PNLE REVIEWER EXAM QUESTIONS AND ANSWERS FULLY SOLVED
An infant is admitted and diagnosed with pneumonia and suspicious-looking red marks on the swollen
face resembling a handprint. The nurse does further assessment to the client. How would the nurse
document the finding? - Answers Facial edema, with red marks; crackles in the lung
The pediatrics unit is understaffed and the nurse manager informs the nurses in the obstetrics unit that
she is going to assign one nurse to float in the pediatric units. Which statement by the designated float
nurse may put her job at risk? - Answers "I have a vacation day coming and would like to take that now"
A 15-year-old girl just gave birth to a baby boy who needs emergency surgery. The nurse prepared the
consent form and it should be signed by: - Answers The 15-year-old mother of the baby boy
The nurse on the night shift is about to administer medication to a preschooler client and notes that the
child has no ID bracelet. The best way for the nurse to identify the client is to ask: - Answers Another
staff nurse to identify this child
A male client comes to the clinic for check-up. In doing a physical assessment, the nurse should report to
the physician the most common symptom of gonorrhea, which is: - Answers pus in the urine
A registered nurse has been assigned to six clients on the 12-hour shift. The RN is responsible for every
aspect of care such as formulating the care of plan, intervention and evaluating the care during her shift.
At the end of her shift, the RN will pass this same task to the next RN in charge. This nursing care
illustrates of what kind of method? - Answers case method
An experienced nurse who voluntarily trained a less experienced nurse with the intention of enhancing
the skills and knowledge and promoting professional advancement to the nurse is called a: - Answers
mentor
A community health nurse is schedule to do home visit. She visits to an elderly person living alone.
Which of the following observation would be a concern? - Answers Clear and shiny floors
While in the hospital lobby, the RN overhears the three staff discussing the health condition of her
client. What would be the appropriate nursing action for the RN to take? - Answers Tell them it is not
appropriate to discuss the condition of the client
A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign the nurse in the
obstetrics unit to the pediatrics unit. Which of the following patients could the nurse manager safely
assign to the float nurse? - Answers A child who has had a nephrectomy for Wilm's tumor
The registered nurse is planning to delegate task to a certified nursing assistant. Which of the following
clients should not be assigned to a CAN? - Answers A client diagnosed with diabetes and who has an
infected toe
, A 17-year-old married client is scheduled for surgery. The nurse taking care of the client realizes that
consent has not been signed after preoperative medications were given. What should the nurse do? -
Answers Call the surgeon
A mother in labor told the nurse that she was expecting that her baby has no chance to survive and
expects that the baby will be born dead. The mother accepts the fate of the baby and informs the nurse
that when the baby is born and requires resuscitation, the mother refuses any treatment to her baby
and expresses hostility toward the nurse while the pediatric team is taking care of the baby. The nurse is
legally obligated to: - Answers Record the statement of the mother, notify the pediatric team, and
observe carefully for signs of impaired bonding and neglect as a reasonable suspicion of child abuse
The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP). Which of the
following task could the registered nurse safely assigned to a UAP? - Answers Give an outmeal bath to
an infant with eczema
Which of the following would be the most important goal in the nursing care of an infant client with
eczema? - Answers preventing infection
The nurse is making a discharge instruction to a client receiving chemotherapy. The client is at risk for
bone marrow depression. The nurse gives instructions to the client about how to prevent infection at
home. Which of the following health teaching would be included? - Answers Do frequent hand washing
and maintain good hygiene"
A client admitted to the hospital and diagnosed with Addison's disease. What would be the appropriate
nursing action to the client? - Answers reducing physical and emotional stress
A 80-year-old female client is brought to the emergency department by her caregiver, on the nurse's
assessment; the following are the manifestations of the client: anorexia, cachexia and multiple bruises.
