MEDICAL SURGICAL NURSING Part 2 5. A client who suffered from automobile
accident complains of seeing frequent
1. A client is scheduled for insertion of an flashes of light. The nurse should expect:
inferior vena cava (IVC) filter. Nurse Patricia a. Myopia
consults the physician about withholding b. Detached retina
which regularly scheduled medication on the c. Glaucoma
day before the surgery? d. Scleroderma
a. Potassium Chloride 6. Kate with severe head injury is being
b. Warfarin Sodium monitored by the nurse for increasing
c. Furosemide intracranial pressure (ICP). Which finding
d. Docusate should be most indicative sign of increasing
2. A nurse is planning to assess the corneal intracranial pressure?
reflex on unconscious client. Which of the a. Intermittent tachycardia
following is the safest stimulus to touch b. Polydipsia
the client’s cornea? c. Tachypnea
a. Cotton buds d. Increased restlessness
b. Sterile glove 7. A hospitalized client had a tonic-clonic
c. Sterile tongue depressor seizure while walking in the hall. During the
d. Wisp of cotton seizure the nurse priority should be:
3. A female client develops an infection at a. Hold the clients arms and leg firmly
the catheter insertion site. The nurse in b. Place the client immediately to soft surface
charge uses the term “iatrogenic” when
describing the infection because it resulted
from:
a. Client’s developmental level
b. Therapeutic procedure
c. Poor hygiene
d. Inadequate dietary patterns
4. Nurse Carol is assessing a client with
Parkinson’s disease. The nurse recognize
bradykinesia when the client exhibits:
a. Intentional tremor
b. Paralysis of limbs
c. Muscle spasm
d. Lack of spontaneous movement
577
,c. Protects the client’s head from injury b. Stoma is oozes a small amount of blood
d. Attempt to insert a tongue depressor c. Stoma is lightly edematous
between the d. Stoma does not expel stool
client’s teeth 12. Kate which has diagnosed with
8. A client has undergone right ulcerative colitis is following physician’s
pneumonectomy. When turning the client, order for bed rest with bathroom
the nurse should plan to position the privileges. What is the rationale for this
client either: activity restriction?
a. Right side-lying position or supine a. Prevent injury
b. High fowlers b. Promote rest and comfort
c. Right or left side lying position c. Reduce intestinal peristalsis
d. Low fowler’s position d. Conserve energy
9. Nurse Jenny should caution a female 13. Nurse KC should regularly assess the
client who is sexually active in taking client’s ability to metabolize the total
Isoniazid (INH) because the drug has which parenteral nutrition (TPN) solution
of the following side effects? adequately by monitoring the client for
a. Prevents ovulation which of the following signs:
b. Has a mutagenic effect on ova a. Hyperglycemia
c. Decreases the effectiveness of oral b. Hypoglycemia
contraceptives c. Hypertension
d. Increases the risk of vaginal infection d. Elevate blood urea nitrogen concentration
10. A client has undergone gastrectomy. 14. A female client has an acute
Nurse Jovy is aware that the best pancreatitis. Which of the following signs
position for the client is: and symptoms the nurse would expect to
a. Left side lying see?
b. Low fowler’s a. Constipation
c. Prone b. Hypertension
d. Supine
11. During the initial postoperative period
of the client’s stoma. The nurse evaluates
which of the following observations should
be reported immediately to the physician?
a. Stoma is dark red to purple
NURS 101 NURSING BOARD EXAM QUESTIONS AND ANSWERS
CORRECT/VERIFIED BEST GRADED A+ LATEST UPDATE 2022
578
,c. Ascites b. Turn off the mechanical ventilator
d. Jaundice c. Shuts off the client’s IV infusion
15. A client is suspected to develop d. Steps away from the bed and make sure
tetany after a subtotal thyroidectomy. all others have done the same
Which of the following symptoms 19. A client has been diagnosed with
might indicate tetany? glomerulonephritis complains of thirst. The
a. Tingling in the fingers nurse should offer:
b. Pain in hands and feet a. Juice
c. Tension on the suture lines b. Ginger ale
d. Bleeding on the back of the dressing c. Milk shake
16. A 58 year old woman has newly d. Hard candy
diagnosed with hypothyroidism. The 20. A client with acute renal failure is
nurse is aware that the signs and aware that the most serious complication
symptoms of hypothyroidism include: of this condition is:
a. Diarrhea a. Constipation
b. Vomiting b. Anemia
c. Tachycardia c. Infection
d. Weight gain d. Platelet dysfunction
17. A client has undergone for an ileal 21. Nurse Karen is caring for clients in the OR.
conduit, the nurse in charge should closely The nurse is aware that the last physiologic
monitor the client for occurrence of which function that the client loss during the
of the following complications related to induction of anesthesia is:
pelvic surgery? a. Consciousness
a. Ascites b. Gag reflex
b. Thrombophlebitis c. Respiratory movement
c. Inguinal hernia d. Corneal reflex
d. Peritonitis
18. Dr. Marquez is about to defibrillate a
client in
ventricular fibrillation and says in a loud
voice “clear”.
