NE 108- Final-Practice Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
The nurse is developing a plan of care for the client with multiple myeloma and includes
which priority intervention in the plan?
A) Encourage fluids
B) Providing frequent oral care
C) Coughing and deep breathing
D) Monitoring the red blood cell count - CORRECT ANSWER A
When caring for a client with an internal radiation implant, the nurse should observe which
principles? (Select all that apply.)
A) Limiting the time with the client to 1 hour per shift
B) Keeping pregnant woman out of the client's room
C) Placing the client in a private room with a private bath
D) Wearing a lead shield when providing direct client care.
E) Removing the dosimeter film badge when entering the client's room
F)Allowing individuals younger than 16 years old in the room as long as they are 6 feet away
from the client - CORRECT ANSWER B
C
D
While giving care to a client with an internal cervical radiation implant, the nurse find the
implant on the bed. The nurse should take which initial action?
A) Call the health care provider (HCP)
B) Reinsert the implant into the vagina
,C) Pick up the implant with gloved hands and flush it down the toilet
D) Pick up the implant with long-handled forceps and place it in a lead container -
CORRECT ANSWER D
The nurse should plan to implement which intervention in the care of a client experiencing
neutropenia as a result of chemotherapy?
A) Restrict all visitors
B) Restrict fluid intake
C) Teach the client and family about the need for hand hygiene
D) Insert an indwelling urinary catheter to prevent skin breakdown - CORRECT
ANSWER C
The home health care nurse is caring for a client with cancer who is complaining of acute
pain. The most appropriate determination of the client's pain should include which
assessment?
A) The client's pain rating
B) Nonverbal cues from the client
C) The nurse's impression of the client's pain
D) Pain relief after appropriate nursing intervention - CORRECT ANSWER A
The nurse is caring for a client who is postoperative following a pelvic exenteration and the
health care provider changes the client's diet from NPO status to clear liquids. The nurse
should check which priority item before administering the diet?
A) Bowel sounds
B) Ability to ambulate
C) Incision appearance
D) Urine specific gravity - CORRECT ANSWER A
,The nurse is instructing a client to perform a testicular self-examination (TSE). The nurse
should provide the client with which information about the procedure?
A) To examine the testiculs while lying down
B) That the best time for the examination is after a shower
C) To gently fell the testicle with one finger to feel for a growth
D) The testicular self-examinations should be done at least every 6 months - CORRECT
ANSWER B
The nurse is reviewing the history of a client with bladder cancer. the nurse expects to note
documentation of which most common symptom of this type of cancer?
A) Dysuria
B) Hematuria
C) Urgency in urination
D) Frequency of urination - CORRECT ANSWER B
The community health nurse is instructing a group of young female clients about breast self-
examination. The nurse should instruct the client to perform the examination at which time?
A) At the onset of menstruation
B) Every month during ovulation
C) Weekly at the same time of day
D) 1 week after menstruation begins - CORRECT ANSWER D
The nurse is caring for a client following a mastectomy. Which nursing intervention would
assist in preventing lymphedema of the affected arm?
A) Placing a cool compression on the affected arm
B) Elevating the affecting arm on a pillow above the heart
, C) Avoid arm exercises in the immediate postoperative period
D) Maintaining an intravenous site below the antecubital are on the affected side -
CORRECT ANSWER B
The nurse has just reassessed the condition of a postoperative client who was admitted to the
surgical unit. The nurse plans to monitor which parameter most carefully during the next
hour?
A) Urinary output of 20mL/hr
B) Temperature of 37.6°C (99.6°F)
C) Blood pressure of 100/70mm Hg
D) Serous drainage on the surgical dressing - CORRECT ANSWER A
A postoperative client asks the nurse why it is so important to deep-breath and cough after
surgery. When formulating a response, the nurse incorporated the understanding that retained
pulmonary secretions in a postoperative client can lead to which condition?
A) Pneumonia
B) Hypoxemia
C) Fluid imbalance
D) Pulmonary embolism - CORRECT ANSWER A
The nurse is developing a plan of care for a client scheduled for surgery. The nurse should
include which activity in the nursing care plan for the client on the day of surgery?
A) Avoid oral hygiene and rinsing with mouthwash
B) Verify that the client has not eaten for the last 24 hours
C) Have the client void immediately before going into surgery
D) Report immediately any slight increase in blood pressure and pulse - CORRECT
ANSWER C
ACTUAL QUESTIONS AND CORRECT
ANSWERS
The nurse is developing a plan of care for the client with multiple myeloma and includes
which priority intervention in the plan?
