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Nursing Licensure Examination (NLE) Practice Exam | Correct Verified Answers Updated 2026 | Nursing Board Review Questions

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Nursing Licensure Examination (NLE) Practice Exam | Correct Verified Answers Updated 2026 | Nursing Board Review Questions

Institution
NLE P
Course
NLE P

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1. A pregnant woman who is at term is admitted to the 6. Which of the following is the most frequent cause of
birthing unit in active labor. The client has only progressed noncompliance to the medical treatment of open-angle
from 2cm to 3 cm in 8 hours. She is diagnosed with glaucoma?
hypotonic dystocia and the physician ordered Oxytocin
(Pitocin) to augment her contractions. Which of the following A. The frequent nausea and vomiting accompanying use of
is the most important aspect of nursing intervention at this miotic drug.
time? B. Loss of mobility due to severe driving restrictions.
C. Decreased light and near-vision accommodation due to
A. Timing and recording length of contractions. miotic effects of pilocarpine.
B. Monitoring. D. The painful and insidious progression of this type of
C. Preparing for an emergency cesarean birth. glaucoma.
D. Checking the perineum for bulging.
7. In the morning shift, the nurse is making rounds in the
2. A client who hallucinates is not in touch with reality. It is nursing care units. The nurse enters in a client’s room and
important for the nurse to: notes that the client’s tube has become disconnected from
the Pleurovac. What would be the initial nursing action?
A. Isolate the client from other patients.
B. Maintain a safe environment. A. Apply pressure directly over the incision site.
C. Orient the client to time, place, and person. B. Clamp the chest tube near the incision site.
D. Establish a trusting relationship. C. Clamp the chest tube closer to the drainage system.
D. Reconnect the chest tube to the Pleurovac.
3. The nurse is caring to a child client who has had a
tonsillectomy. The child complains of having dryness of the 8. Which of the following complications during a breech birth
throat. Which of the following would the nurse give to the the nurse needs to be alarmed?
child?
A. Abruption placenta.
A. Cola with ice B. Caput succedaneum.
B. Yellow noncitrus Jello C. Pathological hyperbilirubinemia.
C. Cool cherry Kool-Aid D. Umbilical cord prolapse.
D. A glass of milk
9. The nurse is caring to a client diagnosed with severe
4. The physician ordered Phenylephrine (Neo-Synephrine) depression. Which of the following nursing approach is
nasal spray to a 13-year-old client. The nurse caring to the important in depression?
client provides instructions that the nasal spray must be used
exactly as directed to prevent the development of: A. Protect the client against harm to others.
B. Provide the client with motor outlets for aggressive, hostile
A. Increased nasal congestion. feelings.
B. Nasal polyps. C. Reduce interpersonal contacts.
C. Bleeding tendencies. D. Deemphasizing preoccupation with elimination,
D. Tinnitus and diplopia. nourishment, and sleep.


5. A client with tuberculosis is to be admitted in the hospital. 10. A 3-month-old client is in the pediatric unit. During
The nurse who will be assigned to care for the client must assessment, the nurse is suspecting that the baby may have
institute appropriate precautions. The nurse should: hypothyroidism when mother states that her baby does not:


A. Place the client in a private room. A. Sit up.
B. Wear an N 95 respirator when caring for the client. B. Pick up and hold a rattle.
C. Put on a gown every time when entering the room. C. Roll over.
D. Don a surgical mask with a face shield when entering the D. Hold the head up.
room.
11. The physician calls the nursing unit to leave an order.
The senior nurse had conversation with the other staff. The