What should be the action of the nurse?
a. Places conductive gel pads for
defibrillation on the
client’s chest
579
, 22. The nurse is assessing a client with c. Coolness of the skin
pleural effusion. The nurse expect to find: d. Presence of “hot spot” on the cast
a. Deviation of the trachea towards the 26. Nurse Rhia is performing an otoscopic
involved side examination on a female client with a
b. Reduced or absent of breath sounds at suspected diagnosis of mastoiditis. Nurse
the base of the lung Rhia would expect to note which of the
c. Moist crackles at the posterior of the lungs following if this disorder is present?
d. Increased resonance with percussion of a. Transparent tympanic membrane
the involved area b. Thick and immobile tympanic membrane
23. A client admitted with newly c. Pearly colored tympanic membrane
diagnosed with Hodgkin’s disease. d. Mobile tympanic membrane
Which of the following would the nurse 27. Nurse Jocelyn is caring for a client with
expect the client to report? nasogastric tube that is attached to low
a. Lymph node pain suction. Nurse Jocelyn assesses the client
b. Weight gain for symptoms of which acid-base
c. Night sweats disorder?
d. Headache a. Respiratory alkalosis
24. A client has suffered from fall and b. Respiratory acidosis
sustained a leg injury. Which appropriate c. Metabolic acidosis
question would the nurse ask the client to d. Metabolic alkalosis
help determine if the injury caused 28. A male adult client has undergone a
fracture? lumbar puncture to obtain cerebrospinal
a. “Is the pain sharp and continuous?” fluid (CSF) for analysis. Which of the
b. “Is the pain dull ache?” following values should be negative if the
c. “Does the discomfort feel like a cramp?” CSF is normal?
d. “Does the pain feel like the muscle was a. Red blood cells
stretched?” b. White blood cells
25. The Nurse is assessing the client’s
casted extremity for signs of infection.
Which of the following findings is
indicative of infection?
a. Edema
b. Weak distal pulse
NURS 101 NURSING BOARD EXAM QUESTIONS AND ANSWERS
CORRECT/VERIFIED BEST GRADED A+ LATEST UPDATE 2022
580
accident complains of seeing frequent
1. A client is scheduled for insertion of an flashes of light. The nurse should expect:
inferior vena cava (IVC) filter. Nurse Patricia a. Myopia
consults the physician about withholding b. Detached retina
which regularly scheduled medication on the c. Glaucoma
day before the surgery? d. Scleroderma
a. Potassium Chloride 6. Kate with severe head injury is being
b. Warfarin Sodium monitored by the nurse for increasing
c. Furosemide intracranial pressure (ICP). Which finding
d. Docusate should be most indicative sign of increasing
2. A nurse is planning to assess the corneal intracranial pressure?
reflex on unconscious client. Which of the a. Intermittent tachycardia
following is the safest stimulus to touch b. Polydipsia
the client’s cornea? c. Tachypnea
a. Cotton buds d. Increased restlessness
b. Sterile glove 7. A hospitalized client had a tonic-clonic
c. Sterile tongue depressor seizure while walking in the hall. During the
d. Wisp of cotton seizure the nurse priority should be:
3. A female client develops an infection at a. Hold the clients arms and leg firmly
the catheter insertion site. The nurse in b. Place the client immediately to soft surface
charge uses the term “iatrogenic” when
describing the infection because it resulted
from:
a. Client’s developmental level
b. Therapeutic procedure
c. Poor hygiene
d. Inadequate dietary patterns
4. Nurse Carol is assessing a client with
Parkinson’s disease. The nurse recognize
bradykinesia when the client exhibits:
a. Intentional tremor
b. Paralysis of limbs
c. Muscle spasm
d. Lack of spontaneous movement
577
,c. Protects the client’s head from injury b. Stoma is oozes a small amount of blood
d. Attempt to insert a tongue depressor c. Stoma is lightly edematous
between the d. Stoma does not expel stool
client’s teeth 12. Kate which has diagnosed with
8. A client has undergone right ulcerative colitis is following physician’s
pneumonectomy. When turning the client, order for bed rest with bathroom
the nurse should plan to position the privileges. What is the rationale for this
client either: activity restriction?
