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Nursing Board Exam Review Questions

July 22, 2010 by Nursingbuzz Agent  
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100 Items Nursing Comprehensive Exam Review Questions

A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every 2 hours. Which of the following outcome criteria would the nurse use?





A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?





A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?





Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?





A newly admitted client has sickle cell crisis. The nurse is planning care based on assessment of the client. The client is complaining of severe pain in his feet and hands. The pulse oximetry is 92. Which of the following interventions would be implemented first? Assume that there are orders for each intervention.





The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?





Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?





The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which of the following would the nurse include in the physical assessment?





An African American female comes to the outpatient clinic. The physician suspects vitamin B12 deficiency anemia. Because jaundice is often a clinical manifestation of this type of anemia, what body part would be the best indicator?





The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?





The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?





A 33-year-old male is being evaluated for possible acute leukemia. Which of the following would the nurse inquire about as a part of the assessment?





An African American client is admitted with acute leukemia. The nurse is assessing for signs and symptoms of bleeding. Where is the best site for examining for the presence of petechiae?





A client with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire?





Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?





A 21-year-old male with Hodgkin's lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?





A client has autoimmune thrombocytopenic purpura. To determine the client's response to treatment, the nurse would monitor:





The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client's platelet count currently is 80, It will be most important to teach the client and family about:





A client with a pituitary tumor has had a transphenoidal hyposphectomy. Which of the following interventions would be appropriate for this client?





The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:





A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?





A client has had a unilateral adrenalectomy to remove a tumor. To prevent complications, the most important measurement in the immediate post-operative period for the nurse to take is:





A client with Addison's disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?





A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses' next action be?





A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in 4 months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?





The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?





The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:





The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?





The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:





The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?





The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:





The nurse is checking the client's central venous pressure. The nurse should place the zero of the manometer at the:





The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:





The best method of evaluating the amount of peripheral edema is:





A client with vaginal cancer is being treated with a radioactive vaginal implant. The client's husband asks the nurse if he can spend the night with his wife. The nurse should explain that:





The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?





The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?





The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first 2 weeks of life because:





A client with leukemia is receiving Trimetrexate. After reviewing the client's chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:





A 4-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:





The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:





A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?





When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:





A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client's symptoms are consistent with a diagnosis of:





The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client's history should be reported to the doctor?





The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig's sign is charted if the nurse notes:





The client with Alzheimer's disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:





The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:





The client with confusion says to the nurse, "I haven't had anything to eat all day long. When are they going to bring breakfast?" The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?





The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer's disease. Which side effect is most often associated with this drug?





A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?





A client with a diagnosis of HPV is at risk for which of the following?





During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:





A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:





A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?





The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?





A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor's order should the nurse question?





A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse's assessment of this data is:





Which observation in the newborn of a diabetic mother would require immediate nursing intervention





The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:





The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:





A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?





The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?





The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client's most appropriate priority nursing diagnosis?





The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:





The nurse working the organ transplant unit is caring for a client with a white blood cell count of During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?





The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40 systolic. The initial nurse's action should be to:





The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?





A client being treated with sodium warfarin has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?





Which selection would provide the most calcium for the client who is 4 months pregnant?





The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates understanding of the possible side effects of magnesium sulfate?





A 6-year-old client is admitted to the unit with a hemoglobin of 6g/dL. The physician has written an order to transfuse 2 units of whole blood. When discussing the treatment, the child's mother tells the nurse that she does not believe in having blood transfusions and that she will not allow her child to have the treatment. What nursing action is most appropriate?





A client is admitted to the unit 2 hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?





The nurse is evaluating nutritional outcomes for an elderly client with bulimia. Which data best indicates that the plan of care is effective?





The client is admitted following repair of a fractured tibia and cast application. Which nursing assessment should be reported to the doctor?





The client is having an arteriogram. During the procedure, the client tells the nurse, "I'm feeing really hot." Which response would be best?





The nurse is observing several healthcare workers providing care. Which action by the healthcare worker indicates a need for further teaching?





The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client's ECT has been effective?





The 5-year-old is being tested for enterobiasis (pinworms). To collect a specimen for assessment of pinworms, the nurse should teach the mother to:





The nurse is teaching the mother regarding treatment for enterobiasis. Which instruction should be given regarding the medication?





The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?





The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?





The nurse caring for a client in the neonatal intensive care unit administers adult-strength Digitalis to the 3-pound infant. As a result of her actions, the baby suffers permanent heart and brain damage. The nurse can be charged with:





Which assignment should not be performed by the licensed practical nurse?





The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, and respirations 30. Which action by the nurse should receive priority?





Which nurse should be assigned to care for the postpartal client with preeclampsia?





Which information should be reported to the state Board of Nursing?





The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:





The home health nurse is planning for the day's visits. Which client should be seen first?





The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?





The nurse is caring for a 6-year-old client admitted with a diagnosis of conjunctivitis. Before administering eyedrops, the nurse should recognize that it is essential to consider which of the following?





The nurse is discussing meal planning with the mother of a 2-year-old toddler. Which of the following statements, if made by the mother, would require a need for further instruction?





A 2-year-old toddler is admitted to the hospital. Which of the following nursing interventions would you expect?





Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?





A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:





A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?





The nurse is caring for a client admitted with epiglottis. Because of the possibility of complete obstruction of the airway, which of the following should the nurse have available?





A 25-year-old client with Grave's disease is admitted to the unit. What would the nurse expect the admitting assessment to reveal?





The nurse is providing dietary instructions to the mother of an 8-year-old child diagnosed with celiac disease. Which of the following foods, if selected by the mother, would indicate her understanding of the dietary instructions?





The nurse is caring for an 80-year-old with chronic bronchitis. Upon the morning rounds, the nurse finds an O2 sat of 76%. Which of the following actions should the nurse take first?







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Comments

2 Responses to “Nursing Board Exam Review Questions”
  1. be positive says:
    July 22, 2010 at 8:51 am

    Congratulations – you have completed %%Nursing Comprehensive Exam Review Questions%%. You scored 54 out of 100. Your performance have been rated as ‘Satisfactory’ A rating of your performance – it could be ‘Failed’(0-74%), ‘Just Passed’(75-80%), ‘Satisfactory’(81-85%), ‘Competent’(86-90%), ‘Good’(91-95%), ‘Excellent(96-98%)’ and ‘Unbeatable’(99-100%) Satisfactory

    Thank you sir… natapos ko 1hr. pero mababa ang score ko… super hirap naman kasi ng mga tanong hehehhehe challenging…. hymmmm salamt sir xa pag encode ng mga drills… need to read more, more, more and answer lots of q…. God bless nursingbuzz….

  2. cyril says:
    July 27, 2010 at 12:03 am

    hi

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