PNLE: NP4 Practice Test Questions With
100% Correct Answers 2026/2027 Set.
1. Which of the following is NOT a known predisposing factor to lung cancer?
A. House is near a banana plantation.
B. Works as a sprayer of vegetables and fruit trees.
C. Lives in a suburban area.
D. Living with mother who is a tobacco smoker. - Answer C. Lives in a suburban area.
2. Upon history-taking, the nurse notes that the cough of a patient with lung cancer usually
starts off to be—-
A. Blood tinged
B. productive
C. dark yellow sputum
D. dry and persistent - Answer D. dry and persistent
3. Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which
provides a detailed description of the trachea bronchial tree and allows for biopsies of
suspicious area?
A. Computerized Tomography (CT) scan
B. Bronchoscopy
C. Sputum cytology
D. Positron Emission Tomography (PET) - Answer B. Bronchoscopy
4. To help the patient with his breathing difficulty, the nurse places him in which position?
A. Prone
B. Fowler's
C. Sim's lateral
D.Supine - Answer B. Fowler's
5. Barack is diagnosed with small cell lung cancer (SCLC), a rapidly growing type of cancer. He
and his family were shocked when told by the doctor that the patient will just undergo palliative
treatment. Which nursing action is MOST APPROPRIATE?
A. Providing relief from symptoms.
B. Reducing fatigue
C. Providing psychological support
, D. Advising treatment options - Answer C. Providing psychological support
Situation: Proper recording is a vital task that the nurse is trained to do properly in nursing
school and expected to practice as a professional.
6. Nurses are taught as students that the ideal and PROPER time for recording vital signs and
notes on the
A. during the next vital signs taking for comparison
B. after all the tasks are done, in order to conserve time
C. as soon as they obtain the signs or observations on the patient
D. to wait for lunch break to do the recording - Answer C. as soon as they obtain the signs or
observations on the patient
7. Right after endorsement and during the rounds, the incoming nurse observes that the IV fluid
is at 700 cc level and not 500cc, as endorsed. What is the CORRECT information that she will
chart? A. Anything goes, nobody reads the charting anyway.
B. Record the 500 cc.
C. Chart that she received 700
D. Refer to the Head Nurse on what to do. - Answer C. Chart that she received 700
8. Which is the APPROPRIATE way to correct an error in the Nurses Notes?
A. Take the whole page out and replace with a fresh one
B. Draw a single line across the error and initial it
C. Draw a single line across and write "Error"
D. Use a rubber eraser to erase an error. - Answer B. Draw a single line across the error and
initial it
9. Ifa medicine is unavailable and therefore not given to the patient, how is it charted?
A. Leave it blank.
B. Sign and make an explanation in the Nurses Notes.
C. With an asterisk or mark, as per hospital protocol. - Answer B. Sign and make an
explanation in the Nurses Notes.
10. If the patient is referred to another consultant and the latter has made an order already,
what can the nurse CORRECTLY chart?
A. The attending physician has not yet read the order.
B. Only one order has been left to be carried out.
C. She has carried out the orders of the consultant.
100% Correct Answers 2026/2027 Set.
1. Which of the following is NOT a known predisposing factor to lung cancer?
A. House is near a banana plantation.
B. Works as a sprayer of vegetables and fruit trees.
C. Lives in a suburban area.
D. Living with mother who is a tobacco smoker. - Answer C. Lives in a suburban area.
2. Upon history-taking, the nurse notes that the cough of a patient with lung cancer usually
starts off to be—-
A. Blood tinged
B. productive
C. dark yellow sputum
D. dry and persistent - Answer D. dry and persistent
3. Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which
provides a detailed description of the trachea bronchial tree and allows for biopsies of
suspicious area?
A. Computerized Tomography (CT) scan
B. Bronchoscopy
C. Sputum cytology
D. Positron Emission Tomography (PET) - Answer B. Bronchoscopy
4. To help the patient with his breathing difficulty, the nurse places him in which position?
A. Prone
B. Fowler's
C. Sim's lateral
D.Supine - Answer B. Fowler's
5. Barack is diagnosed with small cell lung cancer (SCLC), a rapidly growing type of cancer. He
and his family were shocked when told by the doctor that the patient will just undergo palliative
treatment. Which nursing action is MOST APPROPRIATE?
A. Providing relief from symptoms.
B. Reducing fatigue
C. Providing psychological support
, D. Advising treatment options - Answer C. Providing psychological support
Situation: Proper recording is a vital task that the nurse is trained to do properly in nursing
school and expected to practice as a professional.
6. Nurses are taught as students that the ideal and PROPER time for recording vital signs and
notes on the
A. during the next vital signs taking for comparison
B. after all the tasks are done, in order to conserve time
C. as soon as they obtain the signs or observations on the patient
D. to wait for lunch break to do the recording - Answer C. as soon as they obtain the signs or
observations on the patient
7. Right after endorsement and during the rounds, the incoming nurse observes that the IV fluid
is at 700 cc level and not 500cc, as endorsed. What is the CORRECT information that she will
chart? A. Anything goes, nobody reads the charting anyway.
B. Record the 500 cc.
C. Chart that she received 700
D. Refer to the Head Nurse on what to do. - Answer C. Chart that she received 700
8. Which is the APPROPRIATE way to correct an error in the Nurses Notes?
A. Take the whole page out and replace with a fresh one
B. Draw a single line across the error and initial it
C. Draw a single line across and write "Error"
D. Use a rubber eraser to erase an error. - Answer B. Draw a single line across the error and
initial it
9. Ifa medicine is unavailable and therefore not given to the patient, how is it charted?
A. Leave it blank.
B. Sign and make an explanation in the Nurses Notes.
C. With an asterisk or mark, as per hospital protocol. - Answer B. Sign and make an
explanation in the Nurses Notes.
10. If the patient is referred to another consultant and the latter has made an order already,
what can the nurse CORRECTLY chart?
A. The attending physician has not yet read the order.
B. Only one order has been left to be carried out.
C. She has carried out the orders of the consultant.
