PNLE NP3 Test 1 Exam
. When taking a dietary history from a newly admitted female client, Nurse Len
should remember that which of the following foods is a common allergen?
A. Bread
B. Carrots
C. Orange
D. Strawberries - Correct Answer ✔️✔️Answer: (D) Strawberries.
Common food allergens include berries, peanuts, Brazil nuts, cashews, shellfish,
and eggs. Bread, carrots, and oranges rarely cause allergic reactions.
1. Nurse John is caring for clients in the outpatient clinic. Which of the following
phone calls should the nurse return first?
A. A client with hepatitis A who states, "My arms and legs are itching."
,B. A client with cast on the right leg who states, "I have a funny feeling in my
right leg."
C. A client with osteomyelitis of the spine who states, "I am so nauseous that I
can't eat."
D. A client with rheumatoid arthritis who states, "I am having trouble sleeping."
- Correct Answer ✔️✔️Answer: (B) A client with cast on the right leg who
states, "I have a funny feeling in my right leg."
It may indicate neurovascular compromise, requires immediate assessment.
2. Nurse Sarah is caring for clients on the surgical floor and has just received
report from the previous shift. Which of the following clients should the nurse
see first?
A. A 35-year-old admitted three hours ago with a gunshot wound; 1.5 cm area
of dark drainage noted on the dressing.
B. A 43-year-old who had a mastectomy two days ago; 23 ml of serosanguinous
fluid noted in the Jackson-Pratt drain.
,C. A 59-year-old with a collapsed lung due to an accident; no drainage noted in
the previous eight hours.
D. A 62-year-old who had an abdominal-perineal resection three days ago; client
complaints of chills. - Correct Answer ✔️✔️Answer: (D) A 62-year-old who
had an abdominal-perineal resection three days ago; client complaints of chills.
The client is at risk for peritonitis; should be assessed for further symptoms and
infection.
3. Nurse Eve is caring for a client who had a thyroidectomy 12 hours ago for
treatment of Grave's disease. The nurse would be most concerned if which of
the following was observed?
A. Blood pressure 138/82, respirations 16, oral temperature 99 degrees
Fahrenheit.
B. The client supports his head and neck when turning his head to the right.
C. The client spontaneously flexes his wrist when the blood pressure is
obtained.
, D. The client is drowsy and complains of sore throat. - Correct Answer ✔️✔
️Answer: (C) The client spontaneously flexes his wrist when the blood pressure
is obtained.
Carpal spasms indicate hypocalcemia.
4. Julius is admitted with complaints of severe pain in the lower right quadrant
of the abdomen. To assist with pain relief, the nurse should take which of the
following actions?
A. Encourage the client to change positions frequently in bed.
B. Administer Demerol 50 mg IM q 4 hours and PRN.
C. Apply warmth to the abdomen with a heating pad.
D. Use comfort measures and pillows to position the client. - Correct Answer
✔️✔️Answer: (D) Use comfort measures and pillows to position the client.
Using comfort measures and pillows to position the client is a non-
pharmacological methods of pain relief.
. When taking a dietary history from a newly admitted female client, Nurse Len
should remember that which of the following foods is a common allergen?
A. Bread
B. Carrots
C. Orange
D. Strawberries - Correct Answer ✔️✔️Answer: (D) Strawberries.
Common food allergens include berries, peanuts, Brazil nuts, cashews, shellfish,
and eggs. Bread, carrots, and oranges rarely cause allergic reactions.
1. Nurse John is caring for clients in the outpatient clinic. Which of the following
phone calls should the nurse return first?
A. A client with hepatitis A who states, "My arms and legs are itching."
,B. A client with cast on the right leg who states, "I have a funny feeling in my
right leg."
C. A client with osteomyelitis of the spine who states, "I am so nauseous that I
can't eat."
D. A client with rheumatoid arthritis who states, "I am having trouble sleeping."
- Correct Answer ✔️✔️Answer: (B) A client with cast on the right leg who
states, "I have a funny feeling in my right leg."
It may indicate neurovascular compromise, requires immediate assessment.
2. Nurse Sarah is caring for clients on the surgical floor and has just received
report from the previous shift. Which of the following clients should the nurse
see first?
A. A 35-year-old admitted three hours ago with a gunshot wound; 1.5 cm area
of dark drainage noted on the dressing.
B. A 43-year-old who had a mastectomy two days ago; 23 ml of serosanguinous
fluid noted in the Jackson-Pratt drain.
,C. A 59-year-old with a collapsed lung due to an accident; no drainage noted in
the previous eight hours.
D. A 62-year-old who had an abdominal-perineal resection three days ago; client
complaints of chills. - Correct Answer ✔️✔️Answer: (D) A 62-year-old who
had an abdominal-perineal resection three days ago; client complaints of chills.
The client is at risk for peritonitis; should be assessed for further symptoms and
infection.
3. Nurse Eve is caring for a client who had a thyroidectomy 12 hours ago for
treatment of Grave's disease. The nurse would be most concerned if which of
the following was observed?
A. Blood pressure 138/82, respirations 16, oral temperature 99 degrees
Fahrenheit.
B. The client supports his head and neck when turning his head to the right.
C. The client spontaneously flexes his wrist when the blood pressure is
obtained.
, D. The client is drowsy and complains of sore throat. - Correct Answer ✔️✔
️Answer: (C) The client spontaneously flexes his wrist when the blood pressure
is obtained.
Carpal spasms indicate hypocalcemia.
4. Julius is admitted with complaints of severe pain in the lower right quadrant
of the abdomen. To assist with pain relief, the nurse should take which of the
following actions?
A. Encourage the client to change positions frequently in bed.
B. Administer Demerol 50 mg IM q 4 hours and PRN.
C. Apply warmth to the abdomen with a heating pad.
D. Use comfort measures and pillows to position the client. - Correct Answer
✔️✔️Answer: (D) Use comfort measures and pillows to position the client.
Using comfort measures and pillows to position the client is a non-
pharmacological methods of pain relief.
