PNLE NP3 Test 6 And 7 Practice
Questions with Guaranteed Pass
Solutions 2026-2027 Updated.
1. Lisa is newly diagnosed with asthma and is being discharged from the hospital after an
episode of status asthmaticus. Discharge teaching should include which of the following:
A. Limitations in sports that will be imposed by the illness
B. Specific instructions on staying calm during an attack
C. The relationship of symptoms and a specific trigger such as physical exercise
D. Incidence of status asthmaticus in children and teens - Answer C. The relationship of
symptoms and a specific trigger such as physical exercise.
COPD clients have low oxygen and high carbon dioxide levels. Therefore, hypoxia is the main
stimulus for ventilation is persons with chronic hypercapnea. Increasing the level of oxygen
would decrease the stimulus to breathe.
2. Which of the following symptoms is most characteristic of a client with a cancer of the lung?
A. Air hunger
B. Exertional dyspnea
C. Cough with night sweats
D. Persistent changing cough - Answer D. Persistent changing cough.
The most common sign of lung cancer is a persistent cough that changes. Other signs are
dyspnea, bloody sputum and long-term pulmonary infection. Option A is common with asthma,
option B is common with COPD and option C is common with TB.
3. The client has ST segment depression on his 12-lead ECG. The nurse determines that this
would indicate the following:
A. Necrosis
B. Injury
C. Ischemia
D. Nothing significant - Answer C. Ischemia.
Depressed ST segment and inverted T-waves represent myocardial ischemia. Injury has a ST
segment elevation.
,4. Red has just returned from the postanesthesia care unit (PACU) from a hemorrhidectomy. His
postoperative orders include sitz baths every morning. The nurse understands that sitz bath is
use for:
A. Promote healing
B. Relive tension
C. Lower body temperature
D. Cause swelling - Answer A. Promote healing.
Sitz bath provides moist heat to the perineal and anal area to clean, promote healing and
drainage and reduce soreness to the area. Sitz bath helps healing with cleaning action and
promotion of circulation, thereby reducing swelling. Sitz bath usually has no therapeutic value in
lowering body temperature. Although relief of tension can occur, this effect is secondary to the
promotion of healing.
5. Trousseau's sign is associated with which electrolyte imbalance?
A. Hyponatremia
B. Hypocalcemia
C. Hypernatremia
D. Hypercalcemia - Answer B. Hypocalcemia.
Trousseau's sign is a carpal pedal spasm elicited when a blood pressure cuff is inflated on the
arm of a patient with hypocalcemia.
6. A 36 year old female complains of headache and neck pain. The nurse's assessments reveal
painful flexion of the neck to the chest. The nurse understands that nuchal rigidity is associated
with:
A. Brain tumor
B. CVA
C. Meningitis
D. Subdural hematoma - Answer C. Meningitis.
A patient with meningitis will exhibit signs that include photophobia and nuchal rigidity, which is
pain on the flexion of the chin to chest.
7. The nurse teaching the client about behavioral changes, which can affect development of
atherosclerosis, should discuss which of the following as a non-modifiable risk factor for
atherosclerosis?
A. Cigarette smoking
, B. Hyperlipidemia
C. Female over 55 years of age
D. Sedentary lifestyle - Answer C. Female over 55 years of age.
Lifestyle, cigarette smoking, and hyperlipidemia can be changed by changing behaviors.
8. A 76 year old man enters the ER with complaints of back pain and feeling fatigued. Upon
examination, his blood pressure is 190/100, pulse is 118, and hematocrit and hemoglobin are
both low. The nurse palpates the abdomen which is soft, non-tender and auscultates an
abdominal pulse. The most likely diagnosis is:
A. Buerger's disease
B. CHF
C. Secondary hypertension
D. Aneurysm - Answer D. Aneurysm.
The symptoms exhibited by the client are typical of an abdominal aortic aneurysm. The most
significant sign is the audible pulse in the abdominal area. If hemorrhage were present, the
abdomen would be tender and firm.
9. Nurse Fiona is caring a patient with Raynaud's disease. Which of the following outcomes
concerning medication regimen is of highest priority?
A. Controlling the pain once vasospasm occur
B. Relaxing smooth muscle to avoid vasospasms
C. Preventing major disabilities that may occur
D. Avoiding lesions on the feet - Answer B. Relaxing smooth muscle to avoid vasospasms.
The major task of the health care team is to medicate the client drugs that produce smooth
muscle relaxation, which will decrease the vasospasm and increase the arterial flow to the
affected part. The drugs used are calcium antagonists.
10. Mr. Roberto Robles complains of a severe headache and is extremely anxious. The nurse
checks his vital signs and finds him to have a heart rate of 57 bpm and a blood pressure of
230/110 mmHg. The nurse should also assess for?
A. Presence of bowel sounds
B. Presence of Babinski reflex
C. Fecal incontinence
D. Urinary catheter patency - Answer D. Urinary catheter patency.
Questions with Guaranteed Pass
Solutions 2026-2027 Updated.
