Nursing Pre-board Exam
by Daisy Jane Antipuesto RN MN · June 4, 2009
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Preboard June 2009 NLE
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Question 1 |
A | Age-specific mortality rate |
B | Proportionate mortality rate |
C | Swaroop’s index |
D | Case fatality rate |
Question 2 |
A | Staffing |
B | Scheduling |
C | Recruitment |
D | Induction |
Question 3 |
A | Smoothing |
B | Compromise |
C | Avoidance |
D | Restriction |
Question 4 |
A | Offer the client assistance to the bathroom |
B | Move the bedside table closer to the client’s bed |
C | Encourage the client to take an available sedative |
D | Assist the client to telephone the spouse to say “goodnight” |
Question 5 |
A | Uses visioning as the essence of leadership |
B | Serves the followers rather than being served |
C | Maintains full trust and confidence in the subordinates |
D | Possesses innate charisma that makes others feel good in his presence. |
Question 6 |
A | Department of Health |
B | Provincial Health Office |
C | Regional Health Office |
D | Rural Health Unit |
Question 7 |
A | Centralized |
B | Decentralized |
C | Matrix |
D | Informal |
Question 8 |
A | Arteriolar constriction occurs |
B | The cardiac workload decreases |
C | Decreased contractility of the heart occurs |
D | The parasympathetic nervous system is triggered |
Question 9 |
A | Days 9 to 11 |
B | Days 12 to 14 |
C | Days 15 to 17 |
D | Days 18 to 20 |
Question 10 |
A | Change the maternal position |
B | Prepare for an immediate birth |
C | Call the physician immediately |
D | Obtain the client’s blood pressure |
Question 11 |
A | “I need a lot of help with my troubles” |
B | “Society makes people react in old ways” |
C | “I decided that it’s time I own up to my problems” |
D | “My life needs straightening out and this might help” |
Question 12 |
A | erase any errors. |
B | use a #2 pencil. |
C | leave one line blank before each new entry. |
D | end each entry with the nurse's signature and title. |
Question 13 |
A | A boggy uterus |
B | Multiple vaginal clots |
C | Hypotension and tachycardia |
D | Bleeding from the venipuncture site |
Question 14 |
A | Should save time and effort. |
B | Should minimize if not totally prevent the spread of infection. |
C | Should not overshadow concern for the patient and his family. |
D | May be done in a variety of ways depending on the home situation, etc. |
Question 15 |
A | Limit contact with non-exposed family members |
B | Avoid contact with any objects present in the client’s room |
C | Wear an Ultra-Filter mask when they are in the client’s room |
D | Put on a gown and gloves before going into the client’s room |
Question 16 |
A | Suction equipment |
B | Humidified oxygen |
C | A nonelectric call bell |
D | A cold-stream vaporizer |
Question 17 |
A | Hydrate the infant q15 min |
B | Put a hat on the infant’s head |
C | Keep the oxygen concentration consistent |
D | Remove the infant q15 min for stimulation |
Question 18 |
A | Scalar chain |
B | Discipline |
C | Unity of command |
D | Order |
Question 19 |
A | Meningeal irritation |
B | Subdural hemorrhage |
C | Medullary compression |
D | Cerebral cortex compression |
Question 20 |
A | Finding special school facilities for the child |
B | Making plans for moving to a more therapeutic climate |
C | Choosing a means of birth control to avoid future pregnancies |
D | Airing their feelings regarding the transmission of the disease to the child |
Question 21 |
A | Allow the client to open canned or pre-packaged food |
B | Restrict the client to his room until 2 lbs are gained |
C | Have a staff member personally taste all of the client’s food |
D | Tell the client the food has been x-rayed by the staff and is safe |
Question 22 |
A | Nursing unit manager |
B | Hospital administrator |
C | Quality control manager |
D | Physician ordering the medication |
Question 23 |
A | Obtaining the child’s daily weight |
B | Doing a visual inspection of the child |
C | Measuring the child’s intake and output |
D | Monitoring the child’s electrolyte values |
Question 24 |
A | A unilateral droop of hip |
B | A broadening of the perineum |
C | An apparent shortening of one leg |
D | An audible click on hip manipulation |
Question 25 |
A | Vitamin K is not absorbed |
B | The ionized calcium levels falls |
C | The extrinsic factor is not absorbed |
D | Bilirubin accumulates in the plasma |
Question 26 |
A | Sooty-colored sputum |
B | Frothy pink-tinged sputum |
C | Twitching and disorientation |
D | Urine output below 30ml per hour |
Question 27 |
A | Psychological and sociological needs are emphasized. |
B | Great control of work activities. |
C | Most economical way of delivering nursing services. |
D | Workers feel secure in dependent role. |
Question 28 |
A | Obtain sides for a fern test |
B | Time any uterine contractions |
C | Prepare her for a pelvic examination |
D | Apply nitrazine paper to moist vaginal tissue |
Question 29 |
