PNLE NP3 Test 4 Questions and All
Correct Answers 2026-2027 Edition.
SITUATION: Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while
crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene.
1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is:
A. Stay with the person, encourage her to remain still and immobilize the leg while waiting for
the ambulance.
B. Leave the person for a few moments to call for help.
C. Reduce the fracture manually.
D. Move the person to a safer place. - Answer D. Move the person to a safer place.
2. Arthur suspects a hip fracture when he noticed that the old woman's leg is:
A. Lengthened, Abducted and Internally Rotated.
B. Shortened, Abducted and Externally Rotated.
C. Shortened, Adducted and Internally Rotated.
D. Shortened, Adducted and Externally Rotated. - Answer D. Shortened, Adducted and
Externally Rotated.
3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch
and swollen. John interprets that these signs and symptoms are likely related to:
A. Infection
B. Thrombophlebitis
C. Inflammation
D. Degenerative disease - Answer C. Inflammation
4. The old woman told John that she has osteoporosis; Arthur knew that all of the following
factors would contribute to osteoporosis except:
A. Hypothyroidism
B. End stage renal disease
C. Cushing's Disease
,D. Taking Furosemide and Phenytoin. - Answer A. Hypothyroidism
5. Martha, the old woman was now Immobilized and brought to the emergency room. The X-ray
shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of
the following sign and symptoms?
A. Tachycardia and Hypotension
B. Fever and Bradycardia
C. Bradycardia and Hypertension
D. Fever and Hypertension - Answer A. Tachycardia and Hypotension
SITUATION: Mr. D. Rojas, an obese 35-year-old MS Professor of OLFU Lagro is admitted due to
pain in his weight bearing joint. The diagnosis was Osteoarthritis.
6. As a nurse, you instructed Mr. Rojas how to use a cane. Mr. Rojas has a weakness on his right
leg due to self-immobilization and guarding. You plan to teach Mr. Rojas to hold the cane:
A. On his left hand, because his right side is weak.
B. On his left hand, because of reciprocal motion.
C. On his right hand, to support the right leg.
D. On his right hand, because only his right leg is weak. - Answer B. On his left hand, because
of reciprocal motion.
7. You also told Mr. Rojas to hold the cane:
A. 1 Inches in front of the foot.
B. 3 Inches at the lateral side of the foot.
C. 6 Inches at the lateral side of the foot.
D. 12 Inches at the lateral side of the foot. - Answer C. 6 Inches at the lateral side of the foot.
8. Mr. Rojas was discharged and 6 months later, he came back to the emergency room of the
hospital because he suffered a mild stroke. The right side of the brain was affected. At the
rehabilitative phase of your nursing care, you observe Mr. Rojas use a cane and you intervene if
you see him:
A. Moves the cane when the right leg is moved.
B. Leans on the cane when the right leg swings through.
, C. keeps the cane 6 Inches out to the side of the right foot.
D. Holds the cane on the right side. - Answer A. Moves the cane when the right leg is moved.
SITUATION: Alfred, a 40-year-old construction worker developed cough, night sweats and fever.
He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a
BCG vaccine during childhood.
9. The nurse performs a Mantoux Test. The nurse knows that Mantoux Test is also known as:
A. PPD
B. PDP
C. PDD
D. DPP - Answer A. PPD
10. The nurse would inject the solution in what route?
A. IM
B. IV
C. ID
D. SC - Answer C. ID
11. The nurse notes that a positive result for Alfred is:
A. 5 mm wheal
B. 5 mm Induration
C. 10 mm Wheal
D. 10 mm Induration - Answer D. 10 mm Induration
12. The nurse told Alfred to come back after:
A. A week
B. 48 hours
C. 1 day
D. 4 days - Answer B. 48 hours
Correct Answers 2026-2027 Edition.
SITUATION: Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while
crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene.
1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is:
A. Stay with the person, encourage her to remain still and immobilize the leg while waiting for
the ambulance.
B. Leave the person for a few moments to call for help.
C. Reduce the fracture manually.
D. Move the person to a safer place. - Answer D. Move the person to a safer place.
2. Arthur suspects a hip fracture when he noticed that the old woman's leg is:
A. Lengthened, Abducted and Internally Rotated.
B. Shortened, Abducted and Externally Rotated.
C. Shortened, Adducted and Internally Rotated.
D. Shortened, Adducted and Externally Rotated. - Answer D. Shortened, Adducted and
Externally Rotated.
3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch
and swollen. John interprets that these signs and symptoms are likely related to:
A. Infection
B. Thrombophlebitis
C. Inflammation
D. Degenerative disease - Answer C. Inflammation
4. The old woman told John that she has osteoporosis; Arthur knew that all of the following
factors would contribute to osteoporosis except:
A. Hypothyroidism
B. End stage renal disease
C. Cushing's Disease
,D. Taking Furosemide and Phenytoin. - Answer A. Hypothyroidism
5. Martha, the old woman was now Immobilized and brought to the emergency room. The X-ray
shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of
the following sign and symptoms?
A. Tachycardia and Hypotension
B. Fever and Bradycardia
C. Bradycardia and Hypertension
D. Fever and Hypertension - Answer A. Tachycardia and Hypotension
SITUATION: Mr. D. Rojas, an obese 35-year-old MS Professor of OLFU Lagro is admitted due to
pain in his weight bearing joint. The diagnosis was Osteoarthritis.
6. As a nurse, you instructed Mr. Rojas how to use a cane. Mr. Rojas has a weakness on his right
leg due to self-immobilization and guarding. You plan to teach Mr. Rojas to hold the cane:
A. On his left hand, because his right side is weak.
B. On his left hand, because of reciprocal motion.
C. On his right hand, to support the right leg.
D. On his right hand, because only his right leg is weak. - Answer B. On his left hand, because
of reciprocal motion.
7. You also told Mr. Rojas to hold the cane:
A. 1 Inches in front of the foot.
B. 3 Inches at the lateral side of the foot.
C. 6 Inches at the lateral side of the foot.
D. 12 Inches at the lateral side of the foot. - Answer C. 6 Inches at the lateral side of the foot.
8. Mr. Rojas was discharged and 6 months later, he came back to the emergency room of the
hospital because he suffered a mild stroke. The right side of the brain was affected. At the
rehabilitative phase of your nursing care, you observe Mr. Rojas use a cane and you intervene if
you see him:
A. Moves the cane when the right leg is moved.
B. Leans on the cane when the right leg swings through.
, C. keeps the cane 6 Inches out to the side of the right foot.
D. Holds the cane on the right side. - Answer A. Moves the cane when the right leg is moved.
SITUATION: Alfred, a 40-year-old construction worker developed cough, night sweats and fever.
He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a
BCG vaccine during childhood.
9. The nurse performs a Mantoux Test. The nurse knows that Mantoux Test is also known as:
A. PPD
B. PDP
C. PDD
D. DPP - Answer A. PPD
10. The nurse would inject the solution in what route?
A. IM
B. IV
C. ID
D. SC - Answer C. ID
11. The nurse notes that a positive result for Alfred is:
A. 5 mm wheal
B. 5 mm Induration
C. 10 mm Wheal
D. 10 mm Induration - Answer D. 10 mm Induration
12. The nurse told Alfred to come back after:
A. A week
B. 48 hours
C. 1 day
D. 4 days - Answer B. 48 hours
