Nursing Pre-Board Exam for June 2012 NLE
by Daisy Jane Antipuesto RN MN · June 16, 2012
This Pre-Board 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.

June 2012 Pre-Board Nursing Exam (NLE)
Question 1 |
A | Use therapeutic communication techniques, especially the reflection of feelings |
B | Insist that the client give you her name and address so that you can get the police there immediately |
C | Keep the client talking and allow the client to ventilate feelings |
D | Keep the client talking and signal another staff member to trace the call so that appropriate help can be sent |
Question 2 |
A | The nurse’s impression of the client’s pain |
B | Nonverbal cues from the client |
C | The client’s pain rating |
D | Pain relief after appropriate nursing intervention |
Question 3 |
A | Assess for hypovolemia and notify the healthcare provider |
B | Begin hourly pad counts and reassure the client |
C | Elevate the head of the bed and assess vital signs |
D | Begin fundal massage and start oxygen by mask |
Question 4 |
A | Call the secure |
B | Call the police |
C | All the nursing supervisor |
D | Lock the nurse inside the medication room until help is obtained |
Question 5 |
A | "I will take the child’s pulse before administering the medication.” |
B | “I will not mix the medication with food.” |
C | “If the child vomits after medication administration, I will repeat the dose.” |
D | “If more than 1 dose is missed I will call the physician.” |
Question 6 |
A | 9 months |
B | 12 months |
C | 4 months |
D | 6 months |
Question 7 |
A | “Has the child had nausea or vomiting?” |
B | “Has the child complained of headaches?” |
C | “Did the child have a sore throat or an unexplained fever within the last 2 months?” |
D | “Has the child complained of back pain?” |
Question 8 |
A | Most frequently occurs in girls |
B | Most frequently occurs during the summer months |
C | Most frequently occurs in toddlers |
D | Most frequently occurs from 2-4 months of life |
Question 9 |
A | Administer the drug even the dosage is twice the amount because that is the order of the physician |
B | Carry out the order because there is no question about it |
C | Verify the prescribed medication by calling the nurse supervisor |
D | Contact the physician and verifies the order |
Question 10 |
A | Administration of sodium bicarbonate |
B | Administration of syrup of ipecac |
C | Administration of vitamin K |
D | Dialysis |
Question 11 |
A | Remove dosimeter badge when entering the client’s room. |
B | Limit the time with the client to 1 hour per shift. |
C | Individuals less than 16 years old may be allowed to go in the room as long as they are 6 feet away from the client. |
D | Do not allow pregnant women into the client’s room. |
Question 12 |
A | Sternal rub |
B | Squeezing of the sternocleidomastoid muscle |
C | Nail bed pressure |
D | Pressure on the orbital rim |
Question 13 |
A | Inform the friend that the family has no need for assistance at this time because the nurse is making daily visits |
B | Request that the friend come to the client’s home, where she can be taught to administer the feedings |
C | Report the friend’s telephone call to the nurse manager for referral to the client’s social worker |
D | Inform the friend to directly contact the family and offer her assistance to them |
Question 14 |
A | Headache |
B | Sore throat |
C | Diarrhea |
D | Nausea |
Question 15 |
A | Pain that is relieved only by oxycodone and aspirin |
B | Numbness and tingling in the fingers |
C | Pain that increases when the arm is dependent |
D | Cold, bluish-colored fingers |
Question 16 |
A | Tell the client that testing is not necessary unless arthralgia |
B | Inform the client to return in 4-6 weeks to be tested because testing before this time is not reliable |
C | Refer the client for a blood test immediately |
D | Inform the client that there is not a test available for Lyme disease |
Question 17 |
A | Disturbed Thought Processes |
B | Deficient Knowledge |
C | Self-Care Deficit |
D | Imbalanced Nutrition |
Question 18 |
A | A single registered nurse is responsible for planning and providing individualized nursing care |
B | The nurse manager assigns tasks to the staff members |
C | Nursing staff are led by an RN leader in providing care to a group of clients |
D | Critical paths are used in providing client care |
Question 19 |
A | Decreased number of plasma cells in the bone marrow |
B | Increased white blood cells |
C | Decreased blood urea nitrogen |
D | Increased calcium level |
Question 20 |
