June 2008 Nursing Licensure Examination (NLE)
June 2008 NP3 Nursing Board Exam Answer Key
Nursing Board Exams Questions 61-79
Situation – You were on duty at the medical ward when Zeny came in for admission for
tiredness, cold intolerance, constipation, and weight gain. Upon examination, the doctor’s
diagnosis was hypothyroidism.
61. Your independent nursing care for hypothyroidism includes:
A. administer sedative round the clock
B. administer thyroid hormone replacement
C. providing a cool, quiet, and comfortable environment
D. encourage to drink 6-8 glasses of water
62. As the nurse, you should anticipate to administer which of the following medications to
Zeny who is diagnosed to be suffering from hypothyroidism?
A. Levothyroxine
B. Lidocaine
C. Lipitor
D. Levophed
63. Your appropriate nursing diagnosis for Zeny who is suffering from hypothyroidism would
probably include which of the following?
A. Activity intolerance related to tiredness associated with disorder
B. Risk to injury related to incomplete eyelid closure
C. Imbalance nutrition to hypermetabolism
D. Deficient fluid volume related to diarrhea
64. Myxedema coma is a life threatening complication of long standing and untreated
hypothyroidism with one of the following characteristics.
A. Hyperglycemia
B. Hypothermia
C. Hyperthermia
D. Hypoglycemia
65. As a nurse, you know that the most common type of goiter is related to a deficiency of:
A. thyroxine
B. thyrotropin
C. iron
D. iodine
Situation – Mr. Santos, 50, is to undergo cystoscopy due to multiple problems like scantly
66. You are the nurse in charge of Mr. Santos. When asked what are the organs to be examined during cystoscopy, you will enumerate as follows:
A. Urethra, Kidney, Bladder
B. Urethra, Bladder wall, trigone, urethral opening
C. Bladder wall, uterine wall and urethral opening
D. Urethral opening, urethral opening bladder.
67. You are the nurse in charge of Mr. Santos. When asked what are the organs to be examined during cystoscopy in:
A. Supine
B. Lithotomy
C. Semi-fowler
D. Trendelenburg
68. After cystoscopy, Mr. Santos asked you to explain why there is no incision of any kind. What do you yell him?
A. Cystoscopy is direct visualization and examination by urologist
B. Cystoscopy is done by x-ray visualization of the urinary tact
C. Cystoscopy is done by using lasers on the urinary tract
D. Cystoscopy is an endoscopic procedure of the unrinary tract
69. Within 24-48 hours post cystoscopy, it is normal to observe one of the following:
A. Pink-tinged urine
B. Distended bladder
C. Signs of infection
D. Prolonged hematuria
70. Leg cramps are NOT uncommon post cystoscopy. Nursing intervention includes:
A. Bed rest
B. Warm moist soak
C. Early ambulation
D. Hot sitz bath
Situation – A specimen is a piece of tissue of body fluid taken from the disease body organ or tissue to aid the health care team in diagnosis and effective treatment.
71. Carmen is suspected to have a left breast CA. She is scheduled in your room on 5 for frozen section. How will you prepare the specimen for laboratoty?
A. Refrigerator and send it along with the day’s specimen
B. Send to pathology immediately without soaking solution
C. Soak it in NSS
D. Soak it in formalin
72. How will you label this specimen? What information was essential in the label?
A. Name of the client, age, sex, hospital number
B. Name of the client, age, sex
C. Name, age, site, type of specimen, hospital number, doctor
D. Name, doctor, type of specimen, hospital number
73. Foreign body extracted from the body like pins, needles, seeds or bullets are also considered as a specimen. You assisted in the multiple gunshot wound exploration. During the surgey send the specimen to:
A. The department of pathology
B. The national bureau of investigation
C. The OR head nurse
D. Client’s family
74. A post dilation and curettage (D and C) client is for discharge. Follow-up of lab result should be part of the discharge plan. You will instruct the client to follow up result at the:
A. Medical record
B. Laboratory
C. Doctor’s clinic
D. Nurse’s station
75. You are the circulating nurse in OR 2. You have 4 thyroidectomy cases for the day. How do, you prevent switching of specimens?
A. Send specimens to laboratory right away after the operation with the proper labels
B. Collect all specimens and send to laboratory at the end of the day
C. Label specimen at once
D. Prepare 4 specimen vials first thing in the morning
76. Ms. F.X. has been admitted with right upper quadrant pain and has been placed on a low fat diet. Which of the following trays would be acceptable for her?
a. liver, fried potatoes and avocado
b. whole milk, rice and pastry
c. ham, mashed potatoes, cream peas
d. skim milk, lean fish, tapioca pudding
77. Negligence in the practice of nursing can be a ground for:
a. revocation of license by the Ombudsman
b. revocation of license by the BON
c. revocation of license by the DOH
d. revocation of license by the Nursing Department
78. One way of verifying that the right message/doctor’s order was communicated effectively is by:
a. phrasing intelligently
b. repeating the order message
c. documenting
d. speaking distinctly using enough volume
79. Maria is administering a cleansing enema to a patient with fecal impaction. Before administering the enema, she should place the patient in which of the following positions?
a. on the right side of the body with the head of the bed elevated 45 degrees
b. left Sim’s position
c. on the left side of the body with the head of the bed elevated 45 degree
d. right Sim’s position
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