SNLE MOCK EXAM (PART 3)
QUESTIONS WITH CORRECT
ANSWERS
c. Wearing gloves for direct care - Answer-What precautions are necessary when caring
for a patient with Hepatitis A?
a. Use of sterile gloves for all contact
b. Mask and gown for all interactions
c. Wearing gloves for direct care
d. Place in negative-pressure isolation room
d. Keep NPO - Answer-A 17-year-old arrived to the Emergency Room complaining of
abdominal pain on the right lower quadrant.
Pain was rated as 9/10, with rebound tenderness.
BP: 120/70 mmHg HR: 95/min RR: 20/min Temp: 39.2°C
Which of the following interventions has the highest priority?
a. Start IV antibiotics
b. Apply warm compress on abdomen
c. Encourage oral fluids
d. Keep NPO
c. Safe patient care - Answer-Nurse manager prepares unit clinical operational plan.
What is top priority in the plan?
a. Improve staff satisfaction
b. Reduce hospital costs
c. Safe patient care
d. Improve documentation accuracy
b. Aspirate the content - Answer-A 75-year-old patient was bedridden for the last one
year. She was incontinent, restless, delirious, and was trying to pull her nasogastric
tube out, but her arms were restrained; her forearms had bruises and her lips were dry
and cracked.
BP: 100/64 mmHg HR: 102/min RR: 28/min Temp: 39.2°C
Which of the following nursing intervention before each nasogastric feed?
,a. Elevate the head of the bed to 30-45°
b. Aspirate the content
c. Flush with water immediately before feeding
d. Observe abdominal distension
a. Direct the nurse to continue the surgical hand scrub for five-minute duration -
Answer-Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asks the circulating nurse if a three-minute surgical hand scrub is adequate
preparation for this client.
Which response should the circulating nurse provide?
a. Direct the nurse to continue the surgical hand scrub for five-minute duration
b. Continue with three minutes as adequate
c. Use alcohol rub instead
d. Wash only if visibly soiled
a. Use a heart model to show her how the surgery will go - Answer-To decrease the
anxiety of a 10-year-old girl who is undergoing surgery, which of the following should
the nurse do?
a. Use a heart model to show her how the surgery will go
b. Give her sedation early
c. Avoid explaining to prevent fear
d. Ask parents to stay silent during pre-op
c. The medication dosage can be reduced gradually - Answer-A child has been seizure-
free for 2 years. A mother asks the nurse how much longer the child will need to take
the antiseizure medications.
a. Stop the medication immediately after 2 years
b. Continue for lifetime
c. The medication dosage can be reduced gradually
d. Stop the medication once EEG remains normal for several weeks
b. Cleansing the port with alcohol for 15 seconds - Answer-A nurse cares for a client
with an epidural catheter for labor pain management and requests additional
medication. A student registered nurse anesthetist (SRNA) responds and administers
medication via the epidural catheter.
Which action performed by the SRNA requires the nurse to stop administration of
medication?
a. Aspirating before injection
b. Cleansing the port with alcohol for 15 seconds
c. Checking maternal BP after administration
,d. Assessing fetal heart rate
c. Decrease intake of caffeine such as coffee and chocolate to minimize irritability,
insomnia, and anxiety - Answer-A nurse is giving health education regarding the
management of premenstrual syndrome (PMS) symptoms to a group of first-year
nursing students.
Which of the following information regarding diet will the nurse include in the
presentation?
a. Increase salt intake
b. Avoid vegetables
c. Decrease intake of caffeine such as coffee and chocolate to minimize irritability,
insomnia, and anxiety
d. Increase carbohydrate intake
c. Cerebrovascular accident (CVA) - Answer-A client has atrial fibrillation. The nurse
should monitor the client for...
a. Pulmonary edema
b. Myocardial infarction
c. Cerebrovascular accident (CVA)
d. Deep vein thrombosis
b. Moderate - Answer-A 10-year-old child has very limited vocabulary and interaction
skills. She has an IQ of 45. Is she diagnosed to have mental disease retardation of this
classification?
