Common Board Questions: NP3

1. The use of the Snellen chart helps to evaluate cranial nerve:

2. A client has a Glasgow coma scale score of 4. This is interpreted to mean that the client is:
A. Awake
B. Lethargic
C. Oriented
D. Unresponsive <~

3. Which client does not have any risk from undergoing Magnetic Resonance Imaging (MRI)
A. A 35 yr. old with insulin pump
B. A 55 yr. old with cardiac pacemaker
C. A 28 yr. old who weighs 310 lbs.<~
D. A 19 yr. old with pierced ear

4. How should the nurse asses the trigeminal nerve?

5. Which of the following intervention is the highest priority of the nurse when a caring for a
client with myasthenia gravis?
A. Controlling the blood pressure
B. Preventing injury
C. Maintaining an airway <~
D. Promoting bowel elimination

6. A client with myasthenia gravis was admitted due to muscle weakness and bradycardia.
Which drug of choice will the nurse anticipate the doctor to order?
A. Atropine Sulfate <~
B. Neostigmine
C. Pyridostigmine
D. Diazepam (Valium)

7. Muscle weakness also occurs in clients with multiple sclerosis. Following treatment with
steroid, an assessment finding in a client with multiple sclerosis that indicates a positive
response to therapy is decreased:
A. Mood swings
B. Muscle rigidity
C.Pain in the lower extremity
D. Visual problems <~

8. Mask-like faces occur in clients with myasthenia gravis and Parkinson’s D. Which of the
following nursing diagnosis is the highest priority for a client with Parkinson’s Disease?
A. Altered Nutrition: Less than body requirement
B. Risk for injury
C. Risk for Aspiration <~
D. Altered Bowel elimination

9. In a client with COPD, cor pulmonale can possibly result in the enlargement of which of the ff.
organs?
A. HEart & Liver <~
B. Heart & stomach
C. Liver & Gall bladder
D. Lungs and Stomach

R: Cor pulmonale refers to a heart condition that develops as a complication of lung disorder
like COPD which causes rig ventricular hypertrophy leading to heart failure and liver
enlargement.

10. To limit the client’s oxygen needs, a client with COPD should be:
A. Served three large meals a day
B. Given six small meals a day <~
C. Forced to drink large amount of fluids
D. Instructed to immediately sleep after meals.

11. Which of the following observations is expected in a post-nephrectomy client?

12. An appendectomy is usually performed on a client for kidney transplant to provide adequate
space for the transplated kidney, which is usually placed in the client’s:
A. left lower quadrant
B. Right lower quadrant <~
C. Right upper quadrant
D. Left lower quadrant

13. Hourly monitoring of the client’s urine is essential following nephrectomy to assess a
common sign of kidney transplant rejection which is:
A. Abdominal pain
B. Decreased urine output <~
C. Decreased blood pressure
D.Anemia

14.Which of the following laboratory data indicates the adverse effects of the anti-kidney
rejection administered to a client:
A.Platelet count: 200,000/mmᵌ
B.WBC count: 3,800/mmᵌ <~
C. RBC count: 5.1million/mmᵌ
D. Hemoglobin: 14 mg/mmᵌ

15. To promote bladder decompression and to prevent clot formation after transurethral
resection of the prostate(TURP), which intervention should be the nurse’s priority?
A. Monitoring the client for signs of hemorrhage
B. Maintaining patency of the cystostomy tube
C. Assessing the client for signs of infection
D. Ensuring patency of the continuous bladder irrigation <~

16. How should the nurse determine the urine output of a client on continuous bladder
irrigation?
A. Deduct the amount of the irrigant solution instilled from the total amount of output <~
B. deduct the amount of IV Fluid infusion from the total fluid intake of the client
C. Add the amount of all fluid intake then deduct all the amount of output
D. Measure the amount of output from the bladder irrigation

17. Which of the following is the most common complication of TURP in the early post-operative
period?
A. Impotence
B.Infection
C. Bleeding <~
D. Urinary retention

18. To promote hemostasis in a client with TURP, the client's retention catheter is secured:
A. To the lower abdomen
B. To the leg <~
C. to the bed
D. to the intravenous pole

19.Pulmonary capillary wedge pressure (PCWP) is an indirect measure of left ventricle end
diastole pressure. This provides data on ventricular contractility. Which catheter is appropriate
to measure PCWP?
A. Swan Ganz <~
B. CVP
C. Tenckhoff
D. Groshong

20. A client is to undergo an exploratory laparotomy for vague abdominal discomforts that has
led to abdominal rigidity and severe pain.As the surgeon opens the client's abdomen, which of
the following instruments should the nurse anticipate the surgeon to use?
A. Kocher
B. Mixtner
C. Kelly
D. Army navy <~ is retracting instrument used to hold the tissue of the perioperative sie

21. Surgical closure of the skin surfaces usually invovles the use of which type of needle?
A. Straight needle <~
B. curved needle/
C. round needle

22. the surgeon closes the client's abdominal tissue layer. the nurse knows that closure of the
abdominal tissue layers begins with the peritonuem, extra peritoneal fat, transversalis fascia
followed by:
A. Deep fascia, muscle subcutaneous tissue, skin
B. Muscle, deep fascia,subcutaneous tissue, skin <~
C. Subcutaneous tissue, deep fascia, muscle skin

23.Followiing cataract surgery , which aspect of nursing care is the highest priority of the nurse?
A. Nutrition
B. Airway
C. Safety <~
D. Fluids

24. To facilitate drainage of secretions from the operative site, the nurse should:
A. Turn the client to the unoperative side every 2-3hours
B. Turn the client to the operative side every 2-3 hours <~
C. keep the client supine until wound healing
D. Place the client on semi fowlers postion at least once every shift

25. Which of the following practices limits a client;s exposure to the human immunodeficiency
virus (HIV)?
A. Using condom during sexual intercourse
B. Limiting sexual contact only to the spouse
C. Donating 200ml of blood <~
D. Having sexual intercourse only to those without HIV antibodies.

26. A positive Dx(diagnosis) for HIV infection is made based on the result of which of the ff test?
I. Elisa
II. Western blot
III. WBC count
IV CD4 cell count

A. I & III
B. I & II <~
C. I, II, III
D. I, II, IV

27. After thyroidectomy, which of the following interventions is the highest priority of the nurse?
A Monitor the client's vital signs every 4 hrs
B, Observe the dressing at the back of the neck for the presence of blood. <~
C.Press gently around the incision to assess for subcutaneous emphysema
D. Position the client laterally to promote drainage of secretions from the stomach

28. what is the highest priority in terms of goal of care, by the nurse after a client's
prostatectomy?
A. to prevent infaction
B. to prevent bleeding <~
C. to prevent impotence
D, to prevent Respi Distress

29. Physical preparation for a client sheduled for cystectomy and ileal conduit includes the
administration of :
A, Intravenous vitamin C
B. Neomycin sulfate <~ R: an antibiotic will kill pathogens present in urinary tract
C. Bladder analgesic
D. Urinary antibiotic

30. Which of the following equipment does not interfere with eating or talking and can best
deliver oxygen in a hypoxic client?
A. Oxygen tent
B. Oxygen mask
C. Nasal Cannula <~
D. Endotracheal tube

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