RNPedia: PNLE Overall Test 1 General Exam Questions
With Complete Solutions
54. During a group therapy session, one of the clients ask a male
client with the diagnosis of antisocial personality disorder why
he is in the hospital. Considering this client's type of personality
disorder, the nurse might expect him to respond:
A. "I need a lot of help with my troubles"
B. "Society makes people react in old ways"
C. "I decided that it's time I own up to my problems"
D. "My life needs straightening out and this might help"
B. "Society makes people react in old ways".
The client is incapable of accepting responsibility for self-
created problems and blames society for the behavior.
55. A child visits the clinic for a 6-week checkup after a
tonsillectomy and adenoidectomy. In addition to assessing
hearing, the nurse should include an assessment of the child's:
A. Taste and smell
B. Taste and speech
C. Swallowing and smell
D. Swallowing and speech
A. Taste and smell.
Swelling can obstruct nasal breathing, interfering with the
senses of taste and smell.
,56. A client is diagnosed with cancer of the jaw. A course of
radiation therapy is to be followed by surgery. The client is
concerned about the side effects related to the radiation
treaments. Nurse Ria should explain that the major side effects
that will experienced is:
A. Fatigue
B. Alopecia
C. Vomiting
D. Leucopenia
A. Fatigue.
Fatigue is a major problem caused by an increase in waste
products because of catabolic processes.
57. Nurse Katrina prepares an older-adult client for sleep,
actions are taken to help reduce the likelihood of a fall during
the night. Targeting the most frequent cause of falls, the nurse
should:
A. Offer the client assistance to the bathroom
B. Move the bedside table closer to the client's bed
C. Encourage the client to take an available sedative
D. Assist the client to telephone the spouse to say "goodnight"
A. Offer the client assistance to the bathroom.
Statistics indicate that the most frequent cause of falls by
hospitalized clients is getting up or attempting to get up to the
bathroom unassisted.
,58. When evaluating a growth and development of a 6 month
old infant, nurse Patty would expect the infant to be able to:
A. Sit alone, display pincer grasp, wave bye-bye
B. Pull self to a standing position, release a toy by choice, play
peek-a-boo
C. Crawl, transfer toy from one hand to the other, display of fear
of strangers
D. Turn completely over, sit momentarily without support, reach
to be picked up
D. Turn completely over, sit momentarily without support, reach
to be picked up.
These abilities are age-appropriate for the 6 month old child.
59. A breastfeeding mother asks the nurse what she can do to
ease the discomfort caused by a cracked nipple. Nurse Tina
should instruct the client to:
A. Manually express milk and feed it to the baby in a bottle
B. Stop breastfeeding for two days to allow the nipple to heal
C. Use a breast shield to keep the baby from direct contact with
the nipple
D. Feed the baby on the unaffected breast first until the affected
breast heals
D. Feed the baby on the unaffected breast first until the affected
breast heals.
The most vigorous sucking will occur during the first few
, minutes of breastfeeding when the infant would be on the
unaffected breast; later suckling is less traumatic.
60. Nurse Sandy observes that there is blood coming from the
client's ear after head injury. Nurse Sandy should:
A. Turn the client to the unaffected side
B. Cleanse the client's ear with sterile gauze
C. Test the drainage from the client's ear with Dextrostix
D. Place sterile cotton loosely in the external ear of the client
D. Place sterile cotton loosely in the external ear of the client.
This would absorb the drainage without causing further trauma.
61. Nurse Gio plans a long term care for parents of children with
sickle-cell anemia, which includes periodic group conferences.
Some of the discussions should be directed towards:
A. Finding special school facilities for the child
B. Making plans for moving to a more therapeutic climate
C. Choosing a means of birth control to avoid future pregnancies
D. Airing their feelings regarding the transmission of the disease
to the child
D. Airing their feelings regarding the transmission of the disease
to the child.
Discussion with parents who have children with similar
problems helps to reduce some of their discomfort and guilt.
