PNLE NP3 Test 1 Questions With 100%
Correct and Verified Answers 2026-2027
Updated.
1. Nurse Michelle should know that the drainage is normal 4 days after a sigmoid colostomy
when the stool is:
A. Green liquid
B. Solid formed
C. Loose, bloody
D. Semi formed - Answer Answer: (C) Loose, bloody.
Normal bowel function and soft-formed stool usually do not occur until around the seventh day
following surgery. The stool consistency is related to how much water is being absorbed.
2. Where would nurse Kristine place the call light for a male client with a right-sided brain attack
and left homonymous hemianopsia?
A. On the client's right side
B. On the client's left side
C. Directly in front of the client
D. Where the client like - Answer Answer: (A) On the client's right side.
The client has left visual field blindness. The client will see only from the right side.
3. A male client is admitted to the emergency department following an accident. What are the
first nursing actions of the nurse?
A. Check respiration, circulation, neurological response.
B. Align the spine, check pupils, and check for hemorrhage.
C. Check respirations, stabilize spine, and check circulation.
D. Assess level of consciousness and circulation. - Answer Answer: (C) Check respirations,
stabilize spine, and check circulation.
Checking the airway would be priority, and a neck injury should be suspected.
4. In evaluating the effect of nitroglycerin, Nurse Arthur should know that it reduces preload
and relieves angina by:
,A. Increasing contractility and slowing heart rate.
B. Increasing AV conduction and heart rate.
C. Decreasing contractility and oxygen consumption.
D. Decreasing venous return through vasodilation. - Answer Answer: (D) Decreasing venous
return through vasodilation.
The significant effect of nitroglycerin is vasodilation and decreased venous return, so the heart
does not have to work hard.
5. Nurse Patricia finds a female client who is post-myocardial infarction (MI) slumped on the
side rails of the bed and unresponsive to shaking or shouting. Which is the nurse next action?
A. Call for help and note the time.
B. Clear the airway
C. Give two sharp thumps to the precordium and check the pulse.
D. Administer two quick blows. - Answer Answer: (A) Call for help and note the time.
Having established, by stimulating the client, that the client is unconscious rather than sleep,
the nurse should immediately call for help. This may be done by dialing the operator from the
client's phone and giving the hospital code for cardiac arrest and the client's room number to
the operator, of if the phone is not available, by pulling the emergency call button. Noting the
time is important baseline information for cardiac arrest procedure.
6. Nurse Monett is caring for a client recovering from gastro-intestinal bleeding. The nurse
should:
A. Plan care so the client can receive 8 hours of uninterrupted sleep each night.
B. Monitor vital signs every 2 hours.
C. Make sure that the client takes food and medications at prescribed intervals.
D. Provide milk every 2 to 3 hours. - Answer Answer: (C) Make sure that the client takes food
and medications at prescribed intervals.
Food and drug therapy will prevent the accumulation of hydrochloric acid, or will neutralize and
buffer the acid that does accumulate.
7. A male client was on warfarin (Coumadin) before admission, and has been receiving heparin
I.V. for 2 days. The partial thromboplastin time (PTT) is 68 seconds. What should Nurse Carla do?
A. Stop the I.V. infusion of heparin and notify the physician.
B. Continue treatment as ordered.
C. Expect the warfarin to increase the PTT.
,D. Increase the dosage, because the level is lower than normal. - Answer Answer: (B) Continue
treatment as ordered.
The effects of heparin are monitored by the PTT is normally 30 to 45 seconds; the therapeutic
level is 1.5 to 2 times the normal level.
8. A client undergone ileostomy, when should the drainage appliance be applied to the stoma?
A. 24 hours later, when edema has subsided.
B. In the operating room.
C. After the ileostomy begin to function.
D. When the client is able to begin self-care procedures. - Answer Answer: (B) In the operating
room.
The stoma drainage bag is applied in the operating room. Drainage from the ileostomy contains
secretions that are rich in digestive enzymes and highly irritating to the skin. Protection of the
skin from the effects of these enzymes is begun at once. Skin exposed to these enzymes even
for a short time becomes reddened, painful, and excoriated.
9. A client undergone spinal anesthetic, it will be important that the nurse immediately position
the client in:
A. On the side, to prevent obstruction of airway by tongue.
B. Flat on back.
C. On the back, with knees flexed 15 degrees.
D. Flat on the stomach, with the head turned to the side. - Answer Answer: (B) Flat on back.
To avoid the complication of a painful spinal headache that can last for several days, the client is
kept in flat in a supine position for approximately 4 to 12 hours postoperatively. Headaches are
believed to be causes by the seepage of cerebral spinal fluid from the puncture site. By keeping
the client flat, cerebral spinal fluid pressures are equalized, which avoids trauma to the neurons.