A | Cover the casted leg with warm blanket |
B | Use the fingertips to lift and move the leg |
C | Use the padded coat hanger end to scratch under the cast |
D | Avoid getting the cast wet |
Question 21 |
A | Polyuria |
B | Hypertension |
C | Tachycardia |
D | Bradypnea |
Question 22 |
A | Bedrest for 6-8 hours, with the head of the bed elevated 15-30 degrees |
B | Bedrest for 2-4 hours, with head of bed flat |
C | Bedrest for 2-4 hours, with the head of the bed elevated 15-30 degrees |
D | Bedrest for 6-8 hours, with head of bed flat |
Question 23 |
A | Increased Intracranial Pressure |
B | Shock |
C | Respiratory insufficiency |
D | A head injury |
Question 24 |
A | Indicates the need for increasing oral fluids |
B | Normal |
C | Indicates the presence of infection |
D | Indicates the need for increasing ambulation |
Question 25 |
A | Heparin infusion |
B | Digoxin |
C | Morphine sulfate |
D | Immune globulin |
Question 26 |
A | Vitamin A |
B | Vitamin B12 |
C | Vitamin C |
D | Vitamin E |
Question 27 |
A | "I will begin abdominal exercises immediately.” |
B | “I will notify the physician if I develop a fever.” |
C | “I will turn on my side and push up with my arms to get out of bed.” |
D | “I will lift nothing heavier than the newborn infant for at least 2 weeks.” |
Question 28 |
A | Obtain a second nurse to also act as a witness and ask the client to sign the form with an X |
B | Contact the physician and inform that the client cannot write |
C | Send the client for the procedure without a signed informed consent |
D | Contact a family member to represent for the client and sign the inform consent form |
Question 29 |
A | Every 15minutes for the first hour, every 30minutes for the second hour, every hour for 4 hours and then every four hour as needed. |
B | Every 5minutes for the first half hour, every 15 minutes for two hours, every 30minutes for four hours and then every hour as needed |
C | Every hour for two hours, then every four hours as needed |
D | Every 30minutes for the first hour, every hour for two hours, then every four hours as needed |
Question 30 |
A | administer a concurrent fluid challenge |
B | monitor for hypothermia |
C | assess the intravenous infusion site |
D | monitor for an excessive urine output |
Question 31 |
A | This is the access site for the heart-lung machine |
B | A filter is inserted in the leg to prevent embolization |
C | The saphenous vein was used to bypass the coronary artery |
D | The arteries in distal extremities are examined during surgery |
Question 32 |
A | A BP change from 130/88 to 124/80 mmHg |
B | An increase in the pulse rate from 88 to 102 beats per minute |
C | An increase in the respiratory rate from 18 to 22 breaths per minute |
D | A temperature of 100.4 degree Fahrenheit |
Question 33 |
A | Try to swallow |
B | Roll the tongue to the back of the mouth |
C | Breathe normally |
D | Hold the breath |
Question 34 |
A | Ability to get to work on time each day |
B | Sleeping 14-16 hours a day |
C | Having difficulty concentrating on an activity |
D | Decrease in appetite |
Question 35 |
A | Eliminating all anxiety form daily situations |
B | Continued contact with a crisis counselor |
C | Identifying anxiety-producing situations |
D | Ignoring feeling of anxiety |
Question 36 |
A | Removing the distal portion of the stomach |
B | Cutting the vagus nerve |
C | An incision and resuturing of the pylorus to relax the muscle and enlarge the opening from the stomach to the duodenum |
D | Removal of the ulcer and a large portion of the cells that produce hydrochloric acid |
Question 37 |
A | obtaining client’s health history |
B | a sputum culture positive for Mycobacterium Tuberculosis |
C | a chest X-ray positive for lung lesion |
D | a positive Purified Protein Derivative Test (PPD) |
Question 38 |
A | Notify the physician or nurse-midwife of the findings. |
B | Document the findings and tell the mother that the monitor indicates fetal well-being. |
C | Take the mother’s vital signs and tell the mother that bed rest is required to conserve oxygen. |
D | Reposition the mother and check the monitor for changes in the fetal tracing. |
Question 39 |
A | “How much do you use and what effect does it have on you” |
B | “How long did you think you could take these drugs without someone finding out”” |
C | “Why did you get started on these drugs?” |
D | The nurse does not ask any questions in fear that the client is in denial and will throw the nurse out of the home. |
Question 40 |
