June 2008 NP3 Nursing Board Exam Answer Key
Nursing Board Exams Questions 21 -40
Situation – Technology and patients education has dramatically improved the management of the diabetic client.
21. The current insulin pumps available in the market have the following capability, EXCEPT:
A. Prevent unexpected saving in blood glucose measurement
B. Detect signs and symptoms of hypoglycemia and hypercalcemia
C. Deliver a pre-meal bolus dose of insulin before each meal
D. Deliver a continuous basal rate of insulin at 5.0 units to 2.0 units per hour
22. Discharge plan of diabetic clients include injection-site-rotation. You should emphasize that the space between sites should be:
A. 6 cm
B. 5 cm
C. 2.5 cm
D. 4 cm
23. It is critical also that a diabetic client should be educated in the possible sites if regular insulin injection. The fastest absorption rate happens at the tissue areas of:
A. Gluteal area
B. Deltoid area
C. Anterior area
D. Abdominal area
24. Self-monitoring of blood glucose (SMBG) is recommended for patients use. You will recommend this technology in the following diabetic patients EXCEPT:
A. Client with proliferative retinopathy
B. Unstable diabetes
C. Hypoglycemia without warning
D. Abdominal renal glucose threshold
25. It is necessary for a diabetic client to exercise regularly. What is the effect of regular exercise to a diabetic client?
A. It burns excess glucose
B. It improves insulin utilization
C. It lowers glucose, improves insulin utilization, and decreases total triglyceride levels.
D. It will make you fit and energized.
26. Following a fracture of the forearm or tibia, complaints of sharp, deep, unrelenting pain in the hand or foot unrelieved by analgesics or elevation of the extremity indicate which complication?
a. cast syndrome
b. compartment syndrome
c. gangrene
d. fat embolism
27. Another worthy study is the compliance to the principles of aseptic technique among the sterile OR team. Who does NOT belong to the sterile OR team?
a. scrub nurse
b. assistant surgeon
c. x-ray technician
d. surgeon
28. Circulation must be restored within 4 minutes of cardiopulmonary arrest because:
a. the lungs fill with fluid
b. the blood begins to coagulate
c. brain cells begin to die
d. irreversible kidney failure develops
29. Benny elaborated on the concept of informed consent. He determines that the nurses need more explanation if their response is one of the following:
a. the consent should provide a description of alternative treatments or procedures
b. the consent should offer a thorough explanation of the procedures to be done and the consequences of it.
c. the consent should include the medical diagnosis and explanation of the patient’s condition
d. the consent should describe the prognosis if the recommended care is refused.
30. Which of the assessment findings would indicate a need for possible glaucoma testing?
a. intermittent loss of vision
b. presence of floaters
c. halos around lights
d. pruritus and erythema of the conjunctiva
31. The diabetic patient asks for a snack and something to drink. The MOST appropriate choice for this client to meet nutritional needs would be which of the following:
a. crackers with cheese and tea
b. toast with peanut butter and cocoa
c. vanilla wafers and coffee with cream
d. graham crackers and warm milk
32. The patient demonstrates knowledge of the psychological response to the operation and other invasive procedure when she asks about:
a. Who will be with me in the OR?
b. How is the post operative pain over the site like?
c. Will I be naked during the operation?
d. Is it cold inside the
33. In teaching the mother the proper administration of tetracycline eye ointment, which of the following is MOST crucial?
a. squirt a small amount on the inside of the infected eye’s lower lid
b. use clean, wet cloth to gently wipe away the pus
c. wash hands before medication administration
d. do not use other eye ointments or drops or put anything else in eyes.
34. The primary goal of nursing interventions after a craniotomy is:
a. avoiding need for secondary surgery
b. ensuring patient comfort
c. preventing increased intracranial pressure
d. prevention of infection
35. Mr. Salvo, a 35 year old male, has been admitted with the diagnosis of peptic ulcers. The nurse recognizes which drugs as those MOST commonly used in these patients to decrease acid secretions?
a. erythromycin and flagyl
b. Tagamet and zantac
c. Maalox and kayexalate
d. Dyazide and carafate
36. When reading the urinalysis report, the nurse recognizes this result as abnormal:
a. red blood cells 15-20
b. turbid
c. glucose negative
d. ph 6.0
37. Mr. Hizon has had cataract surgery. Discharge teaching would include:
a. wearing eye patches for the first 72 hours
b. bending at the waist acceptable if done slowly
c. bending at the knees and keeping the head straight
d. lifting light objects is acceptable
38. Endoscopic minimally invasive surgery has evolved from diagnostic modality to a widespread surgical technique. What department should the nurse collaborate which is unusual in conventional surgery?
a. engineering department
b. x-ray department
c. blood bank services
d. linen section
39. When the client is discharged from the hospital and is not capable of doing the needed care services, the following can assume the role, EXCEPT:
a. family members
b. chaplain
c. significant others
d. responsible caregiver
40. R.N. denotes that a nurse:
A. Has satisfactory completed with the requirements to practice nursing as set by the state.
B. Has a baccalaureate degree in nursing
C. Is professionally ready to practice nursing
D. Just a title
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