A | Change the dressing as needed |
B | Resume the usual diet as soon as desired |
C | Bathe or shower according to preference |
D | Expect a rise in body temperature for 48 hours |
Question 30 |
A | Strong desire to improve her body image |
B | Close, supportive mother-daughter relationship |
C | Satisfaction with and desire to maintain her present weight |
D | Low level of achievement in school, with little concerns for grades |
Question 31 |
A | Ingest foods while they are hot |
B | Divide food into four to six meals a day |
C | Eat the last of three meals daily by 8pm |
D | Suck a peppermint candy after each meal |
Question 32 |
A | Notify the physician of the findings because the level is dangerously high |
B | Monitor the client closely because the level of lithium in the blood is slightly elevated |
C | Continue to administer the medication as ordered because the level is within the therapeutic range |
D | Report the findings to the physician so the dosage can be increased because the level is below therapeutic range |
Question 33 |
A | “Where are you?” |
B | “Who brought you here?” |
C | “Do you know where you are?” |
D | “How long have you been there?” |
Question 34 |
A | Withhold food and fluids for 24 hours. |
B | Allow him to play outdoors with his friends. |
C | Arrange for a follow up visit with the child’s primary care provider in one week. |
D | Check for any change in responsiveness every two hours until the follow-up visit. |
Question 35 |
A | Cheeseburger and a malted |
B | Piece of blueberry pie and milk |
C | Bacon and tomato sandwich and tea |
D | Chicken salad sandwich and soft drink |
Question 36 |
A | Client has a low pain tolerance |
B | Medication is not adequately effective |
C | Medication has sufficiently decreased the pain level |
D | Client needs more education about the use of the pain scale |
Question 37 |
A | Holding sterile objects above the waist |
B | Pouring solution onto a sterile field cloth |
C | Considering a 1" (2.5-cm) edge around the sterile field contaminated |
D | Opening the outermost flap of a sterile package away from the body |
Question 38 |
A | Acts as hyperosmotic diuretic |
B | Increases tissue resistance to infection |
C | Reduces the inflammatory response of tissues |
D | Decreases the information of cerebrospinal fluid |
Question 39 |
A | Act 3573 |
B | R.A. 3753 |
C | R.A. 1054 |
D | R.A. 1082 |
Question 40 |
A | Checking with the relative of the patient |
B | Preparing a nursing care plan in collaboration with the patient |
C | Consulting with the physician |
D | Coordinating with other members of the team |
Question 41 |
A | Keeping the baby awake for longer periods of time before each feeding |
B | Assisting the parents to stimulate their baby through touch, sound, and sight. |
C | Encouraging parental contact for at least one 15-minute period every four hours. |
D | Touching and talking to the baby at least hourly, beginning within two to four hours after birth |
Question 42 |
A | Checking the size of the child’s liver |
B | Monitoring the child’s blood pressure |
C | Maintaining the child in a prone position |
D | Collecting the child’s urine for culture and sensitivity |
Question 43 |
A | Manually express milk and feed it to the baby in a bottle |
B | Stop breastfeeding for two days to allow the nipple to heal |
C | Use a breast shield to keep the baby from direct contact with the nipple |
D | Feed the baby on the unaffected breast first until the affected breast heals |
Question 44 |
A | Have the client speak with other clients receiving ECT |
B | Give the client a detailed explanation of the entire procedure |
C | Limit the client’s intake to a light breakfast on the days of the treatment |
D | Provide a simple explanation of the procedure and continue to reassure the client |
Question 45 |
A | “I can’t wait to see all my friends again” |
B | “I feel washed out; there isn’t much left” |
C | “I can’t wait to get home to see my grandchild” |
D | “My husband plans for me to recuperate at our daughter’s home” |
Question 46 |
A | Initiate the intravenous therapy as ordered by the physician |
B | Inform the client that the procedure could precipitate an infection |
C | Assure that informed consent has been obtained from the client |
D | Perform a vaginal examination on the client to assess cervical dilation |
Question 47 |
A | Allergies and socioeconomic status |
B | Urine output and allergies |
C | Gastric reflex and age |
D | Bowel habits and allergies |
Question 48 |
A | Mediastinal shift |
B | Tracheal laceration |
C | Open pneumothorax |
D | Pericardial tamponade |
Question 49 |
A | flexed extremities |
B | Cyanotic lips and face |
C | A heart rate of 130 beats per minute |
D | A respiratory rate of 40 breath per minute |
Question 50 |
A | Turn the client to the unaffected side |
B | Cleanse the client’s ear with sterile gauze |
C | Test the drainage from the client’s ear with Dextrostix |
D | Place sterile cotton loosely in the external ear of the client |
