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PNLE Test Bank Answered and Updated 2024.

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PNLE (PNLE)

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Camden County College

1 PNLE I for Foundation of Professional Nursing Practice Text Mode – Text version of the exam 1. The nurse In-charge in labor and delivery unit administered a dose of terbutaline to a client without checking the client’s pulse. The standard that would be used to determine if the nurse wa...

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pnle exam
pnle test
pnle iv
fundamentals of nursing
pnle iii for care of clients with physiologic and
pnle iv for care of clients with physiologic
pnle v for care of clients with physiologic and ps
ps

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Camden County College
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PNLE (PNLE)

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‭1‬
‭ NLE I for Foundation of Professional‬
P 5‭ . Nurse Betty is assigned to the following clients.‬
‭Nursing Practice‬ ‭The client that the nurse would see first after‬
‭Text Mode‬‭– Text version of the exam‬ ‭endorsement?‬
‭ . The nurse In-charge in labor and delivery unit‬
1 ‭A. A 34 year-old post operative‬
‭administered a dose of terbutaline to a client without‬ ‭appendectomy client of five hours who‬
‭checking the client’s pulse. The standard that would‬ ‭is complaining of pain.‬
‭be used to determine if the nurse was negligent is:‬ ‭B. A 44 year-old myocardial infarction (MI) client‬
‭A. The physician’s orders.‬ ‭who is complaining of nausea.‬
‭B. The action of a clinical nurse specialist who‬ ‭C. A 26 year-old client admitted for‬
‭is recognized expert in the field. C. The‬ ‭dehydration whose intravenous (IV) has‬
‭statement in the drug literature about‬ ‭infiltrated.‬
‭administration of terbutaline.‬ ‭D. A 63 year-old post operative’s abdominal‬
‭D. The actions of a reasonably prudent‬ ‭hysterectomy client of three days whose‬
‭nurse with similar education and‬ ‭incisional dressing is saturated with‬
‭experience.‬ ‭serosanguinous fluid.‬
2‭ . Nurse Trish is caring for a female client with a‬ 6‭ . Nurse Gail places a client in a four-point restraint‬
‭history of GI bleeding, sickle cell disease, and a‬ ‭following orders from the physician. The client‬
‭platelet count of 22,000/μl. The female client is‬ ‭care plan should include:‬
‭dehydrated and receiving dextrose 5% in half normal‬ ‭ . Assess temperature frequently.‬
A
‭saline solution at 150 ml/hr. The client complains of‬ ‭B. Provide diversional activities.‬
‭severe bone pain and is scheduled to‬ ‭C. Check circulation every 15-30 minutes.‬
‭receive a dose of morphine sulfate. In administering‬ ‭D. Socialize with other patients once a shift.‬
‭the medication, Nurse Trish should avoid which‬ 7‭ . A male client who has severe burns is receiving‬
‭route?‬ ‭H2 receptor antagonist therapy. The nurse In charge‬
‭ . I.V‬
A ‭knows the purpose of this therapy is to:‬
‭B. I.M‬ ‭ . Prevent stress ulcer‬
A
‭C. Oral‬ ‭B. Block prostaglandin synthesis‬
‭D. S.C‬ ‭C. Facilitate protein synthesis.‬
3‭ . Dr. Garcia writes the following order for the client‬ ‭D. Enhance gas exchange‬
‭who has been recently admitted “Digoxin . 125 mg‬ 8‭ . The doctor orders hourly urine output measurement‬
‭P.O. once daily.” To prevent a dosage error, how‬ ‭for a postoperative male client. The nurse Trish‬
‭should the nurse document this order onto the‬ ‭records the following amounts of output for 2‬
‭medication administration record?‬ ‭consecutive hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml.‬
‭ . “Digoxin .1250 mg P.O. once daily”‬
A ‭Based on these amounts, which action should the‬
‭B. “Digoxin 0.1250 mg P.O. once daily”‬ ‭nurse take?‬
‭C. “Digoxin 0.125 mg P.O. once daily”‬ ‭ . Increase the I.V. fluid infusion rate‬
A
‭D. “Digoxin .125 mg P.O. once daily”‬ ‭B. Irrigate the indwelling urinary catheter‬
4‭ . A newly admitted female client was diagnosed‬ ‭C. Notify the physician‬
‭with deep vein thrombosis. Which nursing‬ ‭D. Continue to monitor and record hourly urine‬
‭diagnosis should receive the highest priority?‬ ‭output‬
‭ . Ineffective peripheral tissue‬
A 9‭ . Tony, a basketball player twist his right ankle while‬
‭perfusion related to venous‬ ‭playing on the court and seeks care for ankle pain and‬
‭congestion.‬ ‭swelling. After the nurse applies ice to the ankle for‬
‭B. Risk for injury related to edema.‬ ‭30 minutes, which statement by Tony suggests that‬
‭C. Excess fluid volume related to peripheral‬ ‭ice application has been effective?‬
‭vascular disease.‬ ‭ . “My ankle looks less swollen now”.‬
A
‭D. Impaired gas exchange related to increased‬ ‭B. “My ankle feels warm”.‬
‭blood flow.‬ ‭C. “My ankle appears redder now”.‬

