SNLE MOCK EXAM (PART 4)
QUESTIONS WITH CORRECT
DETAILED ANSWERS
A. X-ray of stomach - Answer- A nurse is inserting a nasogastric tube for a 65-year-old
patient with paralytic ileus. Immediately after insertion, 200 mL of milky appearing
drainage was noted in the bag. The nurse is not sure if the distal end of the tube is in
the stomach. What is the most appropriate technique to confirm positioning?
A. X-ray of stomach
B. Check pH of drainage
C. Aspirate more fluid and check for color change
D. Flush with 100 mL saline and auscultate over stomach
C. Compliance to desferral - Answer- An 8-year-old child was admitted to the pediatric
ward diagnosed with β-thalassemia. The nurse is planning to give health education to
the mother. Which of the following educational needs is recommended for the mother?
A. Compliance to hydroxyurea
B. Compliance to homosiderosis
C. Compliance to desferral
D. Compliance to iron supplement
B. Cover the patient with light blanket - Answer- A nurse is caring for a patient who is
being admitted with urinary tract infection.
The patient feels cold and shivering.
Blood pressure 110/70 mmHg, Heart rate 122/min, Temperature 39.7°C.
Which of the following is the best nursing action?
A. Provide a hot drink
B. Cover the patient with light blanket
C. Start the air conditioning system
D. Turn off lights and close curtains
B. Ventricular tachycardia - Answer- A cardiac monitor for a patient in a Coronary Care
Unit shows abnormal ECG rhythm with heart rate of 159 beats/min, QRS complex is
0.18 second, and absent P wave. What could be the type of possible dysrhythmia?
A. Sinus tachycardia
B. Ventricular tachycardia
, C. Ventricular fibrillation
D. Supraventricular tachycardia
A. Troponin level - Answer- ECG showed ST-elevation. To confirm diagnosis of MI, the
nurse expects to do?
A. Troponin level
B. Cardiac catheterization
C. Echo
D. Liver enzymes
A. Use a heart model to show her how the surgery will go - Answer- To decrease the
anxiety of a 10-year-old girl who is undergoing surgery, what should the nurse do?
A. Use a heart model to show her how the surgery will go
B. Provide her with verbal explanation of the upcoming surgery
C. Give her a book to read about the surgery 2 weeks prior
D. Let her parents talk to her about the importance of having surgery
C. Patient with chronic renal failure - Answer- A nurse is assigned to care for a group of
patients in the med-surg unit. The nurse is expected to review the medical records of
these patients. What patient is at risk for excess fluid volume?
A. Patient with ileostomy
B. Patient taking a loop diuretic
C. Patient with chronic renal failure
D. Patient with nasogastric tube
A. Fluid volume excess - Answer- A patient presents to the clinic with 3+ edema of the
lower extremities, distended neck veins, tachycardia, bounding pulse, weight gain of 4
kilograms within 7 days, shortness of breath, and wheezing. Fluid intake over the past
24 hours has been 3500 ml and urine output is 2400 ml, which of the following is the
most likely nursing diagnosis?
A. Fluid volume excess
B. Urinary tract infection
C. Hypothyroidism
D. Ketoacidosis
B. Weak and rapid pulse - Answer- A post-operative patient in surgical unit most
indicative of a developing complication?
A. Increasing alertness
B. Weak and rapid pulse
C. Negative Homan's sign
D. Minimal bowel sounds in four quadrants
QUESTIONS WITH CORRECT
DETAILED ANSWERS
A. X-ray of stomach - Answer- A nurse is inserting a nasogastric tube for a 65-year-old
patient with paralytic ileus. Immediately after insertion, 200 mL of milky appearing
drainage was noted in the bag. The nurse is not sure if the distal end of the tube is in
the stomach. What is the most appropriate technique to confirm positioning?
A. X-ray of stomach
B. Check pH of drainage
C. Aspirate more fluid and check for color change
D. Flush with 100 mL saline and auscultate over stomach
C. Compliance to desferral - Answer- An 8-year-old child was admitted to the pediatric
ward diagnosed with β-thalassemia. The nurse is planning to give health education to
the mother. Which of the following educational needs is recommended for the mother?
A. Compliance to hydroxyurea
B. Compliance to homosiderosis
C. Compliance to desferral
D. Compliance to iron supplement
B. Cover the patient with light blanket - Answer- A nurse is caring for a patient who is
being admitted with urinary tract infection.
The patient feels cold and shivering.
Blood pressure 110/70 mmHg, Heart rate 122/min, Temperature 39.7°C.
Which of the following is the best nursing action?
A. Provide a hot drink
B. Cover the patient with light blanket
C. Start the air conditioning system
D. Turn off lights and close curtains
B. Ventricular tachycardia - Answer- A cardiac monitor for a patient in a Coronary Care
Unit shows abnormal ECG rhythm with heart rate of 159 beats/min, QRS complex is
0.18 second, and absent P wave. What could be the type of possible dysrhythmia?
A. Sinus tachycardia
B. Ventricular tachycardia
, C. Ventricular fibrillation
D. Supraventricular tachycardia
A. Troponin level - Answer- ECG showed ST-elevation. To confirm diagnosis of MI, the
nurse expects to do?
A. Troponin level
B. Cardiac catheterization
C. Echo
D. Liver enzymes
A. Use a heart model to show her how the surgery will go - Answer- To decrease the
anxiety of a 10-year-old girl who is undergoing surgery, what should the nurse do?
A. Use a heart model to show her how the surgery will go
B. Provide her with verbal explanation of the upcoming surgery
C. Give her a book to read about the surgery 2 weeks prior
D. Let her parents talk to her about the importance of having surgery
C. Patient with chronic renal failure - Answer- A nurse is assigned to care for a group of
patients in the med-surg unit. The nurse is expected to review the medical records of
these patients. What patient is at risk for excess fluid volume?
A. Patient with ileostomy
B. Patient taking a loop diuretic
C. Patient with chronic renal failure
D. Patient with nasogastric tube
A. Fluid volume excess - Answer- A patient presents to the clinic with 3+ edema of the
lower extremities, distended neck veins, tachycardia, bounding pulse, weight gain of 4
kilograms within 7 days, shortness of breath, and wheezing. Fluid intake over the past
24 hours has been 3500 ml and urine output is 2400 ml, which of the following is the
most likely nursing diagnosis?
A. Fluid volume excess
B. Urinary tract infection
C. Hypothyroidism
D. Ketoacidosis
B. Weak and rapid pulse - Answer- A post-operative patient in surgical unit most
indicative of a developing complication?
A. Increasing alertness
B. Weak and rapid pulse
C. Negative Homan's sign
D. Minimal bowel sounds in four quadrants
