PNLE: NP4 Practice Test 1 Questions
with Detailed Answers 2026-2027
Updated.
NURSING PRATICE IV
Situation - Nurse Stephanie just finished emergency and disaster training for one month in the
Disaster and Risk Reduction Management conducted by the Department of Health.
1. To Nurse Stephanie's knowledge, the key difference between emergencies and disaster is
that:
A. Emergencies can typically be handled by avoidable emergency services.
B. Disaster results from man-made error.
C. Disasters typically involve local emergency services and no other agencies.
D. Emergencies are controlled. - Answer A. Emergencies can typically be handled by avoidable
emergency services.
2. Stephanie understands that emergency is any actual threat to public safety or public health.
Which of the following is NOT applicable?
A. "Hostage crisis. In Jolo Sulu last December 2018
B. "I cannot find my mobile phone".
C. "My son has not come home from school".
D. "A plane is about to crash". - Answer B. "I cannot find my mobile phone".
3. During an earthquake, the impact is greatest at areas close to the epicenter. Injuries arise
primarily from falling objects and collapsing buildings. Direct impact on health includes high
mortality from severe crash injuries. Stephanie arrives at the scene as the first responder. Which
action is MOST appropriate to assure safety?
A. Clear the walking wounded using verbal instructions. "If you can walk, move over there"
B. Give priority to dying victims.
C. Tag patients
D. Stop at each victim and quickly assess their respiration. - Answer A. Clear the walking
wounded using verbal instructions. "If you can walk, move over there"
4. Cardiopulmonary resuscitation maybe given to the victims. How many Seconds will Stephanie
consider for perfusion to be present?
A. Ten seconds
B. One second
C. Five seconds
,D. Two seconds - Answer A. Ten seconds
5. A group of passengers enters the emergency room with complaints of cough, tightness in the
throat, and extreme periorbital swelling. There is a strong odor that exudes from their clothes.
They report exposure to "bomb that was placed in the bus terminal. What is the PRIORITY
action of the ER nurse?
A. Direct clients to the clean zone for immediate treatment.
B. Assist clients in the decontamination area.
C. Readily transfer patients and visitors from the area.
D. Check vital signs and auscultate lung sounds. - Answer A. Direct clients to the clean zone for
immediate treatment.
Situation - Nurse Anne is part of the emergency team of hospital x. She collaborates with other
members of the health to Provide quality care to patients
6. Nurse Anne understands that collaborative interventions are therapies that require the
participation of health professionals. Which of the following personnel participates in
collaborative efforts? The
A. Physician and the nurses intervention
B. patient and the nurse's intervention
C. patient and the physicians intervention
D. multiple health care professionals - Answer D. multiple health care professionals
7. Nurse Anne understands that health care professionals have a role in collaboration.
Which of the following statements BEST Explains the role of the nurse in the plan of care for
patients? The nurse
A. collaborates with colleagues and the patient's Family to provide combined expertise in
planning care
B. works independently to plan and deliver care and should not depend on other staff members
for assistance
C. depends on the latest literature to complete and excellent plan of care for patients
D. consults the physician for direction in establishing goals for the patients - Answer A.
collaborates with colleagues and the patient's Family to provide combined expertise in planning
care
8. In one of her shifts, Nurse Anne admits a 35 year old female for head injury sustained in a car
accident. Nurse Anne notifies the neurosurgeon. The later assesses the condition of the patient
using the objective measurement of three essential components of a neurological examination.
Which of the following responses is Not an essential component?
A. Best non-verbal response
B. Best motor response
, C. Spontaneity of eye opening
D. Best verbal response - Answer A. Best non-verbal response
9. The neurosurgeon determines, that the patient has increasing intracranial pressure.
Which of the following interventions would be MOST appropriate for nurse Anne to perform?
She should
A. provide a quiet and brightly lit environment
B. elevate the head 15 to 30 degrees
C. Encourage the victim to drink clear fluids
D. teach controlled coughing and deep breathing - Answer B. elevate the head 15 to 30
degrees
10. The patient was assessed to have Glasgow coma Scale score of 3 . In order to protect the
airway, nurse Anne collaborates with the health care team to assist with which of the following?
A. Endotracheal intubation.
B. Assessment of bowel sounds.
C. Questioning the patient regarding difficulty of breathing.
D. Monitoring oxygen saturation. - Answer A. Endotracheal intubation.
Situation - Nurse Ditas cares for a male patient with HIV. She conducts a study on HIV.
11. Nurse Ditas wants to find out the lived experiences of a patient with HIV. This is an example
of phenomenology as a:
A. phenomenon theory
B. concept
C. Research design
D. philosophy - Answer C. Research design
12. A characteristic or phenomenological study in for the researcher to understand the lived
experience from the point of view of the
A. Subject
B. close family member
C. nurse
D. researcher - Answer A. Subject
13. A process in phenomenology where the researcher takes into account his/her own belissad
feelings identity which he/she expect to discover and deliberately puts these
A. recursive abstraction
with Detailed Answers 2026-2027
Updated.
