NP3 PREBOARDS EXAM (2026/2027) QUESTIONS
AND CORRECT ANSWERS GRADED A+
A client who is scheduled for a Billroth II procedure asks the nurse to explain what
will be done during the surgery. Which response should the nurse make?
A. "The surgeon will explain the procedure to you since the doctor is responsible
for obtaining consent."
B. "Your stomach is completely removed and the esophagus is connected to the
small intestine."
C. "The bottom part of the stomach is removed and the remainder is attached to the
small intestine."
D. "The nerves that go to your stomach are cut and a larger opening is made for
stomach emptying."
C. "The bottom part of the stomach is removed and the remainder is attached to the
small intestine."
On the first postoperative day after an open Billroth II procedure a client develops
hiccups, 6 on a scale of 10 epigastric pain, and a drop in blood pressure. The
nurse's initial actions should be to:
A. assess the amount of drainage from the nasogastric (NG) tube.
B. notify the client's physician.
C. assess the abdominal dressing.
,D. administer the ordered Morphine Sulfate 4 mg IV.
A. assess the amount of drainage from the nasogastric (NG) tube.
As a Surgical Nurse management of Peri-operative clients demand the use of
knowledge, judgement and skills based on the principles of surgical nursing
practice. Which information obtained in the postoperative assessment of a 32-year-
old client with Peritonitis will be of most concern to the nurse?
A. Bowel sounds are decreased in all four quadrants.
B. Drainage from wound drains is purulent.
C. Oxygen saturation is 90%.
D. Pain level is 6 on a scale of 10.
C. Oxygen saturation is 90%.
Situation: The postoperative care continues after the patient's condition stabilized
as well as after the patient is discharged from surgery facility. It is necessary for
recovery room nurses to continue evaluating the patient's condition to anticipate
and treat complications.
1. When Nurse Jane is admitting a client for surgery, which question is most useful
in determining the client's current nutritional status?
A. "How is your appetite usually?"
B. "What did you eat and drink yesterday?"
,C. "Have you noticed any weight loss recently?"
D. "Who does most of your shopping and cooking?"
B. "What did you eat and drink yesterday?"
2. A client complains of severe pain 2 days after surgery. Which initial action
should Nurse Jane take after assessing the character of the pain?
A. have the client rest
B. take the client's vital signs
C. administer the prn analgesic
D. document the client's complaint
B. take the client's vital signs
6. On the first postoperative day after an abdomino-perineal resection, the surgical
nurse notes that there is a large quantity of serous drainage on the client's perineal
dressing. The nurse will:
A. reinforce or change the dressing.
B. notify the physician immediately.
C. irrigate the wound drain.
, D. culture the drainage.
A. reinforce or change the dressing.
7. When developing the postoperative plan of care for a client who has had a
Cystectomy and creation of a neobladder, which action is appropriate to include?
A. Assess the stoma every hour for the first 24 hours after surgery.
B. Call the surgeon if the urine appears cloudy or has clots.
C. Irrigate the urethral catheter with saline every 2 to 4 hours.
D. Change the ostomy bag when it is one-half full of urine.
C. Irrigate the urethral catheter with saline every 2 to 4 hours.
8. Which information about a client on the first postoperative day after a total
vaginal hysterectomy is most important to communicate to the physician?
A. The client has hypotonic bowel sounds.
B. The client complains of incisional pain with coughing rated at 8 on a scale of
10.
C. The client's sanitary pad needs to be changed every hour.
D. The client's temperature is 100.3 degrees F.
C. The client's sanitary pad needs to be changed every hour.
AND CORRECT ANSWERS GRADED A+
A client who is scheduled for a Billroth II procedure asks the nurse to explain what
will be done during the surgery. Which response should the nurse make?
A. "The surgeon will explain the procedure to you since the doctor is responsible
for obtaining consent."
B. "Your stomach is completely removed and the esophagus is connected to the
small intestine."
C. "The bottom part of the stomach is removed and the remainder is attached to the
small intestine."
D. "The nerves that go to your stomach are cut and a larger opening is made for
stomach emptying."
C. "The bottom part of the stomach is removed and the remainder is attached to the
small intestine."
On the first postoperative day after an open Billroth II procedure a client develops
hiccups, 6 on a scale of 10 epigastric pain, and a drop in blood pressure. The
nurse's initial actions should be to:
A. assess the amount of drainage from the nasogastric (NG) tube.
B. notify the client's physician.
C. assess the abdominal dressing.
,D. administer the ordered Morphine Sulfate 4 mg IV.
A. assess the amount of drainage from the nasogastric (NG) tube.
As a Surgical Nurse management of Peri-operative clients demand the use of
knowledge, judgement and skills based on the principles of surgical nursing
practice. Which information obtained in the postoperative assessment of a 32-year-
old client with Peritonitis will be of most concern to the nurse?
A. Bowel sounds are decreased in all four quadrants.
B. Drainage from wound drains is purulent.
C. Oxygen saturation is 90%.
D. Pain level is 6 on a scale of 10.
C. Oxygen saturation is 90%.
Situation: The postoperative care continues after the patient's condition stabilized
as well as after the patient is discharged from surgery facility. It is necessary for
recovery room nurses to continue evaluating the patient's condition to anticipate
and treat complications.
1. When Nurse Jane is admitting a client for surgery, which question is most useful
in determining the client's current nutritional status?
A. "How is your appetite usually?"
B. "What did you eat and drink yesterday?"
,C. "Have you noticed any weight loss recently?"
D. "Who does most of your shopping and cooking?"
B. "What did you eat and drink yesterday?"
2. A client complains of severe pain 2 days after surgery. Which initial action
should Nurse Jane take after assessing the character of the pain?
A. have the client rest
B. take the client's vital signs
C. administer the prn analgesic
D. document the client's complaint
B. take the client's vital signs
6. On the first postoperative day after an abdomino-perineal resection, the surgical
nurse notes that there is a large quantity of serous drainage on the client's perineal
dressing. The nurse will:
A. reinforce or change the dressing.
B. notify the physician immediately.
C. irrigate the wound drain.
, D. culture the drainage.
A. reinforce or change the dressing.
7. When developing the postoperative plan of care for a client who has had a
Cystectomy and creation of a neobladder, which action is appropriate to include?
A. Assess the stoma every hour for the first 24 hours after surgery.
B. Call the surgeon if the urine appears cloudy or has clots.
C. Irrigate the urethral catheter with saline every 2 to 4 hours.
D. Change the ostomy bag when it is one-half full of urine.
C. Irrigate the urethral catheter with saline every 2 to 4 hours.
8. Which information about a client on the first postoperative day after a total
vaginal hysterectomy is most important to communicate to the physician?
A. The client has hypotonic bowel sounds.
B. The client complains of incisional pain with coughing rated at 8 on a scale of
10.
C. The client's sanitary pad needs to be changed every hour.
D. The client's temperature is 100.3 degrees F.
C. The client's sanitary pad needs to be changed every hour.
