RNPedia PNLE Overall Test 1 Questions
With Correct Answers
1. A 10 year old who has sustained a head injury is brought to the
| | | | | | | | | | | | | | |
emergency department by his mother. A diagnosis of a mild concussion
| | | | | | | | | | |
is made. At the time of discharge, nurse Ron should instruct the mother
| | | | | | | | | | | | |
to:
A. Withhold food and fluids for 24 hours.
| | | | | | |
B. Allow him to play outdoors with his friends.
| | | | | | | |
C. Arrange for a follow up visit with the child's primary care provider in
| | | | | | | | | | | | | |
one week.|
D. Check for any change in responsiveness every two hours until the
| | | | | | | | | | | |
follow-up visit. - CORRECT ANSWER✔✔-C. Check for any change in
| | | | | | | | | |
responsiveness every two hours until the follow-up visit. | | | | | | | |
Signs of an epidural hematoma in children usually do not appear for 24
| | | | | | | | | | | | |
hours or more hours; a follow-up visit usually is arranged for one to two
| | | | | | | | | | | | | |
days after the injury.
| | |
2. A male client has suffered a motor accident and is now suffering from
| | | | | | | | | | | | | |
hypovolemic shock. Nurse Helen should frequency assess the client's
| | | | | | | | |
vital signs during the compensatory stage of shock, because:
| | | | | | | |
,A. Arteriolar constriction occurs
| | |
B. The cardiac workload decreases
| | | |
C. Decreased contractility of the heart occurs
| | | | | |
D. The parasympathetic nervous system is triggered - CORRECT
| | | | | | | | |
ANSWER✔✔-A. Arteriolar constriction occurs. | | |
The early compensation of shock is cardiovascular and is seen in
| | | | | | | | | | |
changes in pulse, BP, and pulse pressure; blood is shunted to vital
| | | | | | | | | | | |
centers, particularly heart and brain.
| | | |
3. A paranoid male client with schizophrenia is losing weight, reluctant
| | | | | | | | | | |
to eat, and voicing concerns about being poisoned. The best
| | | | | | | | | |
intervention by nurse Dina would be to: | | | | | |
A. Allow the client to open canned or pre-packaged food
| | | | | | | | |
B. Restrict the client to his room until 2 lbs are gained
| | | | | | | | | | |
C. Have a staff member personally taste all of the client's food
| | | | | | | | | | |
D. Tell the client the food has been x-rayed by the staff and is safe -
| | | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-A. | |
Allow the client to open canned or pre-packaged food. The client's
| | | | | | | | | | |
comfort, safety, and nutritional status are the priorities; the client may
| | | | | | | | | | |
feel comfortable to eat if the food has been sealed before reaching the
| | | | | | | | | | | | |
mental health facility.
| |
,4. One day the mother of a young adult confides to nurse Frida that she
| | | | | | | | | | | | | | |
is very troubled by the child's emotional illness. The nurse's most
| | | | | | | | | | |
therapeutic initial response would be: | | | |
A. "You may be able to lessen your feelings of guilt by seeking
| | | | | | | | | | | | |
counseling"
B. "It would be helpful if you become involved in volunteer work at this
| | | | | | | | | | | | | |
time"
C. "I recognize it's hard to deal with this, but try to remember that this
| | | | | | | | | | | | | | |
too shall pass" | |
D. "Joining a support group of parents who are coping with this problem
| | | | | | | | | | | |
can be quite helpful" - CORRECT ANSWER✔✔-D. "Joining a support
| | | | | | | | | | |
group of parents who are coping with this problem can be quite helpful"
| | | | | | | | | | | |
Taking with others in similar circumstances provides support and allows
| | | | | | | | | |
for sharing of experiences.
| | |
5. To check for wound hemorrhage after a client has had a surgery for
| | | | | | | | | | | | | |
the removal of a tumor in the neck, nurse grace should:
| | | | | | | | | |
A. Loosen an edge of the dressing and lift it to see the wound
| | | | | | | | | | | | |
B. Observe the dressing at the back of the neck for the presence of
| | | | | | | | | | | | | |
blood
C. Outline the blood as it appears on the dressing to observe any
| | | | | | | | | | | | |
progression
, D. Press gently around the incision to express accumulated blood from
| | | | | | | | | | |
the wound - CORRECT ANSWER✔✔-B. Observe the dressing at the back
| | | | | | | | | | |
of the neck for the presence of blood.
| | | | | | | |
Drainage flows by gravity. | | |
6. A 16-year-old primigravida arrives at the labor and birthing unit in her
| | | | | | | | | | | |
38th week of gestation and states that she is labor. To verify that the
| | | | | | | | | | | | | | |
client is in true labor nurse Trina should:
| | | | | | |
A. Obtain sides for a fern test
| | | | | |
B. Time any uterine contractions
| | | |
C. Prepare her for a pelvic examination
| | | | | |
D. Apply nitrazine paper to moist vaginal tissue - CORRECT ANSWER✔✔-
| | | | | | | | | |
C. Prepare her for a pelvic examination.
| | | | | | |
Pelvic examination would reveal dilation and effacement
| | | | | |
7. As part of the diagnostic workup for pulmonic stenosis, a child has
| | | | | | | | | | | | |
cardiac catheterization. Nurse Julius is aware that children with
| | | | | | | | |
pulmonic stenosis have increased pressure: | | | |
A. In the pulmonary vein
| | | |
B. In the pulmonary artery
| | | |
C. On the left side of the heart
| | | | | | |
With Correct Answers
1. A 10 year old who has sustained a head injury is brought to the
| | | | | | | | | | | | | | |
emergency department by his mother. A diagnosis of a mild concussion
| | | | | | | | | | |
is made. At the time of discharge, nurse Ron should instruct the mother
| | | | | | | | | | | | |
to:
A. Withhold food and fluids for 24 hours.
| | | | | | |
B. Allow him to play outdoors with his friends.
| | | | | | | |
C. Arrange for a follow up visit with the child's primary care provider in
| | | | | | | | | | | | | |
one week.|
D. Check for any change in responsiveness every two hours until the
| | | | | | | | | | | |
follow-up visit. - CORRECT ANSWER✔✔-C. Check for any change in
| | | | | | | | | |
responsiveness every two hours until the follow-up visit. | | | | | | | |
Signs of an epidural hematoma in children usually do not appear for 24
| | | | | | | | | | | | |
hours or more hours; a follow-up visit usually is arranged for one to two
| | | | | | | | | | | | | |
days after the injury.
| | |
2. A male client has suffered a motor accident and is now suffering from
| | | | | | | | | | | | | |
hypovolemic shock. Nurse Helen should frequency assess the client's
| | | | | | | | |
vital signs during the compensatory stage of shock, because:
| | | | | | | |
,A. Arteriolar constriction occurs
| | |
B. The cardiac workload decreases
| | | |
C. Decreased contractility of the heart occurs
| | | | | |
D. The parasympathetic nervous system is triggered - CORRECT
| | | | | | | | |
ANSWER✔✔-A. Arteriolar constriction occurs. | | |
The early compensation of shock is cardiovascular and is seen in
| | | | | | | | | | |
changes in pulse, BP, and pulse pressure; blood is shunted to vital
| | | | | | | | | | | |
centers, particularly heart and brain.
| | | |
3. A paranoid male client with schizophrenia is losing weight, reluctant
| | | | | | | | | | |
to eat, and voicing concerns about being poisoned. The best
| | | | | | | | | |
intervention by nurse Dina would be to: | | | | | |
A. Allow the client to open canned or pre-packaged food
| | | | | | | | |
B. Restrict the client to his room until 2 lbs are gained
| | | | | | | | | | |
C. Have a staff member personally taste all of the client's food
| | | | | | | | | | |
D. Tell the client the food has been x-rayed by the staff and is safe -
| | | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-A. | |
Allow the client to open canned or pre-packaged food. The client's
| | | | | | | | | | |
comfort, safety, and nutritional status are the priorities; the client may
| | | | | | | | | | |
feel comfortable to eat if the food has been sealed before reaching the
| | | | | | | | | | | | |
mental health facility.
| |
,4. One day the mother of a young adult confides to nurse Frida that she
| | | | | | | | | | | | | | |
is very troubled by the child's emotional illness. The nurse's most
| | | | | | | | | | |
therapeutic initial response would be: | | | |
A. "You may be able to lessen your feelings of guilt by seeking
| | | | | | | | | | | | |
counseling"
B. "It would be helpful if you become involved in volunteer work at this
| | | | | | | | | | | | | |
time"
C. "I recognize it's hard to deal with this, but try to remember that this
| | | | | | | | | | | | | | |
too shall pass" | |
D. "Joining a support group of parents who are coping with this problem
| | | | | | | | | | | |
can be quite helpful" - CORRECT ANSWER✔✔-D. "Joining a support
| | | | | | | | | | |
group of parents who are coping with this problem can be quite helpful"
| | | | | | | | | | | |
Taking with others in similar circumstances provides support and allows
| | | | | | | | | |
for sharing of experiences.
| | |
5. To check for wound hemorrhage after a client has had a surgery for
| | | | | | | | | | | | | |
the removal of a tumor in the neck, nurse grace should:
| | | | | | | | | |
A. Loosen an edge of the dressing and lift it to see the wound
| | | | | | | | | | | | |
B. Observe the dressing at the back of the neck for the presence of
| | | | | | | | | | | | | |
blood
C. Outline the blood as it appears on the dressing to observe any
| | | | | | | | | | | | |
progression
, D. Press gently around the incision to express accumulated blood from
| | | | | | | | | | |
the wound - CORRECT ANSWER✔✔-B. Observe the dressing at the back
| | | | | | | | | | |
of the neck for the presence of blood.
| | | | | | | |
Drainage flows by gravity. | | |
6. A 16-year-old primigravida arrives at the labor and birthing unit in her
| | | | | | | | | | | |
38th week of gestation and states that she is labor. To verify that the
| | | | | | | | | | | | | | |
client is in true labor nurse Trina should:
| | | | | | |
A. Obtain sides for a fern test
| | | | | |
B. Time any uterine contractions
| | | |
C. Prepare her for a pelvic examination
| | | | | |
D. Apply nitrazine paper to moist vaginal tissue - CORRECT ANSWER✔✔-
| | | | | | | | | |
C. Prepare her for a pelvic examination.
| | | | | | |
Pelvic examination would reveal dilation and effacement
| | | | | |
7. As part of the diagnostic workup for pulmonic stenosis, a child has
| | | | | | | | | | | | |
cardiac catheterization. Nurse Julius is aware that children with
| | | | | | | | |
pulmonic stenosis have increased pressure: | | | |
A. In the pulmonary vein
| | | |
B. In the pulmonary artery
| | | |
C. On the left side of the heart
| | | | | | |