10. While monitoring a male client several hours after a motor vehicle accident, which
assessment data suggest increasing intracranial pressure?
A. Blood pressure is decreased from 160/90 to 110/70.
B. Pulse is increased from 87 to 95, with an occasional skipped beat.
C. The client is oriented when aroused from sleep and goes back to sleep immediately.
D. The client refuses dinner because of anorexia. - Answer Answer: (C) The client is oriented
when aroused from sleep, and goes back to sleep immediately.
This finding suggest that the level of consciousness is decreasing.
, 11. Mrs. Cruz, 80 years old is diagnosed with pneumonia. Which of the following symptoms may
appear first?
A. Altered mental status and dehydration
B. Fever and chills
C. Hemoptysis and Dyspnea
D. Pleuritic chest pain and cough - Answer Answer: (A) Altered mental status and dehydration.
Fever, chills, hemoptysis, dyspnea, cough, and pleuritic chest pain are the common symptoms of
pneumonia, but elderly clients may first appear with only an altered lentil status and
dehydration due to a blunted immune response.
12. A male client has active tuberculosis (TB). Which of the following symptoms will be exhibit?
A. Chest and lower back pain
B. Chills, fever, night sweats, and hemoptysis
C. Fever of more than 104°F (40°C) and nausea
D. Headache and photophobia - Answer Answer: (B) Chills, fever, night sweats, and
hemoptysis.
Typical signs and symptoms are chills, fever, night sweats, and hemoptysis. Chest pain may be
present from coughing, but isn't usual. Clients with TB typically have low-grade fevers, not
higher than 102°F (38.9°C). Nausea, headache, and photophobia aren't usual TB symptoms.
13. Mark, a 7-year-old client is brought to the emergency department. He's tachypneic and
afebrile and has a respiratory rate of 36 breaths/minute and has a nonproductive cough. He
recently had a cold. Form this history; the client may have which of the following conditions?
A. Acute asthma
B. Bronchial pneumonia
C. Chronic obstructive pulmonary disease (COPD)
D. Emphysema - Answer Answer:(A) Acute asthma.
Based on the client's history and symptoms, acute asthma is the most likely diagnosis. He's
unlikely to have bronchial pneumonia without a productive cough and fever and he's too young
to have developed (COPD) and emphysema.
14. Marichu was given morphine sulfate for pain. She is sleeping and her respiratory rate is 4
breaths/minute. If action isn't taken quickly, she might have which of the following reactions?
A. Asthma attack
Correct and Verified Answers 2026-2027
Updated.
1. Nurse Michelle should know that the drainage is normal 4 days after a sigmoid colostomy
when the stool is:
A. Green liquid
B. Solid formed
C. Loose, bloody
D. Semi formed - Answer Answer: (C) Loose, bloody.
Normal bowel function and soft-formed stool usually do not occur until around the seventh day
following surgery. The stool consistency is related to how much water is being absorbed.
2. Where would nurse Kristine place the call light for a male client with a right-sided brain attack
and left homonymous hemianopsia?
A. On the client's right side
B. On the client's left side
C. Directly in front of the client
D. Where the client like - Answer Answer: (A) On the client's right side.
The client has left visual field blindness. The client will see only from the right side.
3. A male client is admitted to the emergency department following an accident. What are the
first nursing actions of the nurse?
A. Check respiration, circulation, neurological response.
B. Align the spine, check pupils, and check for hemorrhage.
C. Check respirations, stabilize spine, and check circulation.
D. Assess level of consciousness and circulation. - Answer Answer: (C) Check respirations,
stabilize spine, and check circulation.
Checking the airway would be priority, and a neck injury should be suspected.
4. In evaluating the effect of nitroglycerin, Nurse Arthur should know that it reduces preload
and relieves angina by:
,A. Increasing contractility and slowing heart rate.
B. Increasing AV conduction and heart rate.
C. Decreasing contractility and oxygen consumption.
D. Decreasing venous return through vasodilation. - Answer Answer: (D) Decreasing venous
return through vasodilation.
The significant effect of nitroglycerin is vasodilation and decreased venous return, so the heart
does not have to work hard.
5. Nurse Patricia finds a female client who is post-myocardial infarction (MI) slumped on the
side rails of the bed and unresponsive to shaking or shouting. Which is the nurse next action?
A. Call for help and note the time.
B. Clear the airway
C. Give two sharp thumps to the precordium and check the pulse.
D. Administer two quick blows. - Answer Answer: (A) Call for help and note the time.
Having established, by stimulating the client, that the client is unconscious rather than sleep,
the nurse should immediately call for help. This may be done by dialing the operator from the
client's phone and giving the hospital code for cardiac arrest and the client's room number to
the operator, of if the phone is not available, by pulling the emergency call button. Noting the
time is important baseline information for cardiac arrest procedure.
