[ NLE 3 ] Nursing Licensure Examination Reviewer III

NLE Practice Test

Instructions:

Please answer each question to the best of your ability. Each question is multiple choice, and only one answer per question is correct. Select the most appropriate answer from the options provided. There are 20 questions in total.

When you have completed all questions, click the "Submit" button at the bottom of the page to see your score. Good luck!

What is the primary purpose of preoperative teaching for patients?

A) To reduce anxiety and enhance recovery
B) To increase hospital stay
C) To ensure compliance with diet
D) To prepare for discharge planning

Which of the following assessments is crucial for a patient recovering from abdominal surgery?

A) Respiratory function
B) Wound condition
C) Neurological status
D) Cardiovascular status

In the postoperative phase, which complication should the nurse monitor for most closely?

A) Infection
B) Deep vein thrombosis
C) Wound dehiscence
D) Electrolyte imbalances

What is the appropriate nursing action when a patient has a sudden drop in blood pressure after surgery?

A) Elevate the legs
B) Administer antihypertensive medication
C) Increase fluid intake
D) Assess for pain

What is the priority nursing intervention for a patient exhibiting signs of hemorrhage post-surgery?

A) Apply pressure to the bleeding site
B) Call for the physician
C) Monitor vital signs
D) Document the event

What dietary modification is important for a patient recovering from gallbladder surgery?

A) Low-fat diet
B) High-fiber diet
C) High-protein diet
D) Low-carbohydrate diet

In managing a patient with a surgical wound, what is the most critical aspect of care?

A) Changing the dressing daily
B) Ensuring proper nutrition
C) Assessing for signs of infection
D) Keeping the wound dry

Which of the following is a sign of a possible anaphylactic reaction after surgery?

A) Swelling of the face and throat
B) Low-grade fever
C) Dizziness
D) Nausea

What is the most appropriate nursing action for a patient experiencing acute chest pain after surgery?

A) Administer prescribed nitroglycerin
B) Reassure the patient
C) Call for emergency assistance
D) Ask about pain levels

Which assessment finding indicates a potential complication of surgery related to urinary function?

A) Oliguria
B) Increased urination
C) Nocturia
D) Polyuria

What is the recommended position for a patient recovering from abdominal surgery to enhance respiratory function?

A) Trendelenburg position
B) Supine position with knees bent
C) Sitting position
D) Lateral position

When should the nurse administer prophylactic antibiotics for a surgical patient?

A) Within one hour before the incision
B) After the surgery is completed
C) One day before surgery
D) At the first sign of infection

Which finding in a patient post-surgery indicates a possible paralytic ileus?

A) Abdominal distension
B) Hyperactive bowel sounds
C) Frequent bowel movements
D) Normal bowel sounds

What is the primary reason for early ambulation after surgery?

A) To prevent thromboembolic complications
B) To improve patient morale
C) To assess pain levels
D) To promote sleep

What is a common side effect of opioid analgesics in the postoperative patient?

A) Constipation
B) Diarrhea
C) Increased appetite
D) Insomnia

What is the purpose of using sequential compression devices (SCDs) post-surgery?

A) To promote venous return
B) To decrease respiratory effort
C) To enhance pain relief
D) To monitor vital signs

Which of the following laboratory values should be closely monitored in a patient on anticoagulant therapy post-surgery?

A) INR
B) Hemoglobin
C) Platelet count
D) White blood cell count

What should the nurse instruct a patient to report after discharge from surgery?

A) Minor pain at the incision site
B) Fever over 100.4°F
C) Difficulty sleeping
D) Mild swelling of the leg

Which of the following is a key component of patient education for those undergoing outpatient surgery?

A) Arranging for transportation home
B) Avoiding any activity
C) Taking all prescribed medications
D) Staying alone for 24 hours

What is the main goal of pain management in the postoperative patient?

A) To facilitate early ambulation and recovery
B) To eliminate all pain
C) To minimize medication use
D) To ensure a quiet environment

Result

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