What would be the best nursing intervention? - Answers complete a gastrointestinal and neurological
assessment
A 70-year-old client with suspected tuberculosis is brought to the geriatric care facilities. An intradermal
tuberculosis test is schedule to be done. The client asks the nurse what is the purpose of the test. Which
of the following would be the best rationale for this? - Answers increased incidence of new cases of
tuberculosis in persons over 65 years old
The mother of the client tells the nurse, " I'm not going to have my baby get any immunization". What
would be the best nursing response to the mother? - Answers You and I need to review your rationale
for this decision"
An infant is brought to the emergency department and diagnosed with pyloric stenosis. The parents of
the client ask the nurse, "Why does my baby continue to vomit?" Which of the following would be the
best nursing response of the nurse? - Answers Your baby can't empty the formula that is in the stomach
into the bowel"
An infant is admitted and diagnosed with pneumonia and suspicious-looking red marks on the swollen
face resembling a handprint. The nurse does further assessment to the client. How would the nurse
document the finding? - Answers Facial edema, with red marks; crackles in the lung
The pediatrics unit is understaffed and the nurse manager informs the nurses in the obstetrics unit that
she is going to assign one nurse to float in the pediatric units. Which statement by the designated float
nurse may put her job at risk? - Answers "I have a vacation day coming and would like to take that now"
A 15-year-old girl just gave birth to a baby boy who needs emergency surgery. The nurse prepared the
consent form and it should be signed by: - Answers The 15-year-old mother of the baby boy
The nurse on the night shift is about to administer medication to a preschooler client and notes that the
child has no ID bracelet. The best way for the nurse to identify the client is to ask: - Answers Another
staff nurse to identify this child
A male client comes to the clinic for check-up. In doing a physical assessment, the nurse should report to
the physician the most common symptom of gonorrhea, which is: - Answers pus in the urine
A registered nurse has been assigned to six clients on the 12-hour shift. The RN is responsible for every
aspect of care such as formulating the care of plan, intervention and evaluating the care during her shift.
At the end of her shift, the RN will pass this same task to the next RN in charge. This nursing care
illustrates of what kind of method? - Answers case method
An experienced nurse who voluntarily trained a less experienced nurse with the intention of enhancing
the skills and knowledge and promoting professional advancement to the nurse is called a: - Answers
mentor
A community health nurse is schedule to do home visit. She visits to an elderly person living alone.
Which of the following observation would be a concern? - Answers Clear and shiny floors
While in the hospital lobby, the RN overhears the three staff discussing the health condition of her
client. What would be the appropriate nursing action for the RN to take? - Answers Tell them it is not
appropriate to discuss the condition of the client
A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign the nurse in the
obstetrics unit to the pediatrics unit. Which of the following patients could the nurse manager safely
assign to the float nurse? - Answers A child who has had a nephrectomy for Wilm's tumor
The registered nurse is planning to delegate task to a certified nursing assistant. Which of the following
clients should not be assigned to a CAN? - Answers A client diagnosed with diabetes and who has an
infected toe
, A 17-year-old married client is scheduled for surgery. The nurse taking care of the client realizes that
consent has not been signed after preoperative medications were given. What should the nurse do? -
Answers Call the surgeon
A mother in labor told the nurse that she was expecting that her baby has no chance to survive and
expects that the baby will be born dead. The mother accepts the fate of the baby and informs the nurse
that when the baby is born and requires resuscitation, the mother refuses any treatment to her baby
and expresses hostility toward the nurse while the pediatric team is taking care of the baby. The nurse is
legally obligated to: - Answers Record the statement of the mother, notify the pediatric team, and
observe carefully for signs of impaired bonding and neglect as a reasonable suspicion of child abuse
The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP). Which of the
following task could the registered nurse safely assigned to a UAP? - Answers Give an outmeal bath to
an infant with eczema
Which of the following would be the most important goal in the nursing care of an infant client with
eczema? - Answers preventing infection
The nurse is making a discharge instruction to a client receiving chemotherapy. The client is at risk for
bone marrow depression. The nurse gives instructions to the client about how to prevent infection at
home. Which of the following health teaching would be included? - Answers Do frequent hand washing
and maintain good hygiene"
A client admitted to the hospital and diagnosed with Addison's disease. What would be the appropriate
nursing action to the client? - Answers reducing physical and emotional stress
A 80-year-old female client is brought to the emergency department by her caregiver, on the nurse's
assessment; the following are the manifestations of the client: anorexia, cachexia and multiple bruises.
What would be the best nursing intervention? - Answers complete a gastrointestinal and neurological
assessment
A 70-year-old client with suspected tuberculosis is brought to the geriatric care facilities. An intradermal
tuberculosis test is schedule to be done. The client asks the nurse what is the purpose of the test. Which
of the following would be the best rationale for this? - Answers increased incidence of new cases of
tuberculosis in persons over 65 years old
The mother of the client tells the nurse, " I'm not going to have my baby get any immunization". What
would be the best nursing response to the mother? - Answers You and I need to review your rationale
for this decision"
An infant is brought to the emergency department and diagnosed with pyloric stenosis. The parents of
the client ask the nurse, "Why does my baby continue to vomit?" Which of the following would be the
best nursing response of the nurse? - Answers Your baby can't empty the formula that is in the stomach
into the bowel"