Question 51 |
A | Suspicious feelings |
B | Continuous pacing |
C | Relationship with the family |
D | Concern about working with others |
Question 52 |
A | Sit alone, display pincer grasp, wave bye bye |
B | Pull self to a standing position, release a toy by choice, play peek-a-boo |
C | Crawl, transfer toy from one hand to the other, display of fear of strangers |
D | Turn completely over, sit momentarily without support, reach to be picked up |
Question 53 |
A | Substernal chest pain |
B | Episodes of palpitation |
C | Severe shortness of breath |
D | Dizziness when standing up |
Question 54 |
A | Health for all Filipinos |
B | Ensure the accessibility and quality of health care |
C | Improve the general health status of the population |
D | Health in the hands of the Filipino people by the year 2020 |
Question 55 |
A | Fatigue |
B | Alopecia |
C | Vomiting |
D | Leucopenia |
Question 56 |
A | Assessing urine specific gravity |
B | Maintaining the ordered hydration |
C | Collecting a weekly urine specimen |
D | Emptying the drainage bag frequently |
Question 57 |
A | Taste and smell |
B | Taste and speech |
C | Swallowing and smell |
D | Swallowing and speech |
Question 58 |
A | Three spontaneous abortions |
B | negative maternal blood type |
C | Blood loss of 850 ml after a vaginal birth |
D | Maternal temperature of 99.9° F 12 hours after delivery |
Question 59 |
A | With meals and snacks |
B | Every three hours while awake |
C | On awakening, following meals, and at bedtime |
D | After each bowel movement and after postural drainage |
Question 60 |
A | Arm and shoulder muscles must be developed |
B | Shrinkage of the residual limb must be completed |
C | Dexterity in the other extremity must be achieved |
D | Full adjustment to the altered body image must have occurred |
Question 61 |
A | Recognizes staff for going beyond expectations by giving them citations |
B | Challenges the staff to take individual accountability for their own practice |
C | Admonishes staff for being laggards |
D | Reminds staff about the sanctions for non performance |
Question 62 |
A | Focuses on management tasks |
B | Is a caretaker |
C | Uses trade-offs to meet goals |
D | Inspires others with vision |
Question 63 |
A | Mastoiditis |
B | Severe dehydration |
C | Severe pneumonia |
D | Severe febrile disease |
Question 64 |
A | Perform a finger stick to test the client’s blood glucose level |
B | Have the physician assess the client for an enlarged prostate |
C | Obtain a urine specimen from the client for screening purposes |
D | Assess the client’s lower extremities for the presence of pitting edema |
Question 65 |
A | Tries to copy all the father’s mannerisms |
B | Talks incessantly regardless of the presence of others |
C | Becomes fussy when frustrated and displays a shortened attention span |
D | Frequently starts arguments with playmates by claiming all toys are “mine” |
Question 66 |
A | Albumin |
B | D5W |
C | Lactated Ringer’s solution |
D | 0.9% sodium chloride solution with 2 mEq of potassium per 100 ml |
Question 67 |
A | “Is talking about your problem upsetting you?” |
B | “It is Ok to cry; I’ll just stay with you for now” |
C | “You look upset; lets talk about why you are crying.” |
D | “Sometimes it helps to get it out of your system.” |
Question 68 |
A | Ears |
B | Eyes |
C | Liver |
D | Brain |
Question 69 |
A | Accept the client’s decision without discussion |
B | Have another client to ask the client to consider |
C | Tell the client that attendance at the meeting is required |
D | Insist that the client join the group to help the socialization process |
Question 70 |
A | It allows the nurse to provide nursing care to a greater number of people. |
B | It provides an opportunity to do first hand appraisal of the home situation. |
C | It allows sharing of experiences among people with similar health problems. |
D | It develops the family’s initiative in providing for health needs of its members. |
Question 71 |
A | Stream seeding |
B | Stream clearing |
C | Destruction of breeding places |
D | Zooprophylaxis |
Question 72 |
A | Increase the patient satisfaction rate |
B | Eliminate the incidence of delayed administration of medications |
C | Establish rapport with patients |
D | Reduce response time to two minutes |
Question 73 |
A | For people to attain their birthrights of health and longevity |
B | For promotion of health and prevention of disease |
C | For people to have access to basic health services |
D | For people to be organized in their health efforts |
Question 74 |
A | Expulsion pattern |
B | Slow paced pattern |
C | Shallow chest pattern |
D | blowing pattern |
Question 75 |
A | Primary |
B | Secondary |
C | Intermediate |
D | Tertiary |
Question 76 |
A | Not talking about the fact that the client is not eating |
B | Stopping all of the client’s priviledges until food is eaten |
C | Telling the client that tube feeding will eventually be necessary |
