SNLE EXAM QUESTIONS
WITH HIGH SCORING
ANSWERS
A 60 years old woman was admitted with chronic pulmonary disease associated with
carbon dioxide retention the patient is on nasal prongs 3 LPM which of the following is
potential risk this patient if excessive oxygen is administered ?
A-apnea
B-hypoxemia
C-hyper apnea
D-pulmonary edema - Answer- B
A client in a postpartum unit complains of sudden sharp chest pain and dyspnea. The
nurse notes the client is tachycardiac and the respiratory rate is elevated .the nurse
suspect a pulmonary embolism .which should be the initial nursing action?
A-initiate an IV line
B-assess blood pressure
C-administer morphine sulfate
D-administer oxygen - Answer- D
A client has experienced pulmonary embolism .the nurse should assees for which
symptoms ,which is most commonly reported ?
A-hot ,flashing feeling
B-sudden fever
C-chest pain that occurs suddenly,(dyspnea)
D-nausea and vomiting - Answer- C
The nurse should report which assessment finding to the doctor before start
thrombolytic therapy in a client with pulmonary embolism?
A-abnormal breath sound
B-temperature 37.2 C
C-blood pressure of 190 /110 mmhg
D-RR IS 20 BPM - Answer- C
When is the greatest risk for the patient who has had a cesaewan section
to develop a pulmonary embolism ?
A-first time patient gets out of bed
B-postoperative day 2
C-during the procedure
,D-immediate post partum period - Answer- D
A patient is admitted with acute respiratory failure secondary to
pneumonia.upon auscultation ,the nurse hears creaking ,leathery
,coarse sounds in the lower anterolateral chest area during inspiration
and expiration .this finding is indicative of what condition?
A-atelectasis
B-pleural effusion
C-pulmonary fibrosis
D-tuberculosis - Answer- B
A patient diagnosed with pleural effusion has just been admitted for treatment .the nurse
should plan to have which procedure tray available at the bed side ?
A-intubation
B-PARACENTESIS
C-thoracentesis
D-central venous line insertion - Answer- C
after a client diagnosed with pleural effusion had a thoracentesis, a sample of fluid was
sent to the lab.analysis of the fluid reveals a high red blood cell count .based on this test
result .what was the case of client pleural effusion?
A-trauma
B-infection
C-liver failure
D-heart failure - Answer- A
A major side effect of insulin use that can be life threatening is?
— Hyperglycemia
— Hypoglycemia
— Stomach upset
— All of the above - Answer- Hypoglycemia
The plan objectives should be developed as SMART objectives, meaning they need to
be?
— Specific, Measurable, Attainable, Realistic, Timely
— Success,measurable, achievable, relevant and timely
— Specific and measurable
— None of the above - Answer- Specific, Measurable, Attainable, Realistic, Timely
A 9 -year-old child is admitted to the Emergency Department injury. The child is oriented
to the place, person and time, spontaneously opening eyes, obeys commands. The
nurse is doing (GCS). Which of the following score the nurse should record ?
,A. 3
B. 8
C. 12
D. 15 - Answer- D
The nurse is suctioning a client via an endotracheal tube. During the suctioning
procedure, the nurse notes on the monitor that the heart rate is decreasing. Which
nursing intervention is appropriate?
A. Continue to suction.
B. Notify the health care provider immediately.
C. Stop the procedure and reoxygenate the client.
D. Ensure that the suction is limited to 15 seconds. - Answer- C
A nurse is preparing to obtain a sputum specimen from a client. all of the following
nursing actions will facilitate obtaining the specimen except:
A.Increase fluid intake Having the client
B. take 3 deep breaths
C.rinse the mouth
D. obtain the specimen after eating - Answer- D
Which of the following benefits of using incentive spirometer ?
A.decrease lung expansion.
B. prevention of postoperative atelectasis.
C.increase oxygen requirements.
D. healthcare personnel time (and thus cost) is increase.. - Answer- B
Which recommendation is the American Cancer Society guideline for early detection of
BC?
A.Beginning at 17 y.o. have a biannual clinical breast exam with HCP.
B.Beginning at 25 y.o. perform monthly breast self exams.
C.Beginning at 40 y.o., receive a yearly mammogram.
D. Beginning at 60 y.o. have a breast sonogram every 5 - Answer- C
You're assessing the one minute APGAR score of a newborn baby. On assessment,
you note the following about your newborn patient: heart rate 90, pink body and hands
with cyanotic feet, weak cry ,some flexion of the arms and legs, active movement and
crying when stimulated. What is your patient's APGAR score?
