NURSING
LICENSURE
EXAMS
PAST PAPERS
DESERT WOLF
,1. A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The
nurse recognizes that the suicidal client has difficulty:
A. Expressing feelings of low self-worth
B. Discussing remorse and guilt for actions
C. Displaying dependence on others
D. Expressing anger toward others
2. A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The
best snack for the client requiring increased potassium is:
A. Pear
B. Apple
C. Orange
D. Banana
3. The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse
should:
A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows
B. Encourage the client to turn her head side to side, to promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position
4. A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following
is associated with an increased incidence of gastric cancer?
A. Dairy products
B. Carbonated beverages
C. Refined sugars
D. Luncheon meats
5. A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His
tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse could
expect to find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions
6. The licensed vocational nurse may not assume the primary care for a client:
A. In the fourth stage of labor
B. Two days post-appendectomy
C. With a venous access device
D. With bipolar disorder
7. The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of
the hands and arms. Before dressing changes, the nurse should give priority to:
,A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick
8. The nurse is teaching a group of parents about gross motor development of the toddler. Which
behavior is an example of the normal gross motor skill of a toddler?
A. She can pull a toy behind her.
B. She can copy a horizontal line.
C. She can build a tower of eight blocks.
D. She can broad-jump.
9. A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment
should be kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
C. Pliers
D. Tracheostomy set
10. The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse
auscultates an apical pulse rate of 100. The nurse should:
A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes
11. A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment
for her daughter. The nurse’s explanation is based on the knowledge that lead poisoning is treated
with:
A. Gastric lavage
B. Chelating agents
C. Antiemetics
D. Activated charcoal
12. An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child
with a cleft palate repair are:
A. Elbow restraints
B. Full arm restraints
C. Wrist restraints
D. Mummy restraints
13. A client with glaucoma has been prescribed Timoptic (timolol) eyedrops. Timoptic should be used
with caution in the client with a history of:
, A. Diabetes
B. Gastric ulcers
C. Emphysema
D. Pancreatitis
14. An elderly client who experiences night-time confusion wanders from his room into the room of
another client. The nurse can best help decrease the client’s confusion by:
A. Assigning a nursing assistant to sit with him until he falls asleep
B. Allowing the client to room with another elderly client
C. Administering a bedtime sedative
D. Leaving a nightlight on during the evening and night shifts
15. Which of the following is a common complaint of the client with end-stage renal failure?
A. Weight loss
B. Itching
C. Ringing in the ears
D. Bruising
16. Which of the following medication orders needs further clarification?
A. Darvocet 65 mg PO q 4–6 hrs. PRN
B. Nembutal 100 mg PO at bedtime
C. Coumadin 10mg PO
D. Estrace 2 mg PO q day
17. The best diet for the client with Meniere’s syndrome is one that is:
A. High in fiber
B. Low in sodium
C. High in iodine
D. Low in fiber
18. Which of the following findings is associated with right-sided heart failure?
A. Shortness of breath
B. Nocturnal polyuria
C. Daytime oliguria
D. Crackles in the lungs
19. An 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via
pulse oximeter. To ensure an accurate reading, the nurse should:
A. Place the probe on the child’s abdomen
B. Calibrate the oximeter at the beginning of each shift
C. Apply the probe and wait 15 minutes before obtaining a reading
D. Place the probe on the child’s finger
LICENSURE
EXAMS
PAST PAPERS
DESERT WOLF
,1. A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The
nurse recognizes that the suicidal client has difficulty:
A. Expressing feelings of low self-worth
B. Discussing remorse and guilt for actions
C. Displaying dependence on others
D. Expressing anger toward others
2. A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The
best snack for the client requiring increased potassium is:
A. Pear
B. Apple
C. Orange
D. Banana
3. The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse
should:
A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows
B. Encourage the client to turn her head side to side, to promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position
4. A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following
is associated with an increased incidence of gastric cancer?
A. Dairy products
B. Carbonated beverages
C. Refined sugars
D. Luncheon meats
5. A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His
tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse could
expect to find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions
6. The licensed vocational nurse may not assume the primary care for a client:
A. In the fourth stage of labor
B. Two days post-appendectomy
C. With a venous access device
D. With bipolar disorder
7. The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of
the hands and arms. Before dressing changes, the nurse should give priority to:
,A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick
8. The nurse is teaching a group of parents about gross motor development of the toddler. Which
behavior is an example of the normal gross motor skill of a toddler?
A. She can pull a toy behind her.
B. She can copy a horizontal line.
C. She can build a tower of eight blocks.
D. She can broad-jump.
9. A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment
should be kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
C. Pliers
D. Tracheostomy set
10. The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse
auscultates an apical pulse rate of 100. The nurse should:
A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes
11. A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment
for her daughter. The nurse’s explanation is based on the knowledge that lead poisoning is treated
with:
A. Gastric lavage
B. Chelating agents
C. Antiemetics
D. Activated charcoal
12. An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child
with a cleft palate repair are:
A. Elbow restraints
B. Full arm restraints
C. Wrist restraints
D. Mummy restraints
13. A client with glaucoma has been prescribed Timoptic (timolol) eyedrops. Timoptic should be used
with caution in the client with a history of:
, A. Diabetes
B. Gastric ulcers
C. Emphysema
D. Pancreatitis
14. An elderly client who experiences night-time confusion wanders from his room into the room of
another client. The nurse can best help decrease the client’s confusion by:
A. Assigning a nursing assistant to sit with him until he falls asleep
B. Allowing the client to room with another elderly client
C. Administering a bedtime sedative
D. Leaving a nightlight on during the evening and night shifts
15. Which of the following is a common complaint of the client with end-stage renal failure?
A. Weight loss
B. Itching
C. Ringing in the ears
D. Bruising
16. Which of the following medication orders needs further clarification?
A. Darvocet 65 mg PO q 4–6 hrs. PRN
B. Nembutal 100 mg PO at bedtime
C. Coumadin 10mg PO
D. Estrace 2 mg PO q day
17. The best diet for the client with Meniere’s syndrome is one that is:
A. High in fiber
B. Low in sodium
C. High in iodine
D. Low in fiber
18. Which of the following findings is associated with right-sided heart failure?
A. Shortness of breath
B. Nocturnal polyuria
C. Daytime oliguria
D. Crackles in the lungs
19. An 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via
pulse oximeter. To ensure an accurate reading, the nurse should:
A. Place the probe on the child’s abdomen
B. Calibrate the oximeter at the beginning of each shift
C. Apply the probe and wait 15 minutes before obtaining a reading
D. Place the probe on the child’s finger
