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Jan 15, 2010

NURSING BOARD EXAM PRACTICE III – Care of Clients with Physiologic and Psychosocial Alterations

June 2008 Nursing Licensure Examination (NLE)

June 2008 NP3 Nursing Board Exam Answer Key

Nursing Board Exams Questions 80-100

80. The functionality and integrity of instruments and medical devices used in surgical procedure, is the responsibility of the:

a. surgeon

b. bio-med technician

c. OR nurse

d. scrub nurse

81. Maria will be preparing a patient for thoracentesis. She should assist the patient to which of the following positions for the procedure?

a. prone with the head turned to the side and supported by a pillow

b. lying in bed on the affected side with the head of the bed elevated 45 degrees

c. Sim’s position with the head of the bed flat

d. Lying in bed on the unaffected side with the head of the bed elevated 45 degrees

82. When a patient comes to the clinic for an eye examination, the ophthalmologists administers phenylephrine 2.5% drops to:

a. dilate retinal blood vessels

b. anesthetize the cornea

c. dilate the pupil

d. removed any obstruction on the cornea

83. Which of the following statements by Ms. S.O. a chemotherapy patient with a low WBC count, a low platelet count and a hemoglobin measurement of 5.6 g would indicate the need for further teaching?

a. “My lips are dry an d cracking. I need some lubricant”

b. “My husband and I have been using vaginal lubrication before my intercourse”

c. “I check my mouth and teeth after each meal”

d. “I’ve been very constipated and need an enema”

84. Patients undergoing surgery display different levels of anxiety. This is researchable. At present, it has been found out that music can decreases anxiety. What other factors can reduce anxiety that is currently done among postoperative cases?

a. pre-anesthetic drugs

b. pre-operative visit

c. shower prior to surgery

d. presence of any members of the family

85. A heavily researched topic in infection control is about the single most important procedure for preventing hospital-acquired infections. What is this procedure called?

a. handwashing

b. use of scrub suite

c. use of facemask

d. brain washing

86. A most critical strategy in nursing communication is:

a. non-verbal communication

b. giving stereotyped comments

c. verbal communication

d. active listening

87. Mr. T.O. has undergone surgery for lyses of adhesions. He is transferred from Post Anesthesia Care Unit (PACU) to the Surgical floor, the nurse should obtain blood pressure, pulse and respiration every:

a. 3 minutes

b. 30 minutes

c. 15 minutes

d. 20 minutes

88. Mr. K, age 13, is diagnosed with chronic bronchitis. He is very dyspneic and must sit up to breath. An abnormal condition in which there is discomfort in breathing in any bed or sitting position is:

a. Cheyne-stokes

b. orthopnea

c. eupnea

d. dyspnea

89. The nurse recognizes that the MOST common causative organism in pyelonephritis is:

a. E.Coli

b. Klebsiella

c. Candida Albicans

d. Pseudomonas

90. Mr. WT is cleaning the garage and splashes a chemical to his eyes. The initial priority care following the chemical burn is to:

a. irrigate with normal saline for 1 to 15 minutes

b. transport to a physician immediately

c. irrigate with water for 15 minutes or longer

d. cover the eyes with a sterile gauze

91. Licensed nurses from foreign countries can practice nursing in the Philippines in the following condition:

a. employed in state colleges and universities

b. special projects with hospitals with a fixed fee

c. employees by private hospitals

d. medical mission whose services are free

92. A patient diagnosed with breast cancer has been offered the treatment choices of breast conservation surgery with radiation or a modified radical mastectomy. When questioned by the patient about these options, the nurse informs the patients that the lumpectomy with radiation.

A. Reduces the fear and anxiety that accompany the diagnosis and treatment of cancer

B. Has about the same 10 years survival rate as the modified radical mastectomy

C. Provides shorter treatment period with a fewer long term complications

D. Preserves the normal appearance and sensitivity of the breast

93. The patient has a right to information regarding the operation or other invasive procedure and potential effects. This right is achieved through:

a. informed consent

b. preoperative visit

c. charting

d. doctor’s rounds

94. Which statement about a person’s character is evident in the OR team?

a. it assists in the control of feelings, thoughts and emotions in the face of difficulty

b. it reflects the moral values and beliefs that are used as guides to personal behavior and actions

c. it encourages the constructive use of the pleasure of the senses

d. it refers to the quality of being righteous, correct, fair and impartial

95. Mrs. XP underwent D and C for dysfunctional bleeding. What is inserted vaginally to prevent postoperative bleeding?

a. perineal pad

b. vaginal packing

c. vaginal suppository

d. gelfoam

Situation – Mrs. Pichay is admitted to your ward. The MD ordered “Prepare for

thoracentesis this pm to remove excess air from the pleural cavity.”

96. Which of the following nursing responsibilities is essential in Mrs. Pichay who will

undergo thoracentesis?

A. Support and reassure client during the procedure

B. Ensure that informed consent has been signed

C. Determine if client has allergic reaction to local anesthesia

D. Ascertain if chest x-rays and other tests have been prescribed and

completed

97. Mrs. Pichay who is for thoracentesis is assigned by the nurse to which of the following

positions?

A. Trendelenburg position

B. Supine position

C. Dorsal Recumbent position

D. Orthopneic position

98. During thoracentesis, which of the following nursing intervention will be most crucial?

A. Place patient in a quiet and cool room

B. Maintain strict aseptic technique

C. Advice patient to sit perfectly still during needle insertion until it has

been withdrawn from the chest

D. Apply pressure over the puncture site as soon as the needle is withdrawn

99. To prevent leakage of fluid in the thoracic cavity, how will you position the client after

thoracentesis?

A. Place flat in bed

B. Turn on the unaffected side

C. Turn on the affected side

D. On bed rest

100. Chest x-ray was ordered after thoracentesis. When your client asks what is the reason for another chest x-ray, you will explain:

A. to rule out pneumothorax

B. to rule out any possible perforation

C. to decongest

D. to rule out any foreign body

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