D | Pointing out to the client that death can occur with malnutrition. |
Question 77 |
A | Provide a calm, quiet environment |
B | Prepare the client for an immediate cesarean birth |
C | Prevent situations that may stimulate the cervix or uterus |
D | Ensure that the client has regular cervical examinations assess for labor |
Question 78 |
A | Loosen an edge of the dressing and lift it to see the wound |
B | Observe the dressing at the back of the neck for the presence of blood |
C | Outline the blood as it appears on the dressing to observe any progression |
D | Press gently around the incision to express accumulated blood from the wound |
Question 79 |
A | Turning the client to side lying position |
B | Asking the client to cough and deep breathe |
C | Taking the client’s pedal pulse in the affected limb |
D | Instructing the client to wiggle the toes of the right foot |
Question 80 |
A | Surgical menopause will occur |
B | Urinary retention is a common problem |
C | Weight gain is expected, and dietary plan are needed |
D | Depression is normal and should be expected |
Question 81 |
A | Administer cough suppressants at appropriate intervals as ordered |
B | Empty and measure the drainage in the collection chamber each shift |
C | Apply clamps below the insertion site when ever getting the client out of bed |
D | Encourage coughing, deep breathing, and range of motion to the arm on the affected side |
Question 82 |
A | “You may be able to lessen your feelings of guilt by seeking counseling” |
B | “It would be helpful if you become involved in volunteer work at this time” |
C | “I recognize it’s hard to deal with this, but try to remember that this too shall pass” |
D | “Joining a support group of parents who are coping with this problem can be quite helpful" |
Question 83 |
A | Angina |
B | Chest pain |
C | Heart block |
D | Tachycardia |
Question 84 |
A | long thin fingers |
B | Large, protruding ears |
C | Hypertonic neck muscles |
D | Simian lines on the hands |
Question 85 |
A | Determine her level of consciousness |
B | Evaluate the mobility of the extremities |
C | Determine her response to painful stimuli |
D | Prevent development of respiratory distress |
Question 86 |
A | Providing repetitive activities that require little thought |
B | Attempting to reduce or limit situations that increase anxiety |
C | Getting the client involved with activities that will provide distraction |
D | Suggesting that the client perform menial tasks to expiate feelings of guilt |
Question 87 |
A | Eating patterns are altered |
B | Fats are limited in the diet |
C | Carbohydrates are regulated |
D | Exercise is a major component |
Question 88 |
A | Develop language skills |
B | Avoid his own regressive behavior |
C | Mainstream into a regular class in school |
D | Recognize himself as an independent person of worth |
Question 89 |
A | Hyperactive reflexes |
B | An increased pulse rate |
C | Nausea, vomiting, and diarrhea |
D | Leg weakness with muscle cramps |
Question 90 |
A | It involves providing home care to sick people who are not confined in the hospital |
B | Services are provided free of charge to people within the catchment area. |
C | The public health nurse functions as part of a team providing a public health nursing services. |
D | Public health nursing focuses on preventive, not curative, services. |
Question 91 |
A | In the pulmonary vein |
B | In the pulmonary artery |
C | On the left side of the heart |
D | On the right side of the heart |
Question 92 |
A | Effectiveness |
B | Efficiency |
C | Adequacy |
D | Appropriateness |
Question 93 |
A | Hand washing |
B | Nasogastric tube irrigation |
C | I.V. cannula insertion |
D | Colostomy irrigation |
Question 94 |
A | If I notice a loss of sensation to touch in the stoma tissue” |
B | When mucus is passed from the stoma between irrigations” |
C | The expulsion of flatus while the irrigating fluid is running out” |
D | If I have difficulty in inserting the irrigating tube into the stoma” |
Question 95 |
A | Provide frequent saline mouthwashes |
B | Use karaya powder to decrease irritation |
C | Increase fluid intake to compensate for the diarrhea |
D | Provide meticulous skin care of the abdomen with Betadine |
Question 96 |
A | Risk for deficient fluid volume |
B | Deficient fluid volume |
C | Impaired gas exchange |
D | Metabolic acidosis |
Question 97 |
A | Inability to drink |
B | High grade fever |
C | Signs of severe dehydration |
D | Cough for more than 30 days |
Question 98 |
A | Sugar |
B | Bread |
C | Margarine |
D | Filled milk |
Question 99 |
A | Palms |
B | Nailbeds |
C | Around the lips |
D | Lower conjunctival sac |
Question 100 |
A | Agree and encourage the client’s denial |
B | Allow the denial but be available to discuss death |
C | Reassure the client that everything will be OK |
D | Leave the client alone to confront the feelings of impending loss |
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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.