June 2008 Nursing Licensure Examination (NLE)
June 2008 NP4 Nursing Board Exam Answer Key
Nursing Board Exams Questions 86-90
Situation – Ensuring safety before, during, and after a diagnostic procedure is an important responsibility of the nurse
86. To help Fernan better tolerate the bronchoscopy, you should instruct him to practice which of the following prior to the procedure?
A. Clenching his fist every 2 minutes
B. Breathing in and out through the nose with his mouth open
C. Tensing the shoulder muscles while lying on his back
D. Holding his breath periodically for 30 seconds
87. Following bronchoscopy, which of the following complains to Fernan should be noted as possible complication:
A. Nausea and vomiting
B. Shortness of breath and laryngeal stridor
C. Blood tinged sputum and coughing
D. Sore throat and hoarseness
88. Immediately after bronchoscopy, you instructed Fernan to:
A. Exercise the neck muscles
B. Breathe deeply
C. Retrain from coughing and talking
D. Clear his throat
89. Thoracentesis may be performed for cytologic study of pleural fluid. As a nurse your most important function during procedure is to:
A. Keep the sterile equipment from contamination
B. Assist the physician
C. open and close the three-way stopcock
D. Observe the patient’s vital signs
90. Right after thoracentesis, which of the following is most appropriate intervention?
A. Instruct the patient not to cough or deep breathe for two hours
B. Observe for symptoms of tightness of chest or bleeding
C. Place an ice pack to the puncture site
D. Remove the dressing to check for bleeding
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