, ‭2‬
‭D. “I need something stronger for pain relief”‬ ‭ ale client who is having external radiation‬
m
1‭ 0.The physician prescribes a loop diuretic for a‬ ‭therapy:‬
‭client. When administering this drug, the nurse‬ ‭ . Protect the irritated skin from sunlight.‬
A
‭anticipates that the client may develop which‬ ‭B. Eat 3 to 4 hours before treatment.‬
‭electrolyte imbalance?‬ ‭C. Wash the skin over regularly.‬
‭ . Hypernatremia‬
A ‭D. Apply lotion or oil to the radiated area when it is‬
‭B. Hyperkalemia‬ ‭red or sore.‬
‭C. Hypokalemia‬ 1‭ 7.In assisting a female client for immediate‬
‭D. Hypervolemia‬ ‭surgery, the nurse In-charge is aware that she‬
1‭ 1.She finds out that some managers have‬ ‭should:‬
‭benevolent-authoritative style of management. Which‬ ‭ . Encourage the client to void‬
A
‭of the following behaviors will she exhibit most‬ ‭following preoperative‬
‭likely?‬ ‭medication. B. Explore the client’s‬
‭ . Have condescending trust and‬
A ‭fears and anxieties about the‬
‭confidence in their subordinates.‬ ‭surgery.‬
‭B. Gives economic and ego‬ ‭C. Assist the client in removing dentures and nail‬
‭awards.‬ ‭polish.‬
‭C. Communicates downward to staffs.‬ ‭D. Encourage the client to drink water prior to‬
‭D. Allows decision making among subordinates.‬ ‭surgery.‬
1‭ 2. Nurse Amy is aware that the following is true‬ 1‭ 8. A male client is admitted and diagnosed with‬
‭about functional nursing‬ ‭acute pancreatitis after a holiday celebration of‬
‭ . Provides continuous, coordinated and‬
A ‭excessive food and alcohol. Which assessment finding‬
‭comprehensive nursing services. B.‬ ‭reflects this diagnosis?‬
‭One-to-one nurse patient ratio.‬ ‭ . Blood pressure above normal range.‬
A
‭C. Emphasize the use of group collaboration.‬ ‭B. Presence of crackles in both lung fields.‬
‭D. Concentrates on tasks and activities.‬ ‭C. Hyperactive bowel sounds‬
‭13.Which type of medication order might‬ ‭D. Sudden onset of continuous epigastric and‬
‭read “Vitamin K 10 mg I.M. daily × 3‬ ‭back pain.‬
‭days?”‬‭A. Single order‬ 1‭ 9. Which dietary guidelines are important for nurse‬
‭ . Standard written order‬
B ‭Oliver to implement in caring for the client with‬
‭C. Standing order‬ ‭burns?‬
‭D. Stat order‬ ‭ . Provide high-fiber, high-fat diet‬
A
‭14.A female client with a fecal impaction‬ ‭B. Provide high-protein, high-carbohydrate diet.‬
‭frequently exhibits which clinical‬ ‭C. Monitor intake to prevent weight gain.‬
‭manifestation?‬‭A. Increased appetite‬ ‭D. Provide ice chips or water intake.‬
‭ . Loss of urge to defecate‬
B 2‭ 0.Nurse Hazel will administer a unit of whole‬
‭C. Hard, brown, formed stools‬ ‭blood, which priority information should the‬
‭D. Liquid or semi-liquid stools‬ ‭nurse have about the client?‬
1‭ 5.Nurse Linda prepares to perform an otoscopic‬ ‭ . Blood pressure and pulse rate.‬
A
‭examination on a female client. For proper‬ ‭B. Height and weight.‬
‭visualization, the nurse should position the client’s‬ ‭C. Calcium and potassium levels‬
‭D. Hgb and Hct levels.‬
‭ear by:‬
2‭ 1. Nurse Michelle witnesses a female client‬
‭ . Pulling the lobule down and back‬
A
‭B. Pulling the helix up and forward‬ ‭sustain a fall and suspects that the leg may be‬
‭C. Pulling the helix up and back‬ ‭broken. The nurse takes which priority action?‬
‭D. Pulling the lobule down and forward‬ ‭ . Takes a set of vital signs.‬
A
‭16. Which instruction should nurse Tom give to a‬ ‭B. Call the radiology department for X-ray.‬
‭C. Reassure the client that everything will be‬