A | “Place the tubes in hydrogen peroxide for 1 hour before replacing them in the child’s ears” |
B | "Replace the tube immediately so that the created opening does not close” |
C | “This is an emergency and requires immediate intervention. Bring the child to the emergency room” |
D | “This is NOT an emergency; I will speak to the physician and call you right back” |
Question 41 |
A | Pulmonary embolism |
B | Failure of the Right ventricle |
C | Ventricular tachycardia |
D | Pulmonary edema |
Question 42 |
A | Done by the client |
B | Easier to perform |
C | More accurate |
D | Not influence by drainage |
Question 43 |
A | 1.8 mEq/L |
B | 1.0 mEq/L |
C | 1.3 mEq/L |
D | 0.7 mEq/L |
Question 44 |
A | Sharing the client’s record to other personnel not involve in providing care |
B | Performing a procedure without consent of the client |
C | Threatening the client that he cannot leave the hospital |
D | Threatening the client that he cannot leave the hospital |
Question 45 |
A | The presence of loose teeth |
B | Difficulty in swallowing |
C | Exudate in the throat area |
D | Bleeding during surgery |
Question 46 |
A | Out of bed |
B | Bathroom privileges |
C | Immobilization of the affected leg |
D | Placing the affected leg in a dependent position. |
Question 47 |
A | Chronic obstructive bronchitis |
B | Bronchial asthma |
C | Emphysema |
D | Bronchial asthma and bronchitis |
Question 48 |
A | A client scheduled for physical therapy at 1 PM |
B | A client with a fever who is diaphoretic and restless |
C | A post operative client who has just received pain medication |
D | A client who is ambulatory |
Question 49 |
A | Adrenal cortex |
B | Thyroid gland |
C | Kidney cortex |
D | Pituitary gland |
Question 50 |
A | Platelet count |
B | Prothrombin time |
C | Activated partial thromboplastin time |
D | International normalized ratio |
Question 51 |
A | 45 units/L |
B | 100 units/L |
C | 500 units/L |
D | 300 units/L |
Question 52 |
A | Oatmeal |
B | Rice |
C | Wheat Bread |
D | Rye Toast |
Question 53 |
A | Four fingers can be slid comfortably under the holder |
B | The client nods that he or she feels comfortable |
C | The tracheostomy does not move more than ½ inch when the client is coughing |
D | Two fingers can be slid comfortably under the holder |
Question 54 |
A | Fracture |
B | Sprain |
C | Strain |
D | Contusion |
Question 55 |
A | Normal reaction to a devastating event |
B | Indicative of the need for hospital admission |
C | Evidence that the client is a high suicide risk |
D | Signs of depression |
Question 56 |
A | “I can use analgesics to assess in alleviating some of the discomfort " |
B | “ I need to stop breast feeding until this condition resolves” |
C | “I need to take antibiotics, and I should begin to feel better in 24-48 hours” |
D | “ I need to wear a supportive bra to relieve the discomfort” |
Question 57 |
A | Limit the client’s intake to a light breakfast on the day of the treatment |
B | Give the client a detailed explanation of the entire procedure |
C | Provide a simple explanation of the procedure and continue to reassure the client |
D | Have the client speak with other clients receiving ECT |
Question 58 |
A | “I will ask the woman to raise the legs up to the waist and then lower the legs slowly.” |
B | “I will ask the woman to raise the legs and to try to lower them against pressure from my hand.” |
C | “I will ask the woman to extend the legs flat on the bed, and I will grasp the foot and sharply extend it backward.” |
D | “I will ask the woman to extend her legs flat on the bed, and I will grasp the foot and gently dorsiflex it forward.” |
Question 59 |
A | A form of behavior modification therapy |
B | A living, learning or working environment |
C | A cognitive approach to changing behavior |
D | A behavioral approach to changing behavior |
Question 60 |
A | Persuade the client to stay a few more days |
B | Call the client’s family |
C | Contact the physician |
D | Tell the client that discharge is not possible at this time |
Question 61 |
A | Indigestion |
B | Jaundice |
C | Weight loss |
D | Hyperglycemia |
Question 62 |
A | There is very mild pain throughout the procedure and the exposure to radiation is negligible |
B | The procedure is somewhat painful, but there is minimal exposure to radiation |
C | Discomfort my occur with needle insertion and there is minimal exposure to radiation |
D | There is absolutely no pain, although a moderate amount of radiation must be used to get accurate result. |
Question 63 |
A | Call the physician |
B | Medicate the client with an analgesic |
