. Both questions and answers were arranged randomly.
Topics that are included were: Foundation of Nursing, Nursing Research, Professional Adjustment, Leadership and Management, Maternal and Child Health, Community Health Nursing, Communicable Diseases, Integrated Management of Childhood Illness, Medical and Surgical Nursing and Psychiatric Nursing.

December 2012 Pre-Board Nursing Exam (NLE)
Question 1 |
A | Pulmonary hypertension. |
B | Fluid imbalances. |
C | Postural hypotension. |
D | Hypostatic pneumonia. |
Question 2 |
A | "I should take antihistamines to decrease the itching I am experiencing." |
B | "It is safe to apply a nonperfumed lotion to my skin." |
C | "I can apply an over-the-counter cortisone ointment to relieve the dryness." |
D | "A heating pad, set on the lowest setting, will help decrease my discomfort." |
Question 3 |
A | Promoting incisional healing. |
B | Using incentive spirometry every 2 hours while awake. |
C | Maintaining a weight-reduction diet. |
D | Performing leg exercises every shift. |
Question 4 |
A | on the left side, with hips elevated. |
B | on the right side, with hips elevated. |
C | on the back, with legs suspended at a 90-degree angle. |
D | on the abdomen, with legs pulled up under the body. |
Question 5 |
A | Clean the incision and drain site simultaneously. |
B | Clean from the incision to the drain site. |
C | Clean from the drain site to the incision. |
D | Clean the incision and drain site separately. |
Question 6 |
A | desire short-term use of a contraceptive. |
B | have a history of STDs. |
C | are in a monogamous relationship. |
D | have had a history of ectopic pregnancies. |
Question 7 |
A | Place at-risk clients on an every-2-hour turning schedule. |
B | Provide at-risk clients with a high-protein, high-carbohydrate diet. |
C | Identify at-risk clients on admission to the health care facility. |
D | Automatically place clients in specialty beds. |
Question 8 |
A | Warfarin sodium. |
B | Atropine sulfate. |
C | Acetylsalicylic acid. |
D | Protamine sulfate. |
Question 9 |
A | supplement the diet with pyridoxine (vitamin B6). |
B | follow a low-cholesterol diet. |
C | obtain extra rest. |
D | avoid excessive sun exposure. |
Question 10 |
A | prevent swelling in the area. |
B | reduce tissue metabolism. |
C | decrease mobility of leukocytes. |
D | promote circulation to the area. |
Question 11 |
A | Ask the mother to stay longer in the hope that the interpreter arrives. |
B | Reschedule the infant's appointment for later in the week. |
C | Allow the pediatric nurse practitioner to examine the infant. |
D | Try to page the interpreter one more time. |
Question 12 |
A | Flushing of the face. |
B | A metallic taste. |
C | Chest pain. |
D | Cold chills. |
Question 13 |
A | Slow movements |
B | Avoidance of eye contact. |
C | Flat affect |
D | Unkempt appearance. |
Question 14 |
A | Pulse rate. |
B | Respiratory rate. |
C | Blood pressure |
D | Body temperature. |
Question 15 |
A | a decrease in the hypoglycemic effects of insulin. |
B | a decrease in the incidence of ketoacidosis. |
C | an increase in the hypoglycemic effects of insulin. |
D | an increase in the incidence of ketoacidosis. |
Question 16 |
A | Reassure the parents that their adolescent will be fine. |
B | Encourage the parents to participate in the client's physical care. |
C | Assess the parents' current knowledge level before providing information. |
D | Interact with the parents when they ask for information. |
Question 17 |
A | To promote efficient pulmonary circulation. |
B | To relax smooth muscles in the bronchioles. |
C | To relieve spasms of the diaphragm. |
D | To stimulate the medullary respiratory center. |
Question 18 |
A | Inquire about the health of siblings at home. |
B | Institute droplet precautions |
C | Obtain the child's vital signs. |
D | Ask the parent about medication allergies. |
Question 19 |
A | Consider a course of prophylactic penicillin as prevention. |
B | Plan to be vaccinated for this condition at the next visit. |
C | Cook all meats such as beef and pork thoroughly. |