, ‭3‬
‭ lright.‬
a 2‭ 7.A child of 10 years old is to receive 400 cc of IV‬
‭D. Immobilize the leg before moving the client.‬ ‭fluid in an 8 hour shift. The IV drip factor is 60. The‬
2‭ 2.A male client is being transferred to the nursing‬ ‭IV rate that will deliver this amount is:‬
‭unit for admission after receiving a radium implant‬ ‭ . 50 cc/ hour‬
A
‭for bladder cancer. The nurse in-charge would take‬ ‭B. 55 cc/ hour‬
‭which priority action in the care of this client?‬ ‭C. 24 cc/ hour‬
‭ . Place client on reverse isolation.‬
A ‭D. 66 cc/ hour‬
‭B. Admit the client into a private room.‬ 2‭ 8.The nurse is aware that the most important nursing‬
‭C. Encourage the client to take frequent rest‬ ‭action when a client returns from surgery is:‬
‭periods.‬ ‭ . Assess the IV for type of fluid and rate of flow.‬
A
‭D. Encourage family and friends to visit.‬ ‭B. Assess the client for presence of pain.‬
2‭ 3.A newly admitted female client was diagnosed‬ ‭C. Assess the Foley catheter for patency and urine‬
‭with agranulocytosis. The nurse formulates which‬ ‭output‬
‭priority nursing diagnosis?‬ ‭D. Assess the dressing for drainage.‬
‭ . Constipation‬
A 2‭ 9. Which of the following vital sign assessments‬
‭B. Diarrhea‬ ‭that may indicate cardiogenic shock after‬
‭C. Risk for infection‬ ‭myocardial infarction?‬
‭D. Deficient knowledge‬ ‭ . BP – 80/60, Pulse – 110 irregular‬
A
2‭ 4.A male client is receiving total parenteral‬ ‭B. BP – 90/50, Pulse – 50 regular‬
‭nutrition suddenly demonstrates signs and‬ ‭C. BP – 130/80, Pulse – 100 regular‬
‭symptoms of an air embolism. What is the‬ ‭D. BP – 180/100, Pulse – 90 irregular‬
‭priority action by the nurse?‬ 3‭ 0.Which is the most appropriate nursing action in‬
‭ . Notify the physician.‬
A ‭obtaining a blood pressure measurement?‬
‭B. Place the client on the left‬ ‭A. Take the proper equipment, place the client‬
‭side in the Trendelenburg‬ ‭in a comfortable position, and record the‬
‭position. C. Place the client in‬ ‭appropriate information in the client’s‬
‭high-Fowlers position.‬ ‭chart.‬
‭D. Stop the total parenteral nutrition.‬ ‭B. Measure the client’s arm, if you are not sure of‬
2‭ 5.Nurse May attends an educational conference on‬ ‭the size of cuff to use.‬
‭leadership styles. The nurse is sitting with a nurse‬ ‭C. Have the client recline or sit comfortably in a‬
‭employed at a large trauma center who states that the‬ ‭chair with the forearm at the level of the‬
‭heart.‬
‭leadership style at the trauma center‬
‭D. Document the measurement, which extremity‬
‭is task-oriented and directive. The nurse determines‬
‭was used, and the position that the client was‬
‭that the leadership style used at the trauma center is:‬ ‭in during the measurement.‬
‭ . Autocratic.‬
A 3‭ 1.Asking the questions to determine if the person‬
‭B. Laissez-faire.‬
‭understands the health teaching provided by the‬
‭C. Democratic.‬
‭nurse would be included during which step of the‬
‭D. Situational‬
2‭ 6.The physician orders DS 500 cc with KCl 10‬ ‭nursing process?‬
‭ . Assessment‬
A
‭mEq/liter at 30 cc/hr. The nurse in-charge is going to‬
‭B. Evaluation‬
‭hang a 500 cc bag. KCl is supplied 20 mEq/10 cc.‬
‭C. Implementation‬
‭How many cc’s of KCl will be added to the IV‬ ‭D. Planning and goals‬
‭solution?‬ 3‭ 2.Which of the following item is considered the‬
‭ . .5 cc‬
A ‭single most important factor in assisting the health‬
‭B. 5 cc‬
‭professional in arriving at a diagnosis or‬
‭C. 1.5 cc‬
‭determining the person’s needs?‬
‭D. 2.5 cc‬
‭A. Diagnostic test results‬