C | Provide pin care |
D | Check the client’s alignment in bed |
Question 64 |
A | Massaging the client’s extremities gently with lotion |
B | Urging the client to drink adequate fluids |
C | Massaging the client’s extremities |
D | Assisting the client to exercise in bed |
Question 65 |
A | Intravenous therapy may be administered at home |
B | Blood Transfusion may be necessary |
C | Frequent Urinary Tract Infection may result |
D | The disease is exacerbated by exposure to ultra violet rays |
Question 66 |
A | Ethacrynic acid (Edecrin) |
B | Mannitol (Osmotri) |
C | Dexamethasone (Decadron) |
D | Desmopressin ( DDAVP, Stimate) |
Question 67 |
A | Allow the client to complete her exercise program. |
B | Interrupt the client and weigh her immediately. |
C | Interrupt the client and offer to take her for a walk. |
D | Tell the client that she is not allowed to exercise rigorously. |
Question 68 |
A | Provides comforts by reducing muscles spasms and provide fracture immobilization |
B | Provides rigid immobilization of the fractured site |
C | Allows bony healing to begin before surgery |
D | Lengthens the fractured leg to prevent severing of blood vessels |
Question 69 |
A | Oysters, lobster and shrimp |
B | Coffee, cola and chocolate |
C | Cottage cheese, cream cheese, and dairy creamers |
D | Grapefruit, oranges and pineapple |
Question 70 |
A | Fatigue and an increased pulse rate |
B | Muscle cramping and sluggishness |
C | Dry hair and an intolerance to cold |
D | Tachycardia and an increase in weight |
Question 71 |
A | Monitoring Site for swelling, bleeding or hematoma |
B | Administering Narcotic Analgesic intramuscularly |
C | Elevating the limb for 24 hours |
D | Monitoring Vital signs every 4 hours |
Question 72 |
A | High fat intake |
B | Low carbohydrate intake |
C | Low protein intake |
D | Normal sodium intake |
Question 73 |
A | Shower using an antibacterial soap on the morning of the test |
B | Discontinue the prescribed antihistamine 5days before the test |
C | Do not ingest anything before the test |
D | Consume only fluids on the day of the test |
Question 74 |
A | Remains silent because verbal interaction would be too stimulating |
B | Tells the client that she will be allowed to rejoin the others when she can behave |
C | Asks the client if she understands why the seclusion is necessary |
D | Informs the client that he is being secluded to help regain self-control |
Question 75 |
A | ”Your daughter is sick and needs to be here.” |
B | “Listen to me. If you attempt to take your daughter from this unit, the police will bring her back.” |
C | “You seem very upset. Let’s talk at the nurse’s station. I want to help you. It would be best if you agree to let you daughter stay here for now.” |
D | “Over my dead body you will! She’s here and here she stays until the doctor says different” |
Question 76 |
A | Confront the client on the inappropriateness of her behavior and offer her a time-out |
B | Approach the client and insist that she has to put on her clothes |
C | Quietly approach the client and assist her in getting dressed |
D | Ask the other nurse to calm the client |
Question 77 |
A | To increase intake of acid-ash foods and liquids |
B | To seek treatment for urinary tract infection |
C | That this medication indicates toxicity |
D | That this is an expected side effect of the medication |
Question 78 |
A | 10ml |
B | 50ml |
C | 20ml |
D | 15ml |
Question 79 |
A | A normal response that indicates that the client needs more psychological support |
B | An abnormal response that indicates the presence of phantom limb pain |
C | An abnormal response that indicates the client is in denial about the limb loss |
D | A normal response that indicates the presence of phantom limb sensation |
Question 80 |
A | Toast with peanut butter and cocoa |
B | Vanilla wagers and coffee with cream and sugar |
C | Graham crackers and warm milk |
D | Crackers with cheese and tea |
Question 81 |
A | The most serious complication of this infection is sterility. |
B | Sexual partners during the last 12 months should be notified and treated. |
C | The infection can be prevented by using spermicidal to alter the pH in the perineal area. |
D | Medication therapy should be continued for 3 weeks without interruption. |
Question 82 |
A | Place the client in Trendelenburg position |
B | Find the closest telephone and stat page the physician. |
C | Gently push the cord into the vagina |
D | Call the delivery room to notify the staff that the client will be transported immediately. |