A) Encourage fluids
B) Providing frequent oral care
C) Coughing and deep breathing
D) Monitoring the red blood cell count - CORRECT ANSWER A
When caring for a client with an internal radiation implant, the nurse should observe which
principles? (Select all that apply.)
A) Limiting the time with the client to 1 hour per shift
B) Keeping pregnant woman out of the client's room
C) Placing the client in a private room with a private bath
D) Wearing a lead shield when providing direct client care.
E) Removing the dosimeter film badge when entering the client's room
F)Allowing individuals younger than 16 years old in the room as long as they are 6 feet away
from the client - CORRECT ANSWER B
C
D
While giving care to a client with an internal cervical radiation implant, the nurse find the
implant on the bed. The nurse should take which initial action?
A) Call the health care provider (HCP)
B) Reinsert the implant into the vagina
,C) Pick up the implant with gloved hands and flush it down the toilet
D) Pick up the implant with long-handled forceps and place it in a lead container -
CORRECT ANSWER D
The nurse should plan to implement which intervention in the care of a client experiencing
neutropenia as a result of chemotherapy?
A) Restrict all visitors
B) Restrict fluid intake
C) Teach the client and family about the need for hand hygiene
D) Insert an indwelling urinary catheter to prevent skin breakdown - CORRECT
ANSWER C
The home health care nurse is caring for a client with cancer who is complaining of acute
pain. The most appropriate determination of the client's pain should include which
assessment?
A) The client's pain rating
B) Nonverbal cues from the client
C) The nurse's impression of the client's pain
D) Pain relief after appropriate nursing intervention - CORRECT ANSWER A
The nurse is caring for a client who is postoperative following a pelvic exenteration and the
health care provider changes the client's diet from NPO status to clear liquids. The nurse
should check which priority item before administering the diet?
A) Bowel sounds
B) Ability to ambulate
C) Incision appearance
D) Urine specific gravity - CORRECT ANSWER A
,The nurse is instructing a client to perform a testicular self-examination (TSE). The nurse
should provide the client with which information about the procedure?
A) To examine the testiculs while lying down
B) That the best time for the examination is after a shower
C) To gently fell the testicle with one finger to feel for a growth
D) The testicular self-examinations should be done at least every 6 months - CORRECT
ANSWER B
The nurse is reviewing the history of a client with bladder cancer. the nurse expects to note
documentation of which most common symptom of this type of cancer?
A) Dysuria
B) Hematuria
C) Urgency in urination
D) Frequency of urination - CORRECT ANSWER B
The community health nurse is instructing a group of young female clients about breast self-
examination. The nurse should instruct the client to perform the examination at which time?
A) At the onset of menstruation
B) Every month during ovulation
C) Weekly at the same time of day
D) 1 week after menstruation begins - CORRECT ANSWER D
The nurse is caring for a client following a mastectomy. Which nursing intervention would
assist in preventing lymphedema of the affected arm?
A) Placing a cool compression on the affected arm
B) Elevating the affecting arm on a pillow above the heart
, C) Avoid arm exercises in the immediate postoperative period
D) Maintaining an intravenous site below the antecubital are on the affected side -
CORRECT ANSWER B
The nurse has just reassessed the condition of a postoperative client who was admitted to the
surgical unit. The nurse plans to monitor which parameter most carefully during the next
hour?
A) Urinary output of 20mL/hr
B) Temperature of 37.6°C (99.6°F)
C) Blood pressure of 100/70mm Hg
D) Serous drainage on the surgical dressing - CORRECT ANSWER A
A postoperative client asks the nurse why it is so important to deep-breath and cough after
surgery. When formulating a response, the nurse incorporated the understanding that retained
pulmonary secretions in a postoperative client can lead to which condition?
A) Pneumonia
B) Hypoxemia
C) Fluid imbalance
D) Pulmonary embolism - CORRECT ANSWER A
The nurse is developing a plan of care for a client scheduled for surgery. The nurse should
include which activity in the nursing care plan for the client on the day of surgery?
A) Avoid oral hygiene and rinsing with mouthwash
B) Verify that the client has not eaten for the last 24 hours
C) Have the client void immediately before going into surgery
D) Report immediately any slight increase in blood pressure and pulse - CORRECT
ANSWER C