, ‭4‬
‭B. Biographical date‬ 3‭ 8. A male client with diabetes mellitus is receiving‬
‭ . History of present illness‬
C ‭insulin. Which statement correctly describes an‬
‭D. Physical examination‬ ‭insulin unit?‬
3‭ 3.In preventing the development of an external‬ ‭ . It’s a common measurement in the metric‬
A
‭rotation deformity of the hip in a client who must‬ ‭system.‬
‭remain in bed for any period of time, the most‬ ‭B. It’s the basis for solids in the avoirdupois‬
‭appropriate nursing action would be to use:‬ ‭system.‬
‭ . Trochanter roll extending from the crest of the‬
A ‭C. It’s the smallest measurement in the apothecary‬
‭ileum to the midthigh.‬ ‭system.‬
‭B. Pillows under the lower legs.‬ ‭D. It’s a measure of effect, not a standard‬
‭C. Footboard‬ ‭measure of weight or quantity.‬
‭D. Hip-abductor pillow‬ 3‭ 9.Nurse Oliver measures a client’s temperature at‬
3‭ 4.Which stage of pressure ulcer development‬ ‭102° F. What is the equivalent Centigrade‬
‭does the ulcer extend into the subcutaneous‬ ‭temperature?‬
‭tissue?‬ ‭ . 40.1 °C‬
A
‭ . Stage I‬
A ‭B. 38.9 °C‬
‭B. Stage II‬ ‭C. 48 °C‬
‭C. Stage III‬ ‭D. 38 °C‬
‭D. Stage IV‬ 4‭ 0.The nurse is assessing a 48-year-old client who‬
3‭ 5.When the method of wound healing is one in‬ ‭has come to the physician’s office for his annual‬
‭which wound edges are not surgically‬ ‭physical exam. One of the first physical signs of‬
‭approximated and integumentary continuity is‬ ‭aging is:‬
‭restored by granulations, the wound healing is‬ ‭ . Accepting limitations while developing assets.‬
A
‭termed‬ ‭B. Increasing loss of muscle tone.‬
‭ . Second intention healing‬
A ‭C. Failing eyesight, especially close vision.‬
‭B. Primary intention healing‬ ‭D. Having more frequent aches and pains.‬
‭C. Third intention healing‬ 4‭ 1.The physician inserts a chest tube into a female‬
‭D. First intention healing‬ ‭client to treat a pneumothorax. The tube is‬
3‭ 6.An 80-year-old male client is admitted to the‬ ‭connected to water-seal drainage. The nurse‬
‭hospital with a diagnosis of pneumonia. Nurse‬ ‭in-charge can prevent chest tube air leaks by:‬
‭Oliver learns that the client lives alone and hasn’t‬ ‭ . Checking and taping all connections.‬
A
‭been eating or drinking. When assessing him for‬ ‭B. Checking patency of the chest tube.‬
‭dehydration, nurse Oliver would expect to find:‬ ‭C. Keeping the head of the bed slightly elevated.‬
‭ . Hypothermia‬
A ‭D. Keeping the chest drainage system below the‬
‭B. Hypertension‬ ‭level of the chest.‬
‭C. Distended neck veins‬ 4‭ 2.Nurse Trish must verify the client’s identity‬
‭D. Tachycardia‬ ‭before administering medication. She is aware that‬
3‭ 7.The physician prescribes meperidine (Demerol), 75‬ ‭the safest way to verify identity is to:‬
‭mg I.M. every 4 hours as needed, to control a client’s‬ ‭ . Check the client’s identification band.‬
A
‭postoperative pain. The package insert is “Meperidine,‬ ‭B. Ask the client to state his name.‬
‭100 mg/ml.” How many milliliters of meperidine‬ ‭C. State the client’s name out‬
‭loud and wait a client to repeat‬
‭should the‬
‭it. D. Check the room number‬
‭client receive?‬
‭and the client’s name on the‬
‭ . 0.75‬
A
‭bed.‬
‭B. 0.6‬
4‭ 3.The physician orders dextrose 5 % in water,‬
‭C. 0.5‬
‭1,000 ml to be infused over 8 hours. The I.V.‬
‭D. 0.25‬
‭tubing delivers 15 drops/ml. Nurse John should‬

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Exam (elaborations)

PNLE Test Bank Answered and Updated 2024.

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