MNB EXAMINATION MALAYSIAN NURSING BOARD SAMPLE QUESTIONS
Question: A patient is admitted with a suspected stroke. What is the priority nursing intervention?
A) Administering tissue plasminogen activator (tPA)
B) Assessing neurological status
C) Monitoring blood pressure
D) Ordering a computed tomography (CT) scan
Answer: B) Assessing neurological status
Question: A patient is receiving tube feeding. What is the priority nursing intervention?
A) Checking residual volume before each feeding
B) Ensuring the feeding is at room temperature
C) Elevating the head of the bed to 30-45 degrees during feeding
D) Providing oral care before and after feeding
Answer: C) Elevating the head of the bed to 30-45 degrees during feeding
Question: A patient is admitted with sepsis. What is the priority nursing intervention?
A) Administering intravenous (IV) fluids
B) Drawing blood cultures
C) Monitoring temperature
D) Starting broad-spectrum antibiotics
Answer: A) Administering intravenous (IV) fluids
Question: A patient with a history of cirrhosis is at risk for hepatic encephalopathy. What should the nurse monitor as a priority?
A) Serum albumin levels
B) Serum ammonia levels
C) Platelet count
D) Liver enzyme levels
Answer: B) Serum ammonia levels
Question: A patient is receiving chemotherapy. What is the priority nursing intervention?
A) Monitoring for signs of infection
B) Encouraging oral fluid intake
C) Providing antiemetic medication
D) Assessing for mucositis
Answer: A) Monitoring for signs of infection
Question: A patient is diagnosed with acute renal failure. What is the priority nursing intervention?
A) Assessing urinary output
B) Monitoring serum creatinine levels
C) Administering diuretics
D) Restricting fluid intake
Answer: A) Assessing urinary output
Question: A patient is admitted with a suspected gastrointestinal bleed. What is the priority nursing intervention?
A) Administering proton pump inhibitors (PPIs)
B) Monitoring hemoglobin and hematocrit levels
C) Starting intravenous (IV) fluids
D) Preparing the patient for endoscopy
Answer: B) Monitoring hemoglobin and hematocrit levels
Question: A patient is prescribed warfarin (Coumadin) therapy. What should the nurse monitor as a priority?
A) International normalized ratio (INR)
B) Platelet count
C) Activated partial thromboplastin time (aPTT)
D) Serum potassium levels
Answer: A) International normalized ratio (INR)
Question: A patient is diagnosed with hyperglycemia. What is the priority nursing intervention?
A) Administering insulin
B) Offering sugary snacks
C) Encouraging physical activity
D) Providing intravenous (IV) fluids
Answer: A) Administering insulin
Question: A patient is admitted with a suspected urinary tract infection (UTI). What is the priority nursing intervention?
A) Administering antibiotics
B) Obtaining a urine specimen for culture
C) Encouraging oral fluid intake
D) Providing pain medication
Answer: B) Obtaining a urine specimen for culture
Question: A patient with heart failure is prescribed spironolactone. What should the nurse monitor as a priority?
A) Serum sodium levels
B) Serum potassium levels
C) Blood glucose levels
D) Blood pressure
Answer: B) Serum potassium levels
Question: A patient is admitted with a suspected myocardial infarction (MI). What is the priority nursing intervention during the acute phase?
A) Administering thrombolytic therapy
B) Monitoring for dysrhythmias
C) Providing pain relief
D) Assessing for signs of heart failure
Answer: C) Providing pain relief
Question: A patient is receiving a blood transfusion and develops a fever, chills, and back pain. What is the priority nursing intervention?
A) Administering acetaminophen
B) Discontinuing the transfusion
C) Checking vital signs
D) Notifying the blood bank
Answer: B) Discontinuing the transfusion
Question: A patient is admitted with diabetic nephropathy. What should the nurse monitor as a priority?
A) Blood pressure
B) Blood glucose levels
C) Serum creatinine levels
D) Urinary output
Answer: C) Serum creatinine levels
Question: A patient is receiving intravenous (IV) antibiotics. What is the priority nursing intervention?
A) Assessing for signs of infection
B) Monitoring IV site for phlebitis
C) Providing oral care
D) Checking IV fluid rate
Answer: B) Monitoring IV site for phlebitis
Question: A patient with chronic obstructive pulmonary disease (COPD) is prescribed oxygen therapy. What is the priority nursing intervention?
A) Educating the patient about oxygen safety
B) Assessing respiratory status
C) Monitoring arterial blood gases
D) Administering bronchodilators
Answer: A) Educating the patient about oxygen safety
Question: A patient is admitted with suspected meningitis. What is the priority nursing intervention?
A) Administering antibiotics
B) Obtaining a lumbar puncture
C) Monitoring vital signs
D) Providing pain relief
Answer: B) Obtaining a lumbar puncture
Question: A patient is diagnosed with hyperthyroidism. What should the nurse monitor as a priority?
A) Serum potassium levels
B) Thyroid-stimulating hormone (TSH) levels
C) Serum calcium levels
D) Heart rate and rhythm
Answer: D) Heart rate and rhythm
Question: A patient is receiving chemotherapy and reports severe nausea and vomiting. What is the priority nursing intervention?
A) Administering antiemetic medication
B) Providing oral hydration
C) Offering high-fat foods
D) Encouraging physical activity
Answer: A) Administering antiemetic medication
Question: A patient is admitted with a suspected gastrointestinal bleed. What is the priority nursing intervention?
A) Administering proton pump inhibitors (PPIs)
B) Preparing the patient for endoscopy
C) Monitoring hemoglobin and hematocrit levels
D) Starting intravenous (IV) fluids
Answer: C) Monitoring hemoglobin and hematocrit levels
