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Exam (elaborations)

Medical-Surgical Nursing Pre-Board Examination – Exam 34 – NLE / NCLEX Practice – 90-Item Comprehensive Test

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This document contains a comprehensive 90-item Medical-Surgical Nursing pre-board examination (Exam 34) designed for NLE and NCLEX exam preparation. It covers high-yield med-surg topics such as perioperative nursing, diagnostic procedures, specimen collection, melamine contamination, leukemia, breast cancer, radiation therapy, burn management, colostomy care, hyperthyroidism, fluid and electrolyte balance, and critical care nursing, with a complete answer key included for self-assessment.

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Comprehensive Medical-Surgical Nursing Practice Examination
A 90-item examination about Medical-Surgical Nursing covering topics like: Perioperative Nursing, Diagnostic
Procedures, Melamine Contamination, Leukemia, Breast Cancer, Radiation Therapy and among others. This 90-item
examination will help you practice for your upcoming NCLEX or NLE exams!
pace. You can also copy this exam and make a
print out.
• Situation 1: After abdominal surgery, the
circulating and scrub nurses have critical
Topics
responsibility about sponge and instrument

Topics or concepts included in this exam are: count.
• 1. Counting is performed thrice: during the

• Perioperative Nursing preincision phase, the operative phase and

• Collecting Specimen closing phase. Who counts the sponges,

• Diagnostic Procedures needles and instruments?

• Melamine Contamination • A. The scrub nurse only

• Leukemia B. The circulating nurse only

• Breast Cancer C. The surgeon and the assistant surgeon

• Mastectomy D. The scrub nurse and circulating nurse.

• Radiation Therapy • 2. The layers of the abdomen are divided into 5.

• Burn Injury Arrange the following from the first layer going

• Colostomy Care to the deepest layer:

• Hyperthyroidism • 1. Fascia
2. Muscle
3. Peritoneum
Guidelines
4. Subcutaneous/Fat
• Read each question carefully and choose 5. Skin
the best answer. • A.5,4,3,2,1
• You are given one minute per question. B.5,4,2,1,3
Spend your time wisely! C.5,4,1,3,2,
• Answers and rationales (if any) are given D.5,4,1,2,3
below. Be sure to read them. • 3. When is the first sponge instrument count
• If you need more clarifications, please reported?
direct them to the comments section. • A. Before closing the subcutaneous layer
• n Text Mode: All questions and answers are B. Before peritoneum is closed
given for reading and answering at your own C. Before closing the skin
D. Before the fascia is sutured
• 4. Like any nursing intervention, counts should
be documented. To whom does the scrub nurse
report any discrepancy of counts so that
immediate and appropriate action is instituted?

, Comprehensive Medical-Surgical Nursing Practice Examination
A 90-item examination about Medical-Surgical Nursing covering topics like: Perioperative Nursing, Diagnostic
Procedures, Melamine Contamination, Leukemia, Breast Cancer, Radiation Therapy and among others. This 90-item
examination will help you practice for your upcoming NCLEX or NLE exams!
• A. Anaesthesiologist
B. Surgeon

, Comprehensive Medical-Surgical Nursing Practice Examination
A 90-item examination about Medical-Surgical Nursing covering topics like: Perioperative Nursing, Diagnostic
Procedures, Melamine Contamination, Leukemia, Breast Cancer, Radiation Therapy and among others. This 90-item
examination will help you practice for your upcoming NCLEX or NLE exams!
C. OR nurse supervisor into a container

D. Circulating nurse • 8. The best time for collecting the sputum

• 5. Which of the following are 2 interventions of specimen for culture:

the surgical team when an instrument was
confirmed missing?
• A. MRI and Incidence report
B. CT Scan, MRI, Incidence Report
C. X-ray, and Incidence Report
D. CT scan and Incidence Report
• Situation 2: An entry level nurse should be
able to apply theoretical knowledge in the
performance of the basic nursing skills.
• 6. A client has an indwelling urinary catheter
and she is suspected of having
urinary infection. How should you collect
a urine specimen for culture and sensitivity?
• A. Clamp tubing for 60 minutes and insert a
sterile needle into the tubing above the clamp
to aspirate urine.
B. Drain urine from the drainage bag into the
sterile container
C. Disconnect the tubing from the urinary
catheter and let urine floe into a sterile
container
D. Wipe the self sealing aspirations port with
antiseptic solution and insert a sterile needle
into the self sealing self-sealing port.
• 7. To obtain specimen for sputum culture and
sensitivity, which of the following instruction is
best?
• A. Upon waking up, cough deeply and
expectorate into container
B. Cough after pursed lip breathing
C. Save sputum for two days in covered
container
D. After respiratory treatment, expectorate
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