a. Mild
b. Moderate
c. Severe
d. Profound
b. Restricting oral intake to clear fluids - Answer-A 3-week-old newborn is diagnosed
with Hirschsprung disease. Which of the following preoperative care should be included
in the plan of care?
a. Maintain NPO for 12 hours before surgery
b. Restricting oral intake to clear fluids
c. Start high-protein diet
d. Encourage breastfeeding
b. Early morning - Answer-When is the best time to collect urine specimen for routine
urinalysis and culture and sensitivity?
a. Before bedtime
b. Early morning
, c. After meals
d. Any time of the day
a. Report abnormal diagnostic results to the surgeon - Answer-A patient is scheduled
for a total hip arthroplasty. The nurse reviews the chart and notes the following:
Serum potassium: 2.8 mEq/L, AB positive blood type, and elevated ST segment on
ECG.
Which of the following should be the most appropriate action to do next?
a. Report abnormal diagnostic results to the surgeon
b. Administer potassium supplement
c. Prepare patient for surgery
d. Recheck the potassium after surgery
b. Restlessness and confusion - Answer-Which one of the following signs and
symptoms is associated with increased intracranial pressure (ICP)?
a. Hypotension and bradycardia
b. Restlessness and confusion
c. Cold, clammy skin
d. Decreased urine output
a. Notify the nursing supervisor - Answer-Post-operative patient who underwent an
abdominal procedure requests a pain medication from the nurse and rates the pain at a
level nine. There's a standing order for narcotic administration.
When the nurse opens the narcotic box and performs a count, the number of pills
remaining in the box is different from the number recorded on the sheet.
What is the most appropriate initial nursing action?
a. Notify the nursing supervisor
b. Administer the medication as ordered
c. Recount and continue the shift
d. Document the discrepancy later
a. At the start of the collection period, have the patient discard the first urine - Answer-
The physician has written an order for the nurse's assignee to have a 24-hour urine
collection sent to the laboratory for special testing. Which of the following should the
nurse realize prior to collecting urine?
a. At the start of the collection period, have the patient discard the first urine
b. Keep the first urine as baseline
c. Send each sample separately
d. Add preservative after 12 hours
QUESTIONS WITH CORRECT
ANSWERS
c. Wearing gloves for direct care - Answer-What precautions are necessary when caring
for a patient with Hepatitis A?
a. Use of sterile gloves for all contact
b. Mask and gown for all interactions
c. Wearing gloves for direct care
d. Place in negative-pressure isolation room
d. Keep NPO - Answer-A 17-year-old arrived to the Emergency Room complaining of
abdominal pain on the right lower quadrant.
Pain was rated as 9/10, with rebound tenderness.
BP: 120/70 mmHg HR: 95/min RR: 20/min Temp: 39.2°C
Which of the following interventions has the highest priority?
a. Start IV antibiotics
b. Apply warm compress on abdomen
c. Encourage oral fluids
d. Keep NPO
c. Safe patient care - Answer-Nurse manager prepares unit clinical operational plan.
What is top priority in the plan?
a. Improve staff satisfaction
b. Reduce hospital costs
c. Safe patient care
d. Improve documentation accuracy
b. Aspirate the content - Answer-A 75-year-old patient was bedridden for the last one
year. She was incontinent, restless, delirious, and was trying to pull her nasogastric
tube out, but her arms were restrained; her forearms had bruises and her lips were dry
and cracked.
BP: 100/64 mmHg HR: 102/min RR: 28/min Temp: 39.2°C
Which of the following nursing intervention before each nasogastric feed?
,a. Elevate the head of the bed to 30-45°
b. Aspirate the content
c. Flush with water immediately before feeding
d. Observe abdominal distension
a. Direct the nurse to continue the surgical hand scrub for five-minute duration -
Answer-Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asks the circulating nurse if a three-minute surgical hand scrub is adequate
preparation for this client.