A. APGAR 5
B. APGAR 9
C. APGAR 12
D. APGAR 6 - Answer- D
You're assessing the one minute APGAR score of a newborn baby (score 2) At five
minute APGAR score is 8, Which of the following nursing, interventions will you provide
to this newborn?
A. Routine post-delivery care (healthy patient).
, B. Continue to monitor and reassess the APGAR score in 10 minutes
C. Some resuscitation assistance such as oxygen and rubbing baby's back and
reassess APGAR score.
D. Full resuscitation assistance is needed and reassess
APGAR score - Answer- A
You're assessing the one minute APGAR score of a newborn baby (score 2) At five
minute APGAR score is 5, Which of the following nursing, interventions will you provide
to this newborn?
A. Routine post-delivery care (healthy patient).
B. Continue to monitor and reassess the APGAR score in 15 minutes.
C. Some resuscitation assistance such as oxygen and rubbing baby's back and
reassess APGAR score.
D. Full resuscitation - Answer- C
You're assessing the one minute APGAR score of a newborn baby (score 1) At five
minute APGAR score is 3, Which of the following nursing interventions will you provide
to this newborn:-
A. Routine post-delivery care (healthy patient).
B. Continue to monitor and reassess the APGAR score in 15 minutes.
C. Some resuscitation assistance such as oxygen and rubbing baby's back and
reassess APGAR score
D. Full resuscitation - Answer- D
When should an APGAR score be reassessed?
A. 2 minutes
B.10 minutes
C. 5 minutes
D. No reassessment of APGAR score is needed - Answer- B
You're assessing the one minute APGAR score of a newborn baby. On assessment,
you note the following about your newborn patient: heart rate 111, pink body and
extremities, active movement and crying when stimulated, flexion of extremities, and
strong cry. What is your patient's APGAR score?
A.10.
B.8
C.7
D.9 - Answer- A
You're assessing the one minute APGAR score of a newborn baby. On assessment,
you note the following about your newborn patient: heart rate 110, pink body and hands
with cyanotic feet, strong cry, flexion of the arms and legs, active movement and crying
when stimulated. What is your patient's APGAR score?
A.8.
B.9
C.7
WITH HIGH SCORING
ANSWERS
A 60 years old woman was admitted with chronic pulmonary disease associated with
carbon dioxide retention the patient is on nasal prongs 3 LPM which of the following is
potential risk this patient if excessive oxygen is administered ?
A-apnea
B-hypoxemia
C-hyper apnea
D-pulmonary edema - Answer- B
A client in a postpartum unit complains of sudden sharp chest pain and dyspnea. The
nurse notes the client is tachycardiac and the respiratory rate is elevated .the nurse
suspect a pulmonary embolism .which should be the initial nursing action?
A-initiate an IV line
B-assess blood pressure
C-administer morphine sulfate
D-administer oxygen - Answer- D
A client has experienced pulmonary embolism .the nurse should assees for which
symptoms ,which is most commonly reported ?
A-hot ,flashing feeling
B-sudden fever
C-chest pain that occurs suddenly,(dyspnea)
D-nausea and vomiting - Answer- C
The nurse should report which assessment finding to the doctor before start
thrombolytic therapy in a client with pulmonary embolism?
A-abnormal breath sound
B-temperature 37.2 C
C-blood pressure of 190 /110 mmhg
D-RR IS 20 BPM - Answer- C
When is the greatest risk for the patient who has had a cesaewan section
to develop a pulmonary embolism ?
A-first time patient gets out of bed
B-postoperative day 2
C-during the procedure
,D-immediate post partum period - Answer- D
A patient is admitted with acute respiratory failure secondary to
pneumonia.upon auscultation ,the nurse hears creaking ,leathery
,coarse sounds in the lower anterolateral chest area during inspiration
and expiration .this finding is indicative of what condition?
A-atelectasis
B-pleural effusion
C-pulmonary fibrosis
D-tuberculosis - Answer- B
A patient diagnosed with pleural effusion has just been admitted for treatment .the nurse
should plan to have which procedure tray available at the bed side ?
A-intubation
B-PARACENTESIS
C-thoracentesis
D-central venous line insertion - Answer- C
after a client diagnosed with pleural effusion had a thoracentesis, a sample of fluid was
sent to the lab.analysis of the fluid reveals a high red blood cell count .based on this test
result .what was the case of client pleural effusion?
