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Nursing Board Exam Practice Questions
Published: January 4, 2010
Sample Nursing Board Exam Review Questions Part 24
1. A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?
A. Report the behavior to the charge nurse
B. Talk with the client to find out about the preferred herbal preparation
C. Contact the client’s health care provider
D. Explain the importance of the medication to the client
Correct Answer: B
Rationale: The correct answer is Talk with the client to find out about the preferred herbal preparation Respect for differences is demonstrated by incorporating traditional cultural practices for staying healthy into professional prescriptions and interventions. The challenge for the health-care provider is to understand the client’’s perspective. “Culture care preservation or maintenance refers to those assistive, supporting, facilitative or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values to that they can maintain their well-being, recover from illness or face handicaps and/or death”.
2. The nurse is performing an assessment on a child with severe airway obstruction. Which finding would the nurse anticipate finding?
A. Retractions in the intercostal tissues of the thorax
B. Chest pain aggravated by respiratory movement
C. Cyanosis and mottling of the skin
D. Rapid, shallow respirations
Correct Answer: A
Rationale: The correct answer is Retractions in the soft tissues of the thorax Slight intercostal retractions are normal. However in disease states, especially in severe airway obstruction, retractions become extreme.
3. The nurse is caring for several 70 to 80 year-old clients on bed rest. What is the most important measure to prevent skin breakdown?
A. Massage legs frequently
B. Frequent turning
C. Moisten skin with lotions
D. Apply moist heat to reddened areas
Correct Answer: B
Rationale: The correct answer is Frequent turning Frequent turning will prevent skin breakdown.
4. The nurse will administer liquid medicine to a 9 month-old child. Which of the following methods is appropriate?
A. Allow the infant to drink the liquid from a medicine cup
B. Administer the medication with a syringe next to the tongue
C. Mix the medication with the infant’s formula in the bottle
D. Hold the child upright and administer the medicine by spoon
Correct Answer: B
Rationale: The correct answer is Administer the medication with a syringe next to the tongue Using a needle-less syringe to give liquid medicine to an infant is often the safest method. If the nurse directs the medicine toward the side or the back of the mouth, gagging will be reduced.
5. Which of the actions suggested to the RN by the PN during a planning conference for a 10 month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to the plan of care?
A. Measure head circumference
B. Place in airborne isolation
C. Provide passive range of motion
D. Provide an over-the-crib protective top
Correct Answer: A
Rationale: The correct answer is Measure head circumference In meningitis, assessment of neurological signs should be done frequently. Head circumference is measured because subdural effusions and obstructive hydrocephalus can develop as a complication of meningitis. The client will have already been on airborne precautions and crib top applied to bed on admission to the unit.
6. The nurse is discussing nutritional requirements with the parents of an 18 month-old child. Which of these statements about milk consumption is correct?
A. May drink as much milk as desired
B. Can have milk mixed with other foods
C. Will benefit from fat-free cow’s milk
D. Should be limited to 3-4 cups of milk daily
Correct Answer: D
Rationale: The correct answer is Should be limited to three to four cups of milk daily More than 32 ounces of milk a day considerably limits the intake of solid foods, resulting in a deficiency of dietary iron, as well as other nutrients.
7. The nurse is caring for a client with COPD who becomes dyspneic. The nurse should
A. Instruct the client to breathe into a paper bag
B. Place the client in a high Fowler’s position
C. Assist the client with pursed lip breathing
D. Administer oxygen at 6L/minute via nasal cannula
Correct Answer: C
Rationale: The correct answer is Assist the client with pursed lip breathing Use pursed-lip breathing during periods of dyspnea to control rate and depth of respiration
8. In preparing medications for a client with a gastrostomy tube, the nurse should contact the health care provider before administering which of the following drugs through the tube?
A. Cardizem SR tablet (diltiazem)
B. Lanoxin liquid
C. Os-cal tablet (calcium carbonate)
D. Tylenol liquid (acetaminophen)
Correct Answer: A
Rationale: The correct answer is Cardizem SR tablet (diltiazem) Cardizem SR is a “sustained-release” drug form. Sustained release (controlled-release; long-acting) drug formulations are designed to release the drug over an extended period of time. If crushed, as would be required for gastrostomy tube administration, sustained-release properties and blood levels of the drug will be altered. The health care provider must substitute another medication.
9. A 24 year-old male is admitted with a diagnosis of testicular cancer. The nurse would expect the client to have
A. Scrotal discoloration
B. Sustained painful erection
C. Inability to achieve erection
D. Heaviness in the affected testicle
Correct Answer: D
Rationale: The correct answer is Heaviness in the affected testicle The feeling of heaviness in the scrotum is related to testicular cancer and not epididymitis. Sexual performance and related issues are not affected at this time.
10. In taking the history of a pregnant woman, which of the following would the nurse recognize as the primary contraindication for breast feeding?
A. Age 40 years
B. Lactose intolerance
C. Family history of breast cancer
D. Uses cocaine on weekends
Correct Answer: D
Rationale: The correct answer is Uses cocaine on weekends Binge use of cocaine can be just as harmful to the breast fed newborn as regular use.
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One Comment on "Nursing Board Exam Practice Questions"
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Community Health Nursing
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Jill_Fred on Thu, 18th Feb 2010 9:48 am
Hi, all, i have problem…