1. Lisa is newly diagnosed with asthma and is being discharged from the hospital after an
episode of status asthmaticus. Discharge teaching should include which of the following:
A. Limitations in sports that will be imposed by the illness
B. Specific instructions on staying calm during an attack
C. The relationship of symptoms and a specific trigger such as physical exercise
D. Incidence of status asthmaticus in children and teens - Answer C. The relationship of
symptoms and a specific trigger such as physical exercise.
COPD clients have low oxygen and high carbon dioxide levels. Therefore, hypoxia is the main
stimulus for ventilation is persons with chronic hypercapnea. Increasing the level of oxygen
would decrease the stimulus to breathe.
2. Which of the following symptoms is most characteristic of a client with a cancer of the lung?
A. Air hunger
B. Exertional dyspnea
C. Cough with night sweats
D. Persistent changing cough - Answer D. Persistent changing cough.
The most common sign of lung cancer is a persistent cough that changes. Other signs are
dyspnea, bloody sputum and long-term pulmonary infection. Option A is common with asthma,
option B is common with COPD and option C is common with TB.
3. The client has ST segment depression on his 12-lead ECG. The nurse determines that this
would indicate the following:
A. Necrosis
B. Injury
C. Ischemia
D. Nothing significant - Answer C. Ischemia.
Depressed ST segment and inverted T-waves represent myocardial ischemia. Injury has a ST
segment elevation.
,4. Red has just returned from the postanesthesia care unit (PACU) from a hemorrhidectomy. His
postoperative orders include sitz baths every morning. The nurse understands that sitz bath is
use for:
A. Promote healing
B. Relive tension
C. Lower body temperature
D. Cause swelling - Answer A. Promote healing.
Sitz bath provides moist heat to the perineal and anal area to clean, promote healing and
drainage and reduce soreness to the area. Sitz bath helps healing with cleaning action and
promotion of circulation, thereby reducing swelling. Sitz bath usually has no therapeutic value in
lowering body temperature. Although relief of tension can occur, this effect is secondary to the
promotion of healing.
5. Trousseau's sign is associated with which electrolyte imbalance?
A. Hyponatremia
B. Hypocalcemia
C. Hypernatremia
D. Hypercalcemia - Answer B. Hypocalcemia.
Trousseau's sign is a carpal pedal spasm elicited when a blood pressure cuff is inflated on the
arm of a patient with hypocalcemia.
6. A 36 year old female complains of headache and neck pain. The nurse's assessments reveal
painful flexion of the neck to the chest. The nurse understands that nuchal rigidity is associated
with:
A. Brain tumor
B. CVA
C. Meningitis
D. Subdural hematoma - Answer C. Meningitis.
A patient with meningitis will exhibit signs that include photophobia and nuchal rigidity, which is
pain on the flexion of the chin to chest.
7. The nurse teaching the client about behavioral changes, which can affect development of
atherosclerosis, should discuss which of the following as a non-modifiable risk factor for
atherosclerosis?
A. Cigarette smoking
, B. Hyperlipidemia
C. Female over 55 years of age
D. Sedentary lifestyle - Answer C. Female over 55 years of age.
Lifestyle, cigarette smoking, and hyperlipidemia can be changed by changing behaviors.
8. A 76 year old man enters the ER with complaints of back pain and feeling fatigued. Upon
examination, his blood pressure is 190/100, pulse is 118, and hematocrit and hemoglobin are
both low. The nurse palpates the abdomen which is soft, non-tender and auscultates an
abdominal pulse. The most likely diagnosis is:
A. Buerger's disease
B. CHF
C. Secondary hypertension
D. Aneurysm - Answer D. Aneurysm.
The symptoms exhibited by the client are typical of an abdominal aortic aneurysm. The most
significant sign is the audible pulse in the abdominal area. If hemorrhage were present, the
abdomen would be tender and firm.
9. Nurse Fiona is caring a patient with Raynaud's disease. Which of the following outcomes
concerning medication regimen is of highest priority?
A. Controlling the pain once vasospasm occur
B. Relaxing smooth muscle to avoid vasospasms
C. Preventing major disabilities that may occur
D. Avoiding lesions on the feet - Answer B. Relaxing smooth muscle to avoid vasospasms.
The major task of the health care team is to medicate the client drugs that produce smooth
muscle relaxation, which will decrease the vasospasm and increase the arterial flow to the
affected part. The drugs used are calcium antagonists.
10. Mr. Roberto Robles complains of a severe headache and is extremely anxious. The nurse
checks his vital signs and finds him to have a heart rate of 57 bpm and a blood pressure of
230/110 mmHg. The nurse should also assess for?
A. Presence of bowel sounds
B. Presence of Babinski reflex
C. Fecal incontinence
D. Urinary catheter patency - Answer D. Urinary catheter patency.