6. Nurse Monett is caring for a client recovering from gastro-intestinal bleeding. The nurse
should:
A. Plan care so the client can receive 8 hours of uninterrupted sleep each night.
B. Monitor vital signs every 2 hours.
C. Make sure that the client takes food and medications at prescribed intervals.
D. Provide milk every 2 to 3 hours. - Answer Answer: (C) Make sure that the client takes food
and medications at prescribed intervals.
Food and drug therapy will prevent the accumulation of hydrochloric acid, or will neutralize and
buffer the acid that does accumulate.
7. A male client was on warfarin (Coumadin) before admission, and has been receiving heparin
I.V. for 2 days. The partial thromboplastin time (PTT) is 68 seconds. What should Nurse Carla do?
A. Stop the I.V. infusion of heparin and notify the physician.
B. Continue treatment as ordered.
C. Expect the warfarin to increase the PTT.
,D. Increase the dosage, because the level is lower than normal. - Answer Answer: (B) Continue
treatment as ordered.
The effects of heparin are monitored by the PTT is normally 30 to 45 seconds; the therapeutic
level is 1.5 to 2 times the normal level.
8. A client undergone ileostomy, when should the drainage appliance be applied to the stoma?
A. 24 hours later, when edema has subsided.
B. In the operating room.
C. After the ileostomy begin to function.
D. When the client is able to begin self-care procedures. - Answer Answer: (B) In the operating
room.
The stoma drainage bag is applied in the operating room. Drainage from the ileostomy contains
secretions that are rich in digestive enzymes and highly irritating to the skin. Protection of the
skin from the effects of these enzymes is begun at once. Skin exposed to these enzymes even
for a short time becomes reddened, painful, and excoriated.
9. A client undergone spinal anesthetic, it will be important that the nurse immediately position
the client in:
A. On the side, to prevent obstruction of airway by tongue.
B. Flat on back.
C. On the back, with knees flexed 15 degrees.
D. Flat on the stomach, with the head turned to the side. - Answer Answer: (B) Flat on back.
To avoid the complication of a painful spinal headache that can last for several days, the client is
kept in flat in a supine position for approximately 4 to 12 hours postoperatively. Headaches are
believed to be causes by the seepage of cerebral spinal fluid from the puncture site. By keeping
the client flat, cerebral spinal fluid pressures are equalized, which avoids trauma to the neurons.
10. While monitoring a male client several hours after a motor vehicle accident, which
assessment data suggest increasing intracranial pressure?
A. Blood pressure is decreased from 160/90 to 110/70.
B. Pulse is increased from 87 to 95, with an occasional skipped beat.
C. The client is oriented when aroused from sleep and goes back to sleep immediately.
D. The client refuses dinner because of anorexia. - Answer Answer: (C) The client is oriented
when aroused from sleep, and goes back to sleep immediately.
This finding suggest that the level of consciousness is decreasing.
, 11. Mrs. Cruz, 80 years old is diagnosed with pneumonia. Which of the following symptoms may
appear first?
A. Altered mental status and dehydration
B. Fever and chills
C. Hemoptysis and Dyspnea
D. Pleuritic chest pain and cough - Answer Answer: (A) Altered mental status and dehydration.
Fever, chills, hemoptysis, dyspnea, cough, and pleuritic chest pain are the common symptoms of
pneumonia, but elderly clients may first appear with only an altered lentil status and
dehydration due to a blunted immune response.
12. A male client has active tuberculosis (TB). Which of the following symptoms will be exhibit?
A. Chest and lower back pain
B. Chills, fever, night sweats, and hemoptysis
C. Fever of more than 104°F (40°C) and nausea
D. Headache and photophobia - Answer Answer: (B) Chills, fever, night sweats, and
hemoptysis.
Typical signs and symptoms are chills, fever, night sweats, and hemoptysis. Chest pain may be
present from coughing, but isn't usual. Clients with TB typically have low-grade fevers, not
higher than 102°F (38.9°C). Nausea, headache, and photophobia aren't usual TB symptoms.
13. Mark, a 7-year-old client is brought to the emergency department. He's tachypneic and
afebrile and has a respiratory rate of 36 breaths/minute and has a nonproductive cough. He
recently had a cold. Form this history; the client may have which of the following conditions?
A. Acute asthma
B. Bronchial pneumonia
C. Chronic obstructive pulmonary disease (COPD)
D. Emphysema - Answer Answer:(A) Acute asthma.
Based on the client's history and symptoms, acute asthma is the most likely diagnosis. He's
unlikely to have bronchial pneumonia without a productive cough and fever and he's too young
to have developed (COPD) and emphysema.
14. Marichu was given morphine sulfate for pain. She is sleeping and her respiratory rate is 4
breaths/minute. If action isn't taken quickly, she might have which of the following reactions?
A. Asthma attack
