PNLE- NP3 Test 2 Practice Questions with
Complete Solutions 2026-2027 Updated.
1. The nurse is going to replace the Pleur-O-Vac attached to the client with a small, persistent
left upper lobe pneumothorax with a Heimlich Flutter Valve. Which of the following is the best
rationale for this?
A. Promote air and pleural drainage
B. Prevent kinking of the tube
C. Eliminate the need for a dressing
D. Eliminate the need for a water-seal drainage - Answer D.
The Heimlich flutter valve has a one-way valve that allows air and fluid to drain. Underwater
seal drainage is not necessary. This can be connected to a drainage bag for the patient's
mobility. The absence of a long drainage tubing and the presence of a one-way valve promote
effective therapy
2. The client with acute pancreatitis and fluid volume deficit is transferred from the ward to the
ICU. Which of the following will alert the nurse?
A. Decreased pain in the fetal position
B. Urine output of 35mL/hr
C. CVP of 12 mmHg
D. Cardiac output of 5L/min - Answer C.
C = the normal CVP is 0-8 mmHg. This value reflects hypervolemia. The right ventricular function
of this client reflects fluid volume overload, and the physician should be notified.
3. The nurse in the morning shift is making rounds in the ward. The nurse enters the client's
room and finds the client in a discomfort condition. The client complains of stiffness in the
joints. To reduce the early morning stiffness of the joints of the client, the nurse can encourage
the client to:
A. Sleep with a hot pad
B. Take to aspirins before arising, and wait 15 minutes before attempting locomotion
C. Take a hot tub bath or shower in the morning
D. Put joints through passive ROM before trying to move them actively - Answer C.
A hot tub bath or shower in the morning helps many patients limber up and reduces the
symptoms of early morning stiffness. Cold and ice packs are used to a lesser degree, though
some clients state that cold decreases localized pain, particularly during acute attacks.
, 4. The nurse is planning of care to a client with peptic ulcer disease. To avoid the worsening
condition of the client, the nurse should carefully plan the diet of the client. Which of the
following will be included in the diet regime of the client?
A. Eating mainly bland food and milk or dairy products
B. Reducing intake of high-fiber foods
C. Eating small, frequent meals and a bedtime snack
D. Eliminating intake of alcohol and coffee - Answer D.
These substances stimulate the production of hydrochloric acid, which is detrimental in peptic
ulcer disease.
5. The physician has given instruction to the nurse that the client can be ambulated on crutches,
with no weight bearing on the affected limb. The nurse is aware that the appropriate crutch gait
for the nurse to teach the client would be:
A. Tripod gait
B. Two-point gait
C. Four-point gait
D. Three-point gait - Answer D.
The three-point gait is appropriate when weight bearing is not allowed on the affected limb. The
swing-to and swing-through crutch gaits may also be used when only one leg can be used for
weight bearing
6. The client is transferred to the nursing care unit from the operating room after a transurethral
resection of the prostate. The client is complaining of pain in the abdomen area. The nurse
suspects of bladder spasms, which of the following is the best nursing action to minimize the
pain felt by the client?
A. Advising the client not to urinate around catheter
B. Intermittent catheter irrigation with saline
C. Giving prescribed narcotics every 4 hour
D. Repositioning catheter to relieve pressure - Answer D.
The three-point gait is appropriate when weight bearing is not allowed on the affected limb. The
swing-to and swing-through crutch gaits may also be used when only one leg can be used for
weight bearing
7. A client is diagnosed with peptic ulcer. The nurse caring for the client expects the physician to
order which diet?
Complete Solutions 2026-2027 Updated.
1. The nurse is going to replace the Pleur-O-Vac attached to the client with a small, persistent
left upper lobe pneumothorax with a Heimlich Flutter Valve. Which of the following is the best
rationale for this?
A. Promote air and pleural drainage
B. Prevent kinking of the tube
C. Eliminate the need for a dressing
D. Eliminate the need for a water-seal drainage - Answer D.
The Heimlich flutter valve has a one-way valve that allows air and fluid to drain. Underwater
seal drainage is not necessary. This can be connected to a drainage bag for the patient's
mobility. The absence of a long drainage tubing and the presence of a one-way valve promote
effective therapy
2. The client with acute pancreatitis and fluid volume deficit is transferred from the ward to the
ICU. Which of the following will alert the nurse?
A. Decreased pain in the fetal position
B. Urine output of 35mL/hr
C. CVP of 12 mmHg
D. Cardiac output of 5L/min - Answer C.
C = the normal CVP is 0-8 mmHg. This value reflects hypervolemia. The right ventricular function
of this client reflects fluid volume overload, and the physician should be notified.
3. The nurse in the morning shift is making rounds in the ward. The nurse enters the client's
room and finds the client in a discomfort condition. The client complains of stiffness in the
joints. To reduce the early morning stiffness of the joints of the client, the nurse can encourage
the client to:
A. Sleep with a hot pad
B. Take to aspirins before arising, and wait 15 minutes before attempting locomotion
C. Take a hot tub bath or shower in the morning
D. Put joints through passive ROM before trying to move them actively - Answer C.
A hot tub bath or shower in the morning helps many patients limber up and reduces the
symptoms of early morning stiffness. Cold and ice packs are used to a lesser degree, though
some clients state that cold decreases localized pain, particularly during acute attacks.
, 4. The nurse is planning of care to a client with peptic ulcer disease. To avoid the worsening
condition of the client, the nurse should carefully plan the diet of the client. Which of the
following will be included in the diet regime of the client?
A. Eating mainly bland food and milk or dairy products
B. Reducing intake of high-fiber foods
C. Eating small, frequent meals and a bedtime snack
D. Eliminating intake of alcohol and coffee - Answer D.
These substances stimulate the production of hydrochloric acid, which is detrimental in peptic
ulcer disease.
5. The physician has given instruction to the nurse that the client can be ambulated on crutches,
with no weight bearing on the affected limb. The nurse is aware that the appropriate crutch gait
for the nurse to teach the client would be:
A. Tripod gait
B. Two-point gait
C. Four-point gait
D. Three-point gait - Answer D.
The three-point gait is appropriate when weight bearing is not allowed on the affected limb. The
swing-to and swing-through crutch gaits may also be used when only one leg can be used for
weight bearing
6. The client is transferred to the nursing care unit from the operating room after a transurethral
resection of the prostate. The client is complaining of pain in the abdomen area. The nurse
suspects of bladder spasms, which of the following is the best nursing action to minimize the
pain felt by the client?
A. Advising the client not to urinate around catheter
B. Intermittent catheter irrigation with saline
C. Giving prescribed narcotics every 4 hour
D. Repositioning catheter to relieve pressure - Answer D.
The three-point gait is appropriate when weight bearing is not allowed on the affected limb. The
swing-to and swing-through crutch gaits may also be used when only one leg can be used for
weight bearing
7. A client is diagnosed with peptic ulcer. The nurse caring for the client expects the physician to
order which diet?