NURSING PRATICE IV
Situation - Nurse Stephanie just finished emergency and disaster training for one month in the
Disaster and Risk Reduction Management conducted by the Department of Health.
1. To Nurse Stephanie's knowledge, the key difference between emergencies and disaster is
that:
A. Emergencies can typically be handled by avoidable emergency services.
B. Disaster results from man-made error.
C. Disasters typically involve local emergency services and no other agencies.
D. Emergencies are controlled. - Answer A. Emergencies can typically be handled by avoidable
emergency services.
2. Stephanie understands that emergency is any actual threat to public safety or public health.
Which of the following is NOT applicable?
A. "Hostage crisis. In Jolo Sulu last December 2018
B. "I cannot find my mobile phone".
C. "My son has not come home from school".
D. "A plane is about to crash". - Answer B. "I cannot find my mobile phone".
3. During an earthquake, the impact is greatest at areas close to the epicenter. Injuries arise
primarily from falling objects and collapsing buildings. Direct impact on health includes high
mortality from severe crash injuries. Stephanie arrives at the scene as the first responder. Which
action is MOST appropriate to assure safety?
A. Clear the walking wounded using verbal instructions. "If you can walk, move over there"
B. Give priority to dying victims.
C. Tag patients
D. Stop at each victim and quickly assess their respiration. - Answer A. Clear the walking
wounded using verbal instructions. "If you can walk, move over there"
4. Cardiopulmonary resuscitation maybe given to the victims. How many Seconds will Stephanie
consider for perfusion to be present?
A. Ten seconds
B. One second
C. Five seconds
,D. Two seconds - Answer A. Ten seconds
5. A group of passengers enters the emergency room with complaints of cough, tightness in the
throat, and extreme periorbital swelling. There is a strong odor that exudes from their clothes.
They report exposure to "bomb that was placed in the bus terminal. What is the PRIORITY
action of the ER nurse?
A. Direct clients to the clean zone for immediate treatment.
B. Assist clients in the decontamination area.
C. Readily transfer patients and visitors from the area.
D. Check vital signs and auscultate lung sounds. - Answer A. Direct clients to the clean zone for
immediate treatment.
Situation - Nurse Anne is part of the emergency team of hospital x. She collaborates with other
members of the health to Provide quality care to patients
6. Nurse Anne understands that collaborative interventions are therapies that require the
participation of health professionals. Which of the following personnel participates in
collaborative efforts? The
A. Physician and the nurses intervention
B. patient and the nurse's intervention
C. patient and the physicians intervention
D. multiple health care professionals - Answer D. multiple health care professionals
7. Nurse Anne understands that health care professionals have a role in collaboration.
Which of the following statements BEST Explains the role of the nurse in the plan of care for
patients? The nurse
A. collaborates with colleagues and the patient's Family to provide combined expertise in
planning care
B. works independently to plan and deliver care and should not depend on other staff members
for assistance
C. depends on the latest literature to complete and excellent plan of care for patients
D. consults the physician for direction in establishing goals for the patients - Answer A.
collaborates with colleagues and the patient's Family to provide combined expertise in planning
care
8. In one of her shifts, Nurse Anne admits a 35 year old female for head injury sustained in a car
accident. Nurse Anne notifies the neurosurgeon. The later assesses the condition of the patient
using the objective measurement of three essential components of a neurological examination.
Which of the following responses is Not an essential component?
A. Best non-verbal response
B. Best motor response
, C. Spontaneity of eye opening
D. Best verbal response - Answer A. Best non-verbal response
9. The neurosurgeon determines, that the patient has increasing intracranial pressure.
Which of the following interventions would be MOST appropriate for nurse Anne to perform?
She should
A. provide a quiet and brightly lit environment
B. elevate the head 15 to 30 degrees
C. Encourage the victim to drink clear fluids
D. teach controlled coughing and deep breathing - Answer B. elevate the head 15 to 30
degrees
10. The patient was assessed to have Glasgow coma Scale score of 3 . In order to protect the
airway, nurse Anne collaborates with the health care team to assist with which of the following?
A. Endotracheal intubation.
B. Assessment of bowel sounds.
C. Questioning the patient regarding difficulty of breathing.
D. Monitoring oxygen saturation. - Answer A. Endotracheal intubation.
Situation - Nurse Ditas cares for a male patient with HIV. She conducts a study on HIV.
11. Nurse Ditas wants to find out the lived experiences of a patient with HIV. This is an example
of phenomenology as a:
A. phenomenon theory
B. concept
C. Research design
D. philosophy - Answer C. Research design
12. A characteristic or phenomenological study in for the researcher to understand the lived
experience from the point of view of the
A. Subject
B. close family member
C. nurse
D. researcher - Answer A. Subject
13. A process in phenomenology where the researcher takes into account his/her own belissad
feelings identity which he/she expect to discover and deliberately puts these
A. recursive abstraction