62. The central problem the nurse might face with a disturbed
schizophrenic client is the client's:
With Complete Solutions
54. During a group therapy session, one of the clients ask a male
client with the diagnosis of antisocial personality disorder why
he is in the hospital. Considering this client's type of personality
disorder, the nurse might expect him to respond:
A. "I need a lot of help with my troubles"
B. "Society makes people react in old ways"
C. "I decided that it's time I own up to my problems"
D. "My life needs straightening out and this might help"
B. "Society makes people react in old ways".
The client is incapable of accepting responsibility for self-
created problems and blames society for the behavior.
55. A child visits the clinic for a 6-week checkup after a
tonsillectomy and adenoidectomy. In addition to assessing
hearing, the nurse should include an assessment of the child's:
A. Taste and smell
B. Taste and speech
C. Swallowing and smell
D. Swallowing and speech
A. Taste and smell.
Swelling can obstruct nasal breathing, interfering with the
senses of taste and smell.
,56. A client is diagnosed with cancer of the jaw. A course of
radiation therapy is to be followed by surgery. The client is
concerned about the side effects related to the radiation
treaments. Nurse Ria should explain that the major side effects
that will experienced is:
A. Fatigue
B. Alopecia
C. Vomiting
D. Leucopenia
A. Fatigue.
Fatigue is a major problem caused by an increase in waste
products because of catabolic processes.
57. Nurse Katrina prepares an older-adult client for sleep,
actions are taken to help reduce the likelihood of a fall during
the night. Targeting the most frequent cause of falls, the nurse
should:
A. Offer the client assistance to the bathroom
B. Move the bedside table closer to the client's bed
C. Encourage the client to take an available sedative
D. Assist the client to telephone the spouse to say "goodnight"
A. Offer the client assistance to the bathroom.
Statistics indicate that the most frequent cause of falls by
hospitalized clients is getting up or attempting to get up to the
bathroom unassisted.
,58. When evaluating a growth and development of a 6 month
old infant, nurse Patty would expect the infant to be able to:
A. Sit alone, display pincer grasp, wave bye-bye
B. Pull self to a standing position, release a toy by choice, play
peek-a-boo
C. Crawl, transfer toy from one hand to the other, display of fear
of strangers
D. Turn completely over, sit momentarily without support, reach
to be picked up
D. Turn completely over, sit momentarily without support, reach
to be picked up.
These abilities are age-appropriate for the 6 month old child.
59. A breastfeeding mother asks the nurse what she can do to
ease the discomfort caused by a cracked nipple. Nurse Tina
should instruct the client to:
A. Manually express milk and feed it to the baby in a bottle
B. Stop breastfeeding for two days to allow the nipple to heal
C. Use a breast shield to keep the baby from direct contact with
the nipple
D. Feed the baby on the unaffected breast first until the affected
breast heals
D. Feed the baby on the unaffected breast first until the affected
breast heals.
The most vigorous sucking will occur during the first few
, minutes of breastfeeding when the infant would be on the
unaffected breast; later suckling is less traumatic.
60. Nurse Sandy observes that there is blood coming from the
client's ear after head injury. Nurse Sandy should:
A. Turn the client to the unaffected side
B. Cleanse the client's ear with sterile gauze
C. Test the drainage from the client's ear with Dextrostix
D. Place sterile cotton loosely in the external ear of the client
D. Place sterile cotton loosely in the external ear of the client.
This would absorb the drainage without causing further trauma.
61. Nurse Gio plans a long term care for parents of children with
sickle-cell anemia, which includes periodic group conferences.
Some of the discussions should be directed towards:
A. Finding special school facilities for the child
B. Making plans for moving to a more therapeutic climate
C. Choosing a means of birth control to avoid future pregnancies
D. Airing their feelings regarding the transmission of the disease
to the child
D. Airing their feelings regarding the transmission of the disease
to the child.
Discussion with parents who have children with similar
problems helps to reduce some of their discomfort and guilt.
62. The central problem the nurse might face with a disturbed
schizophrenic client is the client's:
