Test Bank for Philippine Nursing Licensure Exam (PNLE) | Comprehensive Practice Questions & Answers

Test Bank for Philippine Nursing
Licensure Exam (PNLE) |
Comprehensive Practice Questions
& Answers




1

,NURSING PRACTICE I

FOUNDATION OF PROFESSIONAL NURSING PRACTICE

NAME: DON VOU S. MORALINA

1. The nurse In-charge in labor and delivery unit administered a dose of terbutaline to a client without checking the client’s
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pulse. The standard that would be used to determine if the nurse was negligent is:
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a. The physician’s orders. jj j




b. The action of aclinical nurse specialist who is recognized expert in the field.
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c. The statement in the drug literature about administration of terbutaline.
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d. The actions of a reasonably prudent nurse with similar education and experience.
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2. Nurse Trish is caring for a female client with a history of GI bleeding, sickle cell disease, and a platelet count of 22,000/μl.
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The female client is dehydrated and receiving dextrose 5% in half-normal saline solution at 150 ml/hr. The client
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complains of severe bone pain and is scheduled to receive a dose of morphine sulfate. In administering the medication,
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Nurse Trish should avoid which route?
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a. I.V
b. I.M
c. Oral
d. S.C

3. Dr. Garcia writes the following order for the client who has been recently admitted “Digoxin .125 mg P.O. once daily.” To
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prevent a dosage error, how should the nurse document this order onto the medication administration record?
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a. “Digoxin .1250 mgP.O. once daily” jjj jjj j jjj jjj




b. “Digoxin 0.1250 mgP.O. once daily” jjj jjj j j jj jjj




c. “Digoxin 0.125 mgP.O. once daily” jjj jjj j jjj jjj




d. “Digoxin .125 mg P.O. once daily” j jj jjj jjj jjj jjj




4. A newly admitted female client was diagnosed with deep vein thrombosis. Which nursing diagnosis should receive the
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highest priority? jjj




a. Ineffective peripheral tissue perfusion related to venous congestion. jjj jjj jjj jjj jjj jj jjj




b. Risk for injury related to edema. jjj jjj jjj j j j jjj




c. Excess fluid volume related to peripheral vasculardisease. jjj jjj jjj jjj j jj j j j j




d. Impaired gas exchange related toincreased blood flow. jjj jjj jj jjj j jjj jjj




5. Nurse Betty is assigned to the following clients. The client that the nurse would see first afterendorsement?
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a. A 34 year-old post operative appendectomy client of fivehours who is complaining of pain.
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b. A 44 year-old myocardial infarction (MI) client who is complaining of
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nausea.
c. A 26 year-old client admitted fordehydration whose intravenous (IV) has infiltrated.
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d. A 63 year-old post operative’s abdominal hysterectomy client of three days whose incisional dressing is saturated
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with serosanguinous fluid. j jj jjj




6. Nurse Gail places aclient in afour-point restraint following orders from the physician. Theclient care plan should include:
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a. Assess temperature frequently. jjj jjj




b. Providediversional activities. j jjj




c. Check circulation every 15-30 minutes. jjj jjj jjj jjj




d. Socialize with otherpatients once a shift. jjj j jj j j jj j jj jj




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,7. A male client who has severe burns is receiving H2 receptor antagonist therapy. The nurse In-charge knows the purpose of
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this therapy is to: jj jjj jj




a. Preventstressulcer j j




b. Blockprostaglandin synthesis j j j j




c. Facilitateprotein synthesis. j jjj




d. Enhance gas exchange j jj jjj




8. The doctor orders hourly urine output measurement for a postoperative male client. The nurse Trish records the following
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amounts of output for 2 consecutive hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml. Based on these amounts, which action should the
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nurse take? jjj




a. Increase the I.V. fluid infusion rate j j j j j j j j j j j j j j j




b. Irrigate the indwelling urinary catheter jjj jjj j jj jj




c. Notify the physician j jj jjj




d. Continue to monitorand record hourly urine output jjj j jj j jjj jjj jjj jjj




9. Tony, a basketball player twist his right ankle while playing on the court and seeks care for ankle pain and swelling. After
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the nurse applies ice to the ankle for 30 minutes, which statement by Tony suggests that ice application has been
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effective?

a. “My ankle looks less swollen now”.
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b. “My ankle feels warm”. jjj jj jj




c. “My ankle appears redder now”. j jj jjj jjj jjj




d. “I need something strongerforpain relief”
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10. The physician prescribes a loop diuretic for a client.
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client may develop which electrolyte imbalance?
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a. Hypernatremia
b. Hyperkalemia
c. Hypokalemia
d. Hypervolemia

11. She finds out that some managers have benevolent-authoritative style of management.
jjj jjj jjj jjj jjj jjj jjj jjj jjj jjj j j j Which of the following behaviorsjjj jjj jjj jjj




j j j will she exhibit most likely? jjj jjj jjj jjj




a. Have condescending trust and confidence in theirsubordinates.
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b. Gives economic and ego awards. j jj jjj jjj jjj




c. Communicates downward to staffs. jjj jjj jj




d. Allows decision making among subordinates. jjj jjj jjj j jj




12. Nurse Amy is aware that the following is true about functional nursing
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a. Provides continuous, coordinated and comprehensive nursing services. jjj j j j jjj jjj jjj jjj




b. One-to-one nurse patient ratio. jjj jjj jjj




c. Emphasize the use of group collaboration. jjj jjj jjj j jj jjj




d. Concentrates ontasks and activities. jjj j jjj jjj




13. Which type of medication ordermight read "Vitamin K10 mg I.M. daily × 3 days?"
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a. Single order j j j




b. Standard written order j jj jjj




c. Standing order jjj




d. Stat order jj j




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, 14. A female client withafecal impaction frequently exhibits which clinical manifestation?
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a. Increased appetite j jj




b. Loss of urge to defecate jjj jj jjj jjj




c. Hard, brown, formed stools jjj j jj jjj




d. Liquid or semi-liquid stools j j j j j j j j j




15. Nurse Linda prepares to perform an otoscopic examination on a female client. For proper visualization, the
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nurse should position the client's earby:
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a. Pulling the lobule down and back j jj jjj jjj j jjj




b. Pulling the helix upand forward jjj jjj jj j jjj




c. Pulling the helix upand back jjj jjj jj j jjj




d. Pulling the lobule down and forward j jj jjj jjj j jjj




16. Which instruction should nurse Tomgive toamale client whois having external radiation therapy:
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a. Protect the irritated skinfrom sunlight. jjj jjj j jj j jj




b. Eat 3to4 hours before treatment.
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c. Wash the skin overregularly. jjj j jj jj j j




d. Apply lotion oroil to the radiated areawhen it is red orsore.
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17. In assisting a female client forimmediate surgery, the nurse In-charge is aware that she should:
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a. Encourage the client tovoid following preoperative medication. jj jj jjj j jjj jjj jjj




b. Explore the client’s fears and anxieties about the surgery. jj jj jjj jj jjj jjj j jj jj




c. Assist theclient inremoving dentures and nail polish.
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d. Encourage the client to drink waterpriorto surgery. jj j jjj jj j j jj jjj j j jj j




18. A male client is admitted and diagnosed with acute pancreatitis after a holiday celebration of excessive food and alcohol.
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Which assessment finding reflects this diagnosis?
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a. Blood pressureabove normal range. jjj j jj jj j




b. Presence of crackles in both lung fields. jjj jjj jjj jjj jjj jjj




c. Hyperactivebowel sounds j jjj




d. Sudden onset of continuous epigastric and back pain. jjj jjj jjj jj j jjj jjj jjj




19. Which dietary guidelines are important fornurse Oliverto implement in caring forthe client with burns?
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a. Provide high-fiber, high-fat diet jjj jjj jjj




b. Providehigh-protein, high-carbohydrate diet. j j j j jj




c. Monitorintake to prevent weight gain. j jjj jjj j jj jjj




d. Provide ice chips or water intake. jjj jjj jjj jjj j jj




20. Nurse Hazel will administeraunit of whole blood, which priority information should the nurse have about the client?
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a. Blood pressure and pulse rate. jjj jjj jjj jjj




b. Height and weight. jjj jjj




c. Calcium and potassium levels j jj jjj jjj




d. Hgband Hct levels. j jjj j jj




21. Nurse Michelle witnesses a female client sustain a fall and suspects that the leg may be broken. The nurse takes which
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priority action? jjj




a. Takesa setofvital signs. j jjj j j j jj




b. Call the radiology department forX-ray.
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