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