a. Right side-lying position or supine a. Prevent injury
b. High fowlers b. Promote rest and comfort
c. Right or left side lying position c. Reduce intestinal peristalsis
d. Low fowler’s position d. Conserve energy
9. Nurse Jenny should caution a female 13. Nurse KC should regularly assess the
client who is sexually active in taking client’s ability to metabolize the total
Isoniazid (INH) because the drug has which parenteral nutrition (TPN) solution
of the following side effects? adequately by monitoring the client for
a. Prevents ovulation which of the following signs:
b. Has a mutagenic effect on ova a. Hyperglycemia
c. Decreases the effectiveness of oral b. Hypoglycemia
contraceptives c. Hypertension
d. Increases the risk of vaginal infection d. Elevate blood urea nitrogen concentration
10. A client has undergone gastrectomy. 14. A female client has an acute
Nurse Jovy is aware that the best pancreatitis. Which of the following signs
position for the client is: and symptoms the nurse would expect to
a. Left side lying see?
b. Low fowler’s a. Constipation
c. Prone b. Hypertension
d. Supine
11. During the initial postoperative period
of the client’s stoma. The nurse evaluates
which of the following observations should
be reported immediately to the physician?
a. Stoma is dark red to purple
NURS 101 NURSING BOARD EXAM QUESTIONS AND ANSWERS
CORRECT/VERIFIED BEST GRADED A+ LATEST UPDATE 2022
578
,c. Ascites b. Turn off the mechanical ventilator
d. Jaundice c. Shuts off the client’s IV infusion
15. A client is suspected to develop d. Steps away from the bed and make sure
tetany after a subtotal thyroidectomy. all others have done the same
Which of the following symptoms 19. A client has been diagnosed with
might indicate tetany? glomerulonephritis complains of thirst. The
a. Tingling in the fingers nurse should offer:
b. Pain in hands and feet a. Juice
c. Tension on the suture lines b. Ginger ale
d. Bleeding on the back of the dressing c. Milk shake
16. A 58 year old woman has newly d. Hard candy
diagnosed with hypothyroidism. The 20. A client with acute renal failure is
nurse is aware that the signs and aware that the most serious complication
symptoms of hypothyroidism include: of this condition is:
a. Diarrhea a. Constipation
b. Vomiting b. Anemia
c. Tachycardia c. Infection
d. Weight gain d. Platelet dysfunction
17. A client has undergone for an ileal 21. Nurse Karen is caring for clients in the OR.
conduit, the nurse in charge should closely The nurse is aware that the last physiologic
monitor the client for occurrence of which function that the client loss during the
of the following complications related to induction of anesthesia is:
pelvic surgery? a. Consciousness
a. Ascites b. Gag reflex
b. Thrombophlebitis c. Respiratory movement
c. Inguinal hernia d. Corneal reflex
d. Peritonitis
18. Dr. Marquez is about to defibrillate a
client in
ventricular fibrillation and says in a loud
voice “clear”.
What should be the action of the nurse?
a. Places conductive gel pads for
defibrillation on the
client’s chest
579
, 22. The nurse is assessing a client with c. Coolness of the skin
pleural effusion. The nurse expect to find: d. Presence of “hot spot” on the cast
a. Deviation of the trachea towards the 26. Nurse Rhia is performing an otoscopic
involved side examination on a female client with a
b. Reduced or absent of breath sounds at suspected diagnosis of mastoiditis. Nurse
the base of the lung Rhia would expect to note which of the
c. Moist crackles at the posterior of the lungs following if this disorder is present?
d. Increased resonance with percussion of a. Transparent tympanic membrane
the involved area b. Thick and immobile tympanic membrane
23. A client admitted with newly c. Pearly colored tympanic membrane
diagnosed with Hodgkin’s disease. d. Mobile tympanic membrane
Which of the following would the nurse 27. Nurse Jocelyn is caring for a client with
expect the client to report? nasogastric tube that is attached to low
a. Lymph node pain suction. Nurse Jocelyn assesses the client
b. Weight gain for symptoms of which acid-base
c. Night sweats disorder?
d. Headache a. Respiratory alkalosis
24. A client has suffered from fall and b. Respiratory acidosis
sustained a leg injury. Which appropriate c. Metabolic acidosis
question would the nurse ask the client to d. Metabolic alkalosis
help determine if the injury caused 28. A male adult client has undergone a
fracture? lumbar puncture to obtain cerebrospinal
a. “Is the pain sharp and continuous?” fluid (CSF) for analysis. Which of the
b. “Is the pain dull ache?” following values should be negative if the
c. “Does the discomfort feel like a cramp?” CSF is normal?
d. “Does the pain feel like the muscle was a. Red blood cells
stretched?” b. White blood cells
25. The Nurse is assessing the client’s
casted extremity for signs of infection.
Which of the following findings is
indicative of infection?
a. Edema
b. Weak distal pulse
NURS 101 NURSING BOARD EXAM QUESTIONS AND ANSWERS
CORRECT/VERIFIED BEST GRADED A+ LATEST UPDATE 2022
580