D | Avoid contact with anyone diagnosed with this disease. |
Question 20 |
A | Confirmation. |
B | Ambivalence. |
C | Body image disturbance. |
D | Vulnerability. |
Question 21 |
A | Interval training on the treadmill. |
B | Interval training on the stair climber. |
C | Interval training on the stationary bicycle. |
D | Interval training on a commercial ski machine. |
Question 22 |
A | "You sound angry with your husband. Is that correct?" |
B | "Tell me more about why you are here and how you feel about that." |
C | "Tell me something about what has caused you to be bulimic." |
D | "You will find that you like coming to group. These people are a lot of fun." |
Question 23 |
A | Sense of competence. |
B | Lifetime vocation. |
C | Personal values. |
D | Social conscience. |
Question 24 |
A | "Why hasn't your husband been helping you?" |
B | "How many days have you been unable to comb your hair?" |
C | "It must be frustrating not to be able to care for yourself." |
D | "Tell me more about how you're feeling." |
Question 25 |
A | Place the client in a supine position. |
B | Insert the suppository 2 inches into the rectum. |
C | Position the suppository along the rectal wall. |
D | Insert the suppository while the client bears down. |
Question 26 |
A | Encourage the client to cough and deep breathe. |
B | Auscultate the client's bowel sounds. |
C | Offer the client liquids to drink. |
D | Provide the client with oral hygiene. |
Question 27 |
A | "This medicine will make your mouth feel dry." |
B | "This medicine will reduce the risk of postoperative infection." |
C | "This medicine will make you drowsy." |
D | "This medicine will help you relax." |
Question 28 |
A | serotonin. |
B | epinephrine. |
C | norepinephrine. |
D | phenylalanine. |
Question 29 |
A | Visual disturbances. |
B | Hypertension. |
C | Urticaria. |
D | Shortness of breath. |
Question 30 |
A | Nutritional status. |
B | Right-sided paralysis. |
C | Urinary incontinence |
D | Episodes of confusion. |
Question 31 |
A | Rebound hypoglycemia. |
B | Essential fatty acid deficiency. |
C | Dehydration. |
D | Malnutrition. |
Question 32 |
A | Take apical heart rate after each dose of morphine. |
B | Assess mental status every shift. |
C | Assess urinary output every shift. |
D | Check for pedal edema every shift. |
Question 33 |
A | 60%. |
B | 40%. |
C | 28%. |
D | 21%. |
Question 34 |
A | Antibiotics will be given to prevent an infection. |
B | Friends can visit whenever they want. |
C | The scar will be small. |
D | The teen will be back in school in a week. |
Question 35 |
A | Cognitive function. |
B | Level of consciousness. |
C | Contraction pattern. |
D | Blood pressure. |
Question 36 |
A | Within normal limits, but not adequate to support strenuous activity. |
B | High, because of the effects of digoxin. |
C | Within normal limits, because of the effects of digoxin. |
D | Low, requiring further medical intervention. |
Question 37 |
A | Losing weight. |
B | Starting an antihypertensive medication. |
C | Quitting smoking. |
D | Beginning an exercise program. |
Question 38 |
A | Absence of squealing by 4 months of age. |
B | Stoppage of body movements when sound is introduced. |
C | Evidence of shy and withdrawn behaviors. |
D | Saying "da-da" by 5 months of age. |
Question 39 |
A | Risk for Aspiration. |
B | Self-Care Deficit. |
C | Risk for Injury. |
D | Ineffective Breathing Pattern. |
Question 40 |
A | Increased residual volume, decreased forced expiratory volume, increased total lung capacity, decreased vital capacity. |
B | Increased residual volume, increased forced expiratory volume, decreased total lung capacity, decreased vital capacity. |
C | Decreased residual volume, decreased forced expiratory volume, decreased total lung capacity, increased vital capacity. |
D | Decreased residual volume, increased forced expiratory volume, increased total lung capacity, increased vital capacity. |
Question 41 |
A | Crackles. |
B | Dependent edema. |
C | Dyspnea. |
D | Intermittent claudication. |
Question 42 |
A | Hypoalbuminemia. |
B | Decreased alanine aminotransferase (ALT). |
C | Hyperkalemia. |
D | Decreased aspartate aminotransferase (AST). |
Question 43 |
A | Testosterone. |
B | Progesterone. |
C | Prolactin. |
D | Estrogen. |
Question 44 |
A | "I will have the client take 5 to 10 deep breaths every hour." |
B | "I will turn the client every 4 hours." |
C | "I will keep the client's head elevated." |
D | "I should suction the client every 2 hours." |
Question 45 |
A | sinus node dysfunction. |
B | life-threatening ventricular dysrhythmias. |
C | heart block. |
D | severe bradycardia. |
Question 46 |
A | "I will implement my exercise program as soon as I get home." |
B | "I can't wait to take a tub bath when I get home." |
C | "I will be careful not to cross my legs." |
D | "I will need an elevated toilet seat." |
Question 47 |
A | Sitting forward with arms supported on bedside table. |
B | Sims' position. |
C | Prone position without a pillow |
D | Supine with arms over head. |
Question 48 |
A | Change the diaper every 4 to 6 hours. |
B | Apply powder to the diaper area. |
C | Continue to use the baby wipes. |
D | Wash the buttocks using mild soap. |
Question 49 |
A | Hypomagnesemia. |
B | Hypocalcemia. |
C | Hyponatremia |
D | Hypokalemia. |
Question 50 |
A | Imbalanced Nutrition: Less than Body Requirements. |
B | Acute Pain. |
C | Activity Intolerance. |
D | Deficient Fluid Volume. |
Question 51 |
A | Grab the child and take the child to the treatment room |
B | Immediately apply ice to the child's mouth. |
C | Give the ice to the mother and demonstrate what to do. |
D | Call for the Spanish interpreter. |
Question 52 |
A | Drinking from a cup and spilling little of the liquid. |
B | Raising the chest and upper abdomen off the bed with the hands. |
C | Crying loudly in protest when the mother leaves the room. |
D | Imitating sounds that the nurse makes. |
Question 53 |
A | Commit to lifelong therapy. |
B | Develop a plan to limit stress. |
C | Participate in a weight reduction program. |
D | Monitor blood pressure regularly. |
Question 54 |
A | Change urinary appliance daily. |
B | Administer prophylactic antibiotics. |
C | Clamp the urinary appliance at night. |
D | Empty the urinary appliance when one-third full. |
Question 55 |
A | Contact the physician for further orders regarding insulin administration. |
B | Obtain the client's blood glucose values and evaluate the client's need for insulin. |
C | Give the client's usual morning dose of insulin. |
D | Notify the recovery room staff to obtain an order for the insulin after surgery. |
Question 56 |
A | Swallow the nitroglycerin tablet. |
B | Store the nitroglycerin in the refrigerator. |
C | Sit down or lie down before taking the nitroglycerin. |
D | Take one tablet every 15 minutes. |
Question 57 |
A | Gastrointestinal hemorrhage. |
B | Immunosuppression. |
C | Increased cardiac output. |
D | Pulmonary emboli. |
Question 58 |
A | Blood glucose level. |
B | Hemoglobin, hematocrit, and platelet count |
C | Potassium level. |
D | Lee-White clotting time. |
Question 59 |
A | "Have you tried to calm down your child?" |
B | "Did something cause your child to be upset?" |
C | "Why is your child screaming?" |
D | "What happened between you and your child?" |
Question 60 |
A | A 24-year-old primiparous client who delivered a 7-pound, 3-ounce boy vaginally 1 hour ago, has a firm fundus and scant lochia rubra, and is attempting to breast-feed. |
B | An 18-year-old single primigravid client, in labor for 9 hours, with cervical dilation at 6 cm, 0 station, contractions occurring every 5 minutes, and receiving epidural anesthesia. |
C | A 26-year-old multigravid client, in labor for 8 hours, with cervical dilation at 8 cm, 1+ station, contractions every 3 to 4 minutes, and receiving no anesthesia. |
D | A 30-year-old multipara who delivered a 6 pound 5 ounce girl by cesarean section owing to fetal distress 3 hours ago, has a firm fundus and scant lochia rubra, and is receiving patient-controlled morphine analgesia. |
Question 61 |
A | Oxygenate the client before suctioning. |