,newly hired nurse answers the phone so that the senior 15. The nurse is assigned to care for a child client admitted
nurses may continue their conversation. The new nurse does in the pediatrics unit. The client is receiving digoxin. Which of
not knowthe physician or the client to whom the order the following questions will be asked by the nurse to the
pertains. The nurse should: parents of the child in order to assess the client’s risk for
digoxin toxicity?
A. Ask the physician to call back after the nurse has read the
hospital policy manual. A. “Has he been exposed to any childhood communicable
B. Take the telephone order. diseases in the past 2-3 weeks?”
C. Refuse to take the telephone order. B. “Has he been taking diuretics at home?”
D. Ask the charge nurse or one of the other senior staff C. “Do any of his brothers and sisters have history of cardiac
nurses to take the telephone order. problems?”
D. “Has he been going to school regularly?”
12. The staff nurse on the labor and delivery unit is assigned
to care to a primigravida in transition complicated by 16. The nurse noticed that the signed consent form has an
hypertension. A new pregnant woman in active labor is error. The form states, “Amputation of the right leg” instead of
admitted in the same unit. The nurse manager assigned the the left leg that is to be amputated. The nurse has
same nurse to the second client. The nurse feels that the administered already the preoperative medications. What
client with hypertension requires one-to-one care. What should the nurse do?
would be the initial actionof the nurse?
A. Call the physician to reschedule the surgery.
A. Accept the new assignment and complete an incident B. Call the nearest relative to come in to sign a new form.
report describing a shortage of nursing staff. C. Cross out the error and initial the form.
B. Report the incident to the nursing supervisor and request D. Have the client sign another form.
to be floated.
C. Report the nursing assessment of the client in transitional 17. The nurse in the nursing care unit checks the fluctuation
labor to the nurse manager and discuss misgivings about the in the water-seal compartment of a closed chest drainage
new assignment. system. The fluctuation has stopped, the nurse would:
D. Accept the new assignment and provide the best care.
A. Vigorously strip the tube to dislodge a clot.
13. A newborn infant with Down syndrome is to be B. Raise the apparatus above the chest to move fluid.
discharged today. The nurse is preparing to give the C. Increase wall suction above 20 cm H2O pressure.
discharge teaching regarding the proper care at home. The D. Ask the client to cough and take a deep breath.
nurse would anticipate that the mother is probably at the:
18. The pediatric nurse in the neonatal unit was informed
A. 40 years of age. that the baby that is brought to the mother in the hospital
B. 20 years of age. room is wrong. The nurse determines that two babies were
C. 35 years of age. placed in the wrong cribs. The most appropriate nursing
D. 20 years of age. action would be to:


14. The emergency department has shortage of staff. The A. Determine who is responsible for the mistake and
nurse manager informs the staff nurse in the critical care unit terminate his or her employment.
that she has to float to the emergency department. What B. Record the event in an incident/variance report and notify
should the staff nurse expect under these conditions? the nursing supervisor.
C. Reassure both mothers, report to the charge nurse, and
A. The float staff nurse will be informed of the situation do not record.
before the shift begins. D. Record detailed notes of the event on the mother’s
B. The staff nurse will be able to negotiate the assignments medical record.
in the emergency department.
C. Cross training will be available for the staff nurse. 19. Before the administration of digoxin, the nurse completes
D. Client assignments will be equally divided among the an assessment to a toddler client for signs and symptoms of
nurses. digoxin toxicity. Which of the following is the earliest and
most significant sign of digoxin toxicity?

,A. Tinnitus 24. The nurse is providing an orientation regarding case
B. Nausea and vomiting management to the nursing students. Which characteristics
C. Vision problem should the nurse include in the discussion in understanding
D. Slowing in the heart rate case management?


20. Which of the following treatment modality is appropriate A. Main objective is a written plan that combines discipline-
for a client with paranoid tendency? specific processes used to measure outcomes of care.
B. Main purpose is to identify expected client, family and staff
A. Activity therapy. performance against the timeline for clients with the same
B. Individual therapy. diagnosis.
C. Group therapy. C. Main focus is comprehensive coordination of client care,
D. Family therapy. avoid unnecessary duplication of services, improve resource
utilization and decrease cost.
21. The client with rheumatoid arthritis is for discharge. In D. Primary goal is to understand why predicted outcomes
preparing the client for discharge on prednisone therapy, the have not been met and the correction of identified problems.
nurse should advise the client to:
25. The physician orders a dose of IV phenytoin to a child
A. Wear sunglasses if exposed to bright light for an extended client. In preparing in the administration of the drug, which
period of time. nursing action is not correct?
B. Take oral preparations of prednisone before meals.
C. Have periodic complete blood counts while on the A. Infuse the phenytoin into a smaller vein to prevent purple
medication. glove syndrome.
D. Never stop or change the amount of the medication B. Check the phenytoin solution to be sure it is clear or light
without medical advice. yellow in color, never cloudy.
C. Plan to give phenytoin over 30-60 minutes, using an in-
22. A pregnant client tells the nurse that she is worried about line filter.
having urinary frequency. What will be the most appropriate D. Flush the IV tubing with normal saline before starting
nursing response? phenytoin.


A. “Try using Kegel (perineal) exercises and limiting fluids 26. The pregnant woman visits the clinic for check –up.
before bedtime. If you have frequency associated with fever, Which assessment findings will help the nurse determine
pain on voiding, or blood in the urine, call your doctor/nurse- that the client is in 8-week gestation?
midwife.
B. “Placental progesterone causes irritability of the bladder A. Leopold maneuvers.
sphincter. Your symptoms will go away after the baby B. Fundal height.
comes.” C. Positive radioimmunoassay test (RIA test).
C. “Pregnant women urinate frequently to get rid of fetal D. Auscultation of fetal heart tones.
wastes. Limit fluids to 1L/daily.”
D. “Frequency is due to bladder irritation from concentrate 27. Which of the following nursing intervention is essential
urine and is normal in pregnancy. Increase your daily fluid for the client who had pneumonectomy?
intake to 3L.”
A. Medicate for pain only when needed.
23. Which of the following will help the nurse determine that B. Connect the chest tube to water-seal drainage.
the expression of hostility is useful? C. Notify the physician if the chest drainage exceeds
100mL/hr.
A. Expression of anger dissipates the energy. D. Encourage deep breathing and coughing.
B. Energy from anger is used to accomplish what needs to
be done. 28. The nurse is providing a health teaching to a group of
C. Expression intimidates others. parents regarding Chlamydia trachomatis. The nurse is
D. Degree of hostility is less than the provocation. correct in the statement, “Chlamydia trachomatis is not only
an intracellular bacterium that causes neonatal conjunctivitis,
but it also can cause:

, A. Discoloration of baby and adult teeth. house fire. While waiting for the ambulance, the nurse will
B. Pneumonia in the newborn. anticipate emergency care to include assessment for:
C. Snuffles and rhagades in the newborn.
D. Central hearing defects in infancy. A. Gas exchange impairment.
B. Hypoglycemia.
29. The nurse is assigned to care to a 17-year-old male C. Hyperthermia.
client with a history of substance abuse. The client asks the D. Fluid volume excess.
nurse, “Have you ever tried or used drugs?” The most
correct response of the nurse would be: 34. Most couples are using “natural” family planning
methods. Most accidental pregnancies in couples preferred
A. “Yes, once I tried grass.” to use this method have been related to unprotected
B. “No, I don’t think so.” intercourse before ovulation. Which of the following factor
C. “Why do you want to know that?” explains why pregnancy may be achieved by unprotected
D. “How will my answer help you?” intercourse during the preovulatory period?


30. Which of the following describes a health care team with A. Ovum viability.
the principles of participative leadership? B. Tubal motility.
C. Spermatozoal viability.
A. Each member of the team can independently make D. Secretory endometrium.
decisions regarding the client’s care without necessarily
consulting the other members. 35. An older adult client wakes up at 2 o’clock in the morning
B. The physician makes most of the decisions regarding the and comes to the nurse’s station saying, “I am having
client’s care. difficulty in sleeping.” What is the best nursing response to
C. The team uses the expertise of its members to influence the client?
the decisions regarding the client’s care.
D. Nurses decide nursing care; physicians decide medical A. “I’ll give you a sleeping pill to help you get more sleep
and other treatment for the client. now.”
B. “Perhaps you’d like to sit here at the nurse’s station for a
31. A nurse is giving a health teaching to a woman who while.”
wants to breastfeed her newborn baby. Which hormone, C. “Would you like me to show you where the bathroom is?”
normally secreted during the postpartum period, influences D. “What woke you up?”
both the milk ejection reflex and uterine involution?
36. The nurse is taking care of a multipara who is at 42
A. Oxytocin. weeks of gestation and in active labor, her membranes
B. Estrogen. ruptured spontaneously 2 hours ago. While auscultating for
C. Progesterone. the point of maximum intensity of fetal heart tones before
D. Relaxin. applying an external fetal monitor, the nurse counts 100
beats per minute. The immediate nursing action is to:
32. One staff nurse is assigned to a group of 5 patients for
the 12-hour shift. The nurse is responsible for the overall A. Start oxygen by mask to reduce fetal distress.
planning, giving and evaluating care during the entire shift. B. Examine the woman for signs of a prolapsed cord.
After the shift, same responsibility will be endorsed to the C. Turn the woman on her left side to increase placental
next nurse in charge. This describes nursing care delivered perfusion.
via the: D. Take the woman’s radial pulse while still auscultating the
FHR.
A. Primary nursing method.
B. Case method. 37. The nurse must instruct a client with glaucoma to avoid
C. Functional method. taking over-the-counter medications like:
D. Team method.
A. Antihistamines.
33. The ambulance team calls the emergency department B. NSAIDs.
that they are going to bring a client who sustained burns in a

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Institution
NLE P
Course
NLE P

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Number of pages
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Written in
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Type
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