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� � Exam Instructions  Time Limit: 3 hours (180 minutes)  Total Questions: 150  Format: Multiple-choice PART 1: FOUNDATIONS OF MEDICAL-SURGICAL NURSING (15 Questions) 1. A patient who has active pulmonary tuberculosis (TB) states, "I'm not going to take these TB pills!" Which response by the nurse is most appropriate? a. "You have a legal right to refuse to take this medication." b. "You need to sign a Refusal of Treatment Form." c. "You...

Instructions: Choose the best possible answer for each of the following questions. Section I: Colonial Foundations & Revolutionary New York (1609 1800) 1. The initial Dutch colonization of the area that would become New York was primarily motivated by: a) The search for religious freedom for Dutch Calvinists b) The desire to establish a feudal society based on patroonships c) The fur trade, specifically the lucrative trade in beaver pelts with Native American tribes d) A strateg...

Instructions: Choose the best possible answer for each of the following questions. Section I: Geography, Native California, and Colonial Encounters (Prehistory – 1821) 1. The single most transformative environmental event for the indigenous peoples of the Great Basin and Southwestern regions of early California was the: a) Formation of the San Francisco Bay b) Gradual desertification of the region after the Pleistocene era c) Arrival of the horse with the Spanish d) Depletion o...

Content Domain 1: Assessment and Diagnosis Domain 2: Planning and Implementation Domain 3: Evaluation and Modification Domain 4: Patient and Community Education 1. A 62-year-old patient presents with chest pressure that occurs with walking up one flight of stairs and resolves with rest. The nurse documents this as: a. Unstable angina b. Stable angina c. Variant (Prinzmetal's) angina d. Myocardial infarction Answer: b. Stable angina Rationale: Stable angina is predictab...

Content Area Degenerative Disorders Orthopaedic Trauma Sports Injuries Metabolic Bone Disorders Inflammatory Disorders Congenital/Pediatric Disorders Musculoskeletal Tumors Neuromuscular Disorders PART 1: FOUNDATIONS OF ORTHOPAEDIC NURSING 1. A patient is 4 hours post-operative following a total knee arthroplasty. The nurse assesses the surgical leg and notes the foot is pale, capillary refill is 4 seconds, and the patient reports numbness. Which action should the nurse ...

Content Area Neuroanatomy & Assessment Cerebrovascular Disorders (Stroke, SAH, AVM) Traumatic Brain Injury Spinal Cord Injury & Disorders Seizures & Epilepsy Neurodegenerative Disorders (MS, Parkinson's, ALS, Dementia) Neuro-oncology & Infectious Disorders Professional Practice & Ethics PART 1: NEUROANATOMY & ASSESSMENT 1. The nurse assesses a patient with suspected brain death. Which finding is consistent with brain death? a. Decerebrate posturing to painful stimuli ...

Content Area Concepts of Kidney Disease Hemodialysis Peritoneal Dialysis Transplant Acute Therapies (CRRT, SLEDD, apheresis, acute HD/PD) PART 1: CONCEPTS OF KIDNEY DISEASE 1. A patient is admitted with edema around the eyes upon awakening, progressing to general swelling of the legs and body; weight gain; fatigue; headache; nausea; vomiting; frequent hiccoughs; and itching. Urinalysis shows frothy urine. The patient has a history of poorly controlled type 1 diabetes and hyp...

Content Distribution General Nursing Care Gastroenterological Procedures Patient Care Interventions Environmental Safety, Infection Prevention and Control 1. Which section of the small intestine is primarily responsible for nutrient absorption? a. Duodenum b. Jejunum c. Ileum d. Colon Answer: b. Jejunum Rationale: The jejunum has the largest surface area and is specialized for absorption of nutrients, while the duodenum mainly handles digestion and the ileum absorbs b...

Content Distribution Assessment and Care Planning Intervention and Treatment Education and Referral 1. A 65-year-old patient with diabetes presents with a non-healing ulcer on the plantar surface of the foot. What is the most likely etiology? a. Neuropathic wound due to peripheral neuropathy b. Arterial insufficiency c. Venous stasis d. Pressure injury Answer: a. Neuropathic wound due to peripheral neuropathy Rationale: Diabetic foot ulcers are often neuropathic, resulting...

Content Distribution (Effective Summer 2025) Health Appraisal & Nursing Practice Health Promotion/Disease Prevention School Health Practice Considerations Professional Responsibility 1. A kindergarten student is newly diagnosed with asthma. In planning to teach him how to properly use an inhaler with a spacer, the school nurse should begin by: a. Providing brochures with diagrams and pictures that the child can review before meeting with the school nurse b. Planning a health...