A-trauma
B-infection
C-liver failure
D-heart failure - Answer- A
A major side effect of insulin use that can be life threatening is?
— Hyperglycemia
— Hypoglycemia
— Stomach upset
— All of the above - Answer- Hypoglycemia
The plan objectives should be developed as SMART objectives, meaning they need to
be?
— Specific, Measurable, Attainable, Realistic, Timely
— Success,measurable, achievable, relevant and timely
— Specific and measurable
— None of the above - Answer- Specific, Measurable, Attainable, Realistic, Timely
A 9 -year-old child is admitted to the Emergency Department injury. The child is oriented
to the place, person and time, spontaneously opening eyes, obeys commands. The
nurse is doing (GCS). Which of the following score the nurse should record ?
,A. 3
B. 8
C. 12
D. 15 - Answer- D
The nurse is suctioning a client via an endotracheal tube. During the suctioning
procedure, the nurse notes on the monitor that the heart rate is decreasing. Which
nursing intervention is appropriate?
A. Continue to suction.
B. Notify the health care provider immediately.
C. Stop the procedure and reoxygenate the client.
D. Ensure that the suction is limited to 15 seconds. - Answer- C
A nurse is preparing to obtain a sputum specimen from a client. all of the following
nursing actions will facilitate obtaining the specimen except:
A.Increase fluid intake Having the client
B. take 3 deep breaths
C.rinse the mouth
D. obtain the specimen after eating - Answer- D
Which of the following benefits of using incentive spirometer ?
A.decrease lung expansion.
B. prevention of postoperative atelectasis.
C.increase oxygen requirements.
D. healthcare personnel time (and thus cost) is increase.. - Answer- B
Which recommendation is the American Cancer Society guideline for early detection of
BC?
A.Beginning at 17 y.o. have a biannual clinical breast exam with HCP.
B.Beginning at 25 y.o. perform monthly breast self exams.
C.Beginning at 40 y.o., receive a yearly mammogram.
D. Beginning at 60 y.o. have a breast sonogram every 5 - Answer- C
You're assessing the one minute APGAR score of a newborn baby. On assessment,
you note the following about your newborn patient: heart rate 90, pink body and hands
with cyanotic feet, weak cry ,some flexion of the arms and legs, active movement and
crying when stimulated. What is your patient's APGAR score?
A. APGAR 5
B. APGAR 9
C. APGAR 12
D. APGAR 6 - Answer- D
You're assessing the one minute APGAR score of a newborn baby (score 2) At five
minute APGAR score is 8, Which of the following nursing, interventions will you provide
to this newborn?
A. Routine post-delivery care (healthy patient).
, B. Continue to monitor and reassess the APGAR score in 10 minutes
C. Some resuscitation assistance such as oxygen and rubbing baby's back and
reassess APGAR score.
D. Full resuscitation assistance is needed and reassess
APGAR score - Answer- A
You're assessing the one minute APGAR score of a newborn baby (score 2) At five
minute APGAR score is 5, Which of the following nursing, interventions will you provide
to this newborn?
A. Routine post-delivery care (healthy patient).
B. Continue to monitor and reassess the APGAR score in 15 minutes.
C. Some resuscitation assistance such as oxygen and rubbing baby's back and
reassess APGAR score.
D. Full resuscitation - Answer- C
You're assessing the one minute APGAR score of a newborn baby (score 1) At five
minute APGAR score is 3, Which of the following nursing interventions will you provide
to this newborn:-
A. Routine post-delivery care (healthy patient).
B. Continue to monitor and reassess the APGAR score in 15 minutes.
C. Some resuscitation assistance such as oxygen and rubbing baby's back and
reassess APGAR score
D. Full resuscitation - Answer- D
When should an APGAR score be reassessed?
A. 2 minutes
B.10 minutes
C. 5 minutes
D. No reassessment of APGAR score is needed - Answer- B
You're assessing the one minute APGAR score of a newborn baby. On assessment,
you note the following about your newborn patient: heart rate 111, pink body and
extremities, active movement and crying when stimulated, flexion of extremities, and
strong cry. What is your patient's APGAR score?
A.10.
B.8
C.7
D.9 - Answer- A
You're assessing the one minute APGAR score of a newborn baby. On assessment,
you note the following about your newborn patient: heart rate 110, pink body and hands
with cyanotic feet, strong cry, flexion of the arms and legs, active movement and crying
when stimulated. What is your patient's APGAR score?
A.8.
B.9
C.7
