EXAMPLES OF NURSING EXAM (SNLE )-3 with answers –rational

1. Jamilah saad alqahtani
Nurse lecturer,MSN,OR specialist, BSN,RGN,
EXAMPLESOF NURSING EXAM
(SNLE)-3withanswers–rational

2. ADULTNURSING
CAREII
Immune disorder
1. A patient who has tested positive for HIV
(human immune deficiency virus arrives at clinic
with report of fever, nonproductive cough and
fatigue. The patient’s CD4 count is 123cells/mcL.
The nurse evaluate the finding as:
a. the patient is now in the latent stages of HIV
infection
b. these finding provide evidence that patient has
seroconverted
c. the patient is diagnosed with acquired
immunodeficiency syndrome AIDS.
d. This is an expected finding because the patient has
tested positive for HIV.

3. ADULTNURSING
CAREII
2. The nurse is caring for the patient with
immunodeficiency disorder. The cardinal
symptoms of immunodeficiency the nurse
suspect to find for this patient include all of the
following except:
a. chronic diarrhea
b. recurrent sever infections
c. nonproductive cough
d. vomiting

4. ADULTNURSING
CAREII
3. a patient is suspected of having Gout. The
laboratory test result will assist nurse in
confirming this diagnosis:
a. hyperuricemia
b. decrease blood urea nitrogen level
c. glucosuria
d. ketonuria

5. ADULTNURSING
CAREII
4. Fatimah a 30 year old female admitted in the
hospital with osteoarthritis(OA) when the nurse
assessing Fatimah suspects that she have
experience of:
a. Wadding gait
b. Decrease grip strength
c. Bilateral joint swelling
d. Joint stiffness and crepitus


6. ADULTNURSING
CAREII
5. Ms. Mona 35year old diagnosed with rheumatoid
arthritis (RA) states that “I can’t do my household
routines without becoming tired. My knees hurt a lot
whenever I walk “ the most appropriate nursing
diagnosis is would be:
a. Self-care deficit related to increasing joint pain
b. Activity intolerance related to fatigue and joint pain
c. Infective coping related to chronic pain
d. Disturbed body image related to fatigue and joint
pain

7. ADULTNURSING
CAREII
6. Ms. Najla is 40 years old admitted in the hospital
with osteoarthritis(OA) when the nurse caring for her
the highest priority intervention when caring for MS
Najla is :
a. Encourage the client to ventilate feelings about the
disease process
b. Discuss the effects of the disease on the client’s
career and other life responsibilities
c. Teach the client the proper use of hot and cold
compression therapy to promote pain relief
d. Instruct the client to perform most important
activities in the morning

8. ADULTNURSING
CAREII
7. A 38 year old female patient has joint pain and
stiffness, decrease mobility and increased
frequency of fatigue. She is depressed. Based on
the these manifestations the nurse suspects a
diagnosis of :
a. Pericardial friction rub
b. Scleroderma
c. Systemic lupus erythematosus (SLE)
d. Rheumatoid Arthritis (RA)


9. ADULTNURSING
CAREII
8. A 36 years old female patient who has had symptoms
of joint tenderness for about 12 years. Lately she noticed
significant morning stiffness and a slight red butterfly rash
over the bridge of her nose and cheeks. Physician
suspects a diagnosis of systemic lupus erythematosus
(SLE). During acute exacerbation of SLE the patient has
nursing diagnosis of impaired skin integrity. the most
appropriate nursing intervention is to:
a. Apply moisturizing lotion to the skin several time a day
b. Use mild astringent on face to stimulate circulation
c. Use cosmetics to minimize the skin changes
d. Avoiding sun exposure, clean the skin with mild soap
and water and keep it dry

10. ADULTNURSING
CAREII
9.A patient with AIDS has a nursing diagnosis of
altered thought process related to neurologic
changes. In planning care for patient, the nurse
sets the highest priority of nursing intervention
on:
a. Provide written instructions of direction to
promotes understanding and orientation
b. Eliminate intake of simple sugar
c. Maintain a safe patient environment
d. Provide a quit environment

11. ADULTNURSING
CAREII
10. The clinical nurse notes the physician has
documented a diagnosis of herpes Zoster
(shingles) in the client’s chart. Based on an
understanding of the cause of this disorder, the
nurse determine that this definitive diagnosis was
made following which diagnostic test?
a. Patch test
b. Skin test
c. Culture of lesion
d. Wood’s light examination

12. Adult nursing
care II Good luck