B | Insert the suction catheter about 2 inches into the cannula. |
C | Use a bolus of sterile water to stimulate cough. |
D | Use clean gloves during the procedure. |
Question 62 |
A | 10 gtt/minute |
B | 20 gtt/minute |
C | 12 gtt/minute |
D | 14 gtt/minute |
Question 63 |
A | Cold-like symptoms and fever. |
B | Fatigue and weight loss. |
C | Sore throat and malaise. |
D | Skin rash and abdominal pain. |
Question 64 |
A | Essential amino acid deficiency. |
B | Infection. |
C | Essential fatty acid deficiency. |
D | Hyperglycemia. |
Question 65 |
A | Dullness. |
B | Tympany. |
C | Flatness. |
D | Hyperresonance |
Question 66 |
A | thrombin. |
B | warfarin (Coumadin). |
C | vitamin K. |
D | protamine sulfate. |
Question 67 |
A | "Your child needs all of the medicine so that the infection clears." |
B | "Stopping the medicine is not what's best for your child!" |
C | "How do you know your child's ears are cured?" |
D | "It is important to give the medicine as ordered." |
Question 68 |
A | Diaphoresis. |
B | Polyuria. |
C | Warm skin. |
D | Hypertension. |
Question 69 |
A | Fetal well-being at this point in the pregnancy. |
B | Evidence of late decelerations occurring during the test. |
C | Evidence of some compromise that will require delivery soon. |
D | No accelerations demonstrated within a 20-minute period. |
Question 70 |
A | Perform massage vigorously at the level of the umbilicus if the fundus feels "boggy." |
B | Place the nondominant hand above the symphysis pubis and the dominant hand at the umbilicus. |
C | Ask the client to assume a side-lying position with the knees flexed. |
D | Place the client on a bedpan in case the uterine palpation stimulates the client to void. |
Question 71 |
A | Extremities warm to touch. |
B | Improved respiratory status. |
C | Decreased muscle pain with activity. |
D | Participation in self-care measures. |
Question 72 |
A | Use of nylon panties and pantyhose. |
B | Normal variations in vaginal discharge. |
C | Wearing of tight-fitting garments, such as jeans. |
D | STD. |
Question 73 |
A | Pain related to abdominal muscle spasms. |
B | Ineffective Health Maintenance. |
C | Adult Failure to Thrive. |
D | Imbalanced Nutrition: Less Than Body Requirements. |
Question 74 |
A | To instill antibiotics into the bladder. |
B | To prevent bladder distention. |
C | To keep the catheter free from clot obstruction. |
D | To control bleeding in the bladder |
Question 75 |
A | Anxiety related to need for immediate and unplanned hospitalization. |
B | Impaired Gas Exchange related to excessive respiratory effort. |
C | Ineffective Airway Clearance related to aspiration. |
D | Risk for Injury (airway obstruction) related to epiglottal edema. |
Question 76 |
A | "Because I have hydramnios, I may have an increased weight gain." |
B | "Hydramnios has been associated with gastrointestinal disorders in the fetus." |
C | "I can continue to work at my job at the automobile factory until labor starts." |
D | "I should continue to eat high-fiber foods and avoid constipation." |
Question 77 |
A | Putting together a puzzle with his mother. |
B | Playing a card game with a boy the same age. |
C | Watching a movie with his younger brother. |
D | Playing video games with a 9-year-old. |
Question 78 |
A | Keep each day's urine collection in separate containers. |
B | Send first voided urine specimen on Monday to the laboratory for culture. |
C | Collect and save the urine voided at 7 am on Monday. |
D | Collect and save the urine voided at 7 am on Tuesday. |
Question 79 |
A | A 70-year-old woman with episodes of syncope. |
B | A 30-year-old woman with a fractured ankle |
C | A 50-year-old man with angina. |
D | A 22-year-old man with three fractured ribs and a fractured left arm. |
Question 80 |
A | The nurse encourages the client to do relaxation exercises to provide distraction from the pain. |
B | Realizing that the client is developing tolerance to the meperidine, the nurse administers the meperidine every 3 hours. |
C | The nurse urges the client to take the acetaminophen with codeine to prevent addiction to the meperidine. |
D | The nurse requests an order from the physician to change the dose to an equianalgesic dose of morphine. |
Question 81 |
A | Give the client credit for solving his own problems |
B | Look for meaning in what the client says. |
C | Explain to the client why he may think as he does. |
D | Add to the strength of the client's support system. |
Question 82 |
A | diabetic retinopathy. |
B | proliferative retinopathy. |
C | background retinopathy. |
D | neuropathy. |
Question 83 |
A | "The cause is unknown." |
B | "The cause is apnea." |
C | "The cause is infection." |
D | "The cause is cardiac dysrhythmias." |
Question 84 |
A | Intrauterine infection. |
B | Normal amniotic fluid. |
C | Fetal meconium staining. |
D | Erythroblastosis fetalis. |
Question 85 |
A | Giving the DTaP and withholding the IPV. |
B | Administering the DTaP and IPV immunizations. |
C | Postponing both immunizations until the sibling is in remission. |
D | Withholding both immunizations until the infant is well. |
Question 86 |
A | Select medications that are least likely to lead to addiction. |
B | Individualize the pain medication regimen for the client. |
C | Administer pain medication as soon as the client requests it. |
D | Change pain medications periodically to avoid drug tolerance. |
Question 87 |
A | Discussing alternative strategies for when the client is angry in the future. |
B | Using calm, firm directions to get the client to a quiet room. |
C | Putting the client in restraints. |
D | Conveying empathy and encouraging ventilation. |
Question 88 |
A | Disappointment about the pregnancy. |
B | Bonding may be difficult after delivery. |
C | Ambivalence about the pregnancy. |
D | Abortion is a likely option. |
Question 89 |
A | The increase in scrotal size is bilateral. |
B | The swollen bulge can be reduced. |
C | The scrotal sac can be transilluminated. |
D | The bulge appears during crying. |
Question 90 |
A | Instruct the client that internal fetal monitoring will be necessary. |
B | Turn the client from the left side-lying position to the right side-lying position. |
C | Prepare the client for epidural anesthesia to relieve the pain |
D | Assist the client with comfort measures and breathing techniques. |
Question 91 |
A | Perform teaching of health and safety practices to children and their parents. |
B | Encourage state legislators to draft legislation to promote prenatal care. |
C | Recommend that the health department make immunizations available at no cost to all children. |
D | Have a nurse practitioner hired for each of the schools in the community. |
Question 92 |
A | Side-lying. |
B | Modified Trendelenburg. |
C | Prone. |
D | Very low Fowler's. |
Question 93 |
A | Massage the calf muscles if pain occurs. |
B | Keep the extremities elevated slightly. |
C | Use a heating pad to promote warmth. |
D | Participate in a regular walking program. |
Question 94 |
A | She weighs 6 pounds less than she did 2 days ago. |
B | She has clearer urine since starting the torsemide. |
C | She is less thirsty than she was before the drug therapy. |
D | She has an improved appetite and is eating better. |
Question 95 |
A | Distend the veins. |
B | Immobilize the arm. |
C | Occlude arterial circulation. |
D | Stabilize the veins. |
Question 96 |
A | Butterfly dressing. |
B | Fine mesh gauze dressing. |
C | Petrolatum gauze dressing. |
D | Montgomery strap. |
Question 97 |
A | 0.1 ml |
B | 10 ml |
C | 1 ml |
D | 5 ml |
Question 98 |
A | 5.0 |
B | 1 |
C | 0.5 |
D | 1.5 |
Question 99 |
A | Hypertension. |
B | Diarrhea. |
C | Diaphoresis. |
D | Urinary retention. |
Question 100 |
A | Some of the passengers will need psychiatric hospitalization |
B | Many of the passengers may be experiencing feelings of victimization. |
C | The accident victims will be experiencing grief and mourning. |
D | There is a need for someone to coordinate calls from relatives about the passengers. |
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Daisy Jane Antipuesto RN MN
Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.