PREBOARDS NP3 EXAM QUESTIONS
AND ANSWERS 100% PASS 2026/2027
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?" - ANS 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 - ANS B. take the client's vital signs
3. 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?
2026/2027 ALLRIGHTS RESERVED
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,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." - ANS C. "The bottom part of the stomach is removed and the remainder is
attached to the small intestine."
4. 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. - ANS A. assess the amount of drainage
from the nasogastric (NG) tube.
5. 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. - ANS C. Oxygen saturation is 90%.
2026/2027 ALLRIGHTS RESERVED
2
,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.
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. - ANS 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. - ANS 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.
2026/2027 ALLRIGHTS RESERVED
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, C. The client's sanitary pad needs to be changed every hour.
D. The client's temperature is 100.3 degrees F. - ANS C. The client's sanitary pad needs to be
changed every hour.
9. Mrs. Cambay 47 year old is being admitted for elective surgery. The client has a history of
diabetes and hypertension. She uses alternative therapies to assist in keeping her diabetes and
hypertension under control like taking black tea as an adjunct therapy. The Physician is
requesting her to stop ingesting black tea in preparation for surgery. What should the nurse
expect to see with the discontinuation of the black tea?
A. Increased blood pressure
B. Increased urine output
C. Increased blood sugar
D. Increased heart rate - ANS C. Increased blood sugar
10. On the first postoperative day after Mrs. Cambay has had an open cholecystectomy, the
nurse notes crackles at both lung bases, a temperature of 100" F, and complains of severe
abdominal pain. Which action should the nurse take first?
A. Have the patient ambulate in the room.
B. Ask the client to deep breathe and cough.
C. Administer the ordered morphine sulfate
D. Give the prn acetaminophen (Tylenol). - ANS C. Administer the ordered morphine sulfate
Situation: The patient's readiness for surgery is critical to the outcome. Preoperative care
focuses on preparing the patient for surgery, interventions needed and responding to potential
anxiety.
2026/2027 ALLRIGHTS RESERVED
4
AND ANSWERS 100% PASS 2026/2027
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?" - ANS 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 - ANS B. take the client's vital signs
3. 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?
2026/2027 ALLRIGHTS RESERVED
1
,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." - ANS C. "The bottom part of the stomach is removed and the remainder is
attached to the small intestine."
4. 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. - ANS A. assess the amount of drainage
from the nasogastric (NG) tube.
5. 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. - ANS C. Oxygen saturation is 90%.
2026/2027 ALLRIGHTS RESERVED
2
,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.
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. - ANS 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. - ANS 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.
2026/2027 ALLRIGHTS RESERVED
3
, C. The client's sanitary pad needs to be changed every hour.
D. The client's temperature is 100.3 degrees F. - ANS C. The client's sanitary pad needs to be
changed every hour.
9. Mrs. Cambay 47 year old is being admitted for elective surgery. The client has a history of
diabetes and hypertension. She uses alternative therapies to assist in keeping her diabetes and
hypertension under control like taking black tea as an adjunct therapy. The Physician is
requesting her to stop ingesting black tea in preparation for surgery. What should the nurse
expect to see with the discontinuation of the black tea?
A. Increased blood pressure
B. Increased urine output
C. Increased blood sugar
D. Increased heart rate - ANS C. Increased blood sugar
10. On the first postoperative day after Mrs. Cambay has had an open cholecystectomy, the
nurse notes crackles at both lung bases, a temperature of 100" F, and complains of severe
abdominal pain. Which action should the nurse take first?
A. Have the patient ambulate in the room.
B. Ask the client to deep breathe and cough.
C. Administer the ordered morphine sulfate
D. Give the prn acetaminophen (Tylenol). - ANS C. Administer the ordered morphine sulfate
Situation: The patient's readiness for surgery is critical to the outcome. Preoperative care
focuses on preparing the patient for surgery, interventions needed and responding to potential
anxiety.
2026/2027 ALLRIGHTS RESERVED
4