Which response should the circulating nurse provide?
a. Direct the nurse to continue the surgical hand scrub for five-minute duration
b. Continue with three minutes as adequate
c. Use alcohol rub instead
d. Wash only if visibly soiled
a. Use a heart model to show her how the surgery will go - Answer-To decrease the
anxiety of a 10-year-old girl who is undergoing surgery, which of the following should
the nurse do?
a. Use a heart model to show her how the surgery will go
b. Give her sedation early
c. Avoid explaining to prevent fear
d. Ask parents to stay silent during pre-op
c. The medication dosage can be reduced gradually - Answer-A child has been seizure-
free for 2 years. A mother asks the nurse how much longer the child will need to take
the antiseizure medications.
a. Stop the medication immediately after 2 years
b. Continue for lifetime
c. The medication dosage can be reduced gradually
d. Stop the medication once EEG remains normal for several weeks
b. Cleansing the port with alcohol for 15 seconds - Answer-A nurse cares for a client
with an epidural catheter for labor pain management and requests additional
medication. A student registered nurse anesthetist (SRNA) responds and administers
medication via the epidural catheter.
Which action performed by the SRNA requires the nurse to stop administration of
medication?
a. Aspirating before injection
b. Cleansing the port with alcohol for 15 seconds
c. Checking maternal BP after administration
,d. Assessing fetal heart rate
c. Decrease intake of caffeine such as coffee and chocolate to minimize irritability,
insomnia, and anxiety - Answer-A nurse is giving health education regarding the
management of premenstrual syndrome (PMS) symptoms to a group of first-year
nursing students.
Which of the following information regarding diet will the nurse include in the
presentation?
a. Increase salt intake
b. Avoid vegetables
c. Decrease intake of caffeine such as coffee and chocolate to minimize irritability,
insomnia, and anxiety
d. Increase carbohydrate intake
c. Cerebrovascular accident (CVA) - Answer-A client has atrial fibrillation. The nurse
should monitor the client for...
a. Pulmonary edema
b. Myocardial infarction
c. Cerebrovascular accident (CVA)
d. Deep vein thrombosis
b. Moderate - Answer-A 10-year-old child has very limited vocabulary and interaction
skills. She has an IQ of 45. Is she diagnosed to have mental disease retardation of this
classification?
a. Mild
b. Moderate
c. Severe
d. Profound
b. Restricting oral intake to clear fluids - Answer-A 3-week-old newborn is diagnosed
with Hirschsprung disease. Which of the following preoperative care should be included
in the plan of care?
a. Maintain NPO for 12 hours before surgery
b. Restricting oral intake to clear fluids
c. Start high-protein diet
d. Encourage breastfeeding
b. Early morning - Answer-When is the best time to collect urine specimen for routine
urinalysis and culture and sensitivity?
a. Before bedtime
b. Early morning
, c. After meals
d. Any time of the day
a. Report abnormal diagnostic results to the surgeon - Answer-A patient is scheduled
for a total hip arthroplasty. The nurse reviews the chart and notes the following:
Serum potassium: 2.8 mEq/L, AB positive blood type, and elevated ST segment on
ECG.
Which of the following should be the most appropriate action to do next?
a. Report abnormal diagnostic results to the surgeon
b. Administer potassium supplement
c. Prepare patient for surgery
d. Recheck the potassium after surgery
b. Restlessness and confusion - Answer-Which one of the following signs and
symptoms is associated with increased intracranial pressure (ICP)?
a. Hypotension and bradycardia
b. Restlessness and confusion
c. Cold, clammy skin
d. Decreased urine output
a. Notify the nursing supervisor - Answer-Post-operative patient who underwent an
abdominal procedure requests a pain medication from the nurse and rates the pain at a
level nine. There's a standing order for narcotic administration.
When the nurse opens the narcotic box and performs a count, the number of pills
remaining in the box is different from the number recorded on the sheet.
What is the most appropriate initial nursing action?
a. Notify the nursing supervisor
b. Administer the medication as ordered
c. Recount and continue the shift
d. Document the discrepancy later
a. At the start of the collection period, have the patient discard the first urine - Answer-
The physician has written an order for the nurse's assignee to have a 24-hour urine
collection sent to the laboratory for special testing. Which of the following should the
nurse realize prior to collecting urine?
a. At the start of the collection period, have the patient discard the first urine
b. Keep the first urine as baseline
c. Send each sample separately
d. Add preservative after 12 hours