Question 83 |
A | Central venous pressure reading 2 cm water |
B | Pulse rate of 120 and 110 in a 15minute period |
C | Blood pressure of 50/30 and 90/40 mmHg |
D | Urinary output of 30ml per hour |
Question 84 |
A | Severe projectile vomiting |
B | Coughing at night time |
C | Incessant crying |
D | Choking with feedings |
Question 85 |
A | Notify the physician of the client’s request |
B | Conduct a client conference with the home care staff to share the client’s request |
C | Document the client’s request in the home care nursing care plan |
D | Discuss the client’s request with the family |
Question 86 |
A | Maintain a safe distance with the client |
B | Acknowledge the client’s behavior |
C | Assist the client to an area that is quiet |
D | Initiate confinement measures |
Question 87 |
A | ambulating the client 2 hours after the procedure |
B | checking the vital signs every 15 minutes for 8 hours |
C | maintaining the supine position for a minimum of 4 hours |
D | keeping the client NPO for 4 hours after the procedure |
Question 88 |
A | Senna adds fiber and bulk to the stool |
B | Senna coats the bowel wall and makes it slippery |
C | Senna stimulates the vagus nerve to improve the bowel tone |
D | Senna accumulates water and increases peristalsis |
Question 89 |
A | Weekly at the same time of the day |
B | At the onset on menstruation period |
C | Every month during ovulation |
D | 1 week after menstruation begins |
Question 90 |
A | Gastrointestinal dysfunctions |
B | Problems with excessive sweating |
C | Problems with mouth dryness |
D | Cardiovascular symptoms |
Question 91 |
A | “I’m glad I don’t have to lie still for this procedure” |
B | “I know I must sign the consent form” |
C | “I hope the throat spray keeps me from gagging” |
D | “I’m glad some IV medication will be given to relax me” |
Question 92 |
A | A client scheduled for a cardiac catheterization, client with diabetes mellitus and for discharged to home, client with tracheostomy |
B | A client with tracheostomy and scheduled for cardiac catheterization would at the same time be given the highest priority in the plan of care, client for discharge does not need much attention |
C | A client with tracheostomy and is on mechanical ventilator, client scheduled for a cardiac catheterization followed by the client with diabetes mellitus scheduled for discharged. |
D | A client with diabetes mellitus, client scheduled for a cardiac catheterization, client with tracheostomy |
Question 93 |
A | Moves the cane when the right leg is moved |
B | Keeps the cane 6 inches out to the side of the right foot |
C | Leans on the cane when the right leg swings through |
D | Hold the cane on the right side |
Question 94 |
A | 45 minutes |
B | 5 minutes |
C | 30 minutes |
D | 15 minutes |
Question 95 |
A | Supervise the staff nurse more closely so tasks are completed |
B | Ask other staff members to help the staff nurse get the work done |
C | Report the staff nurse to the supervisor so that something is done to resolve the problem |
D | Provide support and identify the underlying cause of the staff nurse’s problems |
Question 96 |
A | Use a night light and turn off the television |
B | Keep the television and a soft light on during the night |
C | Move the client net to the nurse’s station |
D | Play soft music during the night, and maintain a well-lit room |
Question 97 |
A | Experiences few sleep pattern disturbances |
B | Needs to expend energy to be tired enough to sleep |
C | Is easily stimulated by the environment |
D | Requires less sleep than the average person |
Question 98 |
A | Changing the client’s position frequently |
B | Keeping the significant other informed of the progress of the labor |
C | Monitoring the fetal heart rate |
D | Providing comfort measures |
Question 99 |
A | Glomerulonephritis |
B | Renal cancer in the client’s family |
C | Pyelonephritis |
D | Blow or trauma to the bladder or abdomen |
Question 100 |
A | Explains to the nursing assistant that yelling in the client’s room is tolerated only If the client is talking loudly. |
B | Informs the client that everything is all right. |
C | Speaks to the nursing assistant immediately while in the client’s room to solve the problem. |
D | Ascertains the client’s safety, calmly asks the nursing assistant to join the nurse outside the room, and informs the nursing assistant that her voice was unusually loud. |
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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.