PNLE EXAM PRACTICE TEST QUESTIONS COMPLETE
WITH 100% VERIFIED ANSWERS
Question Number 1 of 40
A child and his family were exposed to Mycobacterium tuberculosis
about 2 months ago, to confirm the presence or absence of an
infection, it is most important for all family members to have a
A) Chest x-ray
B) Blood culture
C) Sputum culture
D) PPD intradermal test Your
response was "A".
The correct answer is D: PPD intradermal test
The administration of the PPD intradermal test determines the presence
of the infection with the Mycobacterium tuberculosis organism. It is
effective at 3 to 6 weeks after the initial infection.
Question Number 2 of 40
A 4 month-old child taking digoxin (Lanoxin) has a blood pressure of
92/78; resting pulse of 78; respirations 28 and a potassium level of
4.8 mEq/L. The client is irritable and has vomited twice since the
morning dose of digoxin. Which finding is most indicative of digoxin
toxicity? ".
A) Bradycardia
B) Lethargy
C) Irritability
D) Vomiting
Your response was "A".
The correct answer is A: Bradycardia
The most common sign of digoxin toxicity in children is bradycardia
(heart rate below 100 in an infant).
Question Number 3 of 40
Which finding would be the most characteristic of an acute episode
of reactive airway disease?
A) Auditory gurgling
, B) Inspiratory laryngeal stridor
C) Auditory expiratory wheezing
D) Frequent dry coughing Your
response was "A".
The correct answer is C: Wheezing on expiration
In an acute episode of reactive airway disease, breathing is likely to be
characterized by wheezing on expiration. This sound is made as air is
forced through the narrowed passages and often is heard by the naked
ear without a stethoscope.
Question Number 4 of 40
A client has been admitted for meningitis. In reviewing the laboratory
analysis of cerebrospinal fluid (CSF), the nurse would expect to note
A) High protein
B) Clear color
C) Elevated sed rate
D) Increased glucose Your
response was "A".
The correct answer is A: High protein A positive CSF for meningitis
would include presence of protein, a positive blood culture, decreased
glucose, cloudy color with an increased opening pressure, and an
elevated white blood cell count.
Question Number 5 of 40
At a routine health assessment, a client tells the nurse that she is
planning a pregnancy in the near future. She asks about preconception
diet changes. Which of the statements made by the nurse is best?
A) "Include fibers in your daily diet."
B) "Increase green leafy vegetable intake."
C) "Drink a glass of milk with each meal."
D) "Eat at least 1 serving of fish weekly."
Your response was "A".
, The correct answer is B: "Increase green leafy vegetable intake." Folic
acid sources should be included in the diet and are critical in the
preconceptual and early gestational periods to foster neural tube
development and prevent birth defects such as spina bifida.
Question Number 6 of 40
A Hispanic client confides in the nurse that she is concerned that staff
may give her newborn the "evil eye." The nurse should communicate
to other personnel that the appropriate approach is to ".
A) Touch the baby after looking at him
B) Talk very slowly while speaking to him
C) Avoid touching the child
D) Look only at the parents Your
response was "A".
The correct answer is A: Touch the baby after looking at him In many
cultures, an "evil eye" is cast when looking at a person without touching
him. Thus, the spell is broken by touching while looking or assessing.
Question Number 7 of 40
During the care of a client with Legionnaire's disease, which finding
would require the nurse's immediate attention?
A) Pleuritic pain on inspiration
B) Dry mucus membranes in the mouth
C) A decrease in respiratory rate from 34 to 24
D) Decrease in chest wall expansion Your
response was "A".
The correct answer is D: Decrease in chest wall expansion
The respiratory status of a client with this acute bacterial pneumonia
known as Legionnaires'' disease is critical. Note that all of these findings
would be of a concern. The task is to select the priority concern. Chest
wall expansion reflects a possible decrease in the depth and effort of
respirations. Further findings of restlessness may indicate hypoxemia. If
these occurred the client may then need mechanical ventilation. Option
A is expected with such infections of the lung. Option B indicates
dehydration which may result in thick sputum which is most difficult to
cough up. Option C is a desired effect of therapy.
Question Number 8 of 40
A newly appointed nurse manager is having difficulties with time
management. Which advice from an experienced manager should the
new manager do initially?
WITH 100% VERIFIED ANSWERS
Question Number 1 of 40
A child and his family were exposed to Mycobacterium tuberculosis
about 2 months ago, to confirm the presence or absence of an
infection, it is most important for all family members to have a
A) Chest x-ray
B) Blood culture
C) Sputum culture
D) PPD intradermal test Your
response was "A".
The correct answer is D: PPD intradermal test
The administration of the PPD intradermal test determines the presence
of the infection with the Mycobacterium tuberculosis organism. It is
effective at 3 to 6 weeks after the initial infection.
Question Number 2 of 40
A 4 month-old child taking digoxin (Lanoxin) has a blood pressure of
92/78; resting pulse of 78; respirations 28 and a potassium level of
4.8 mEq/L. The client is irritable and has vomited twice since the
morning dose of digoxin. Which finding is most indicative of digoxin
toxicity? ".
A) Bradycardia
B) Lethargy
C) Irritability
D) Vomiting
Your response was "A".
The correct answer is A: Bradycardia
The most common sign of digoxin toxicity in children is bradycardia
(heart rate below 100 in an infant).
Question Number 3 of 40
Which finding would be the most characteristic of an acute episode
of reactive airway disease?
A) Auditory gurgling
, B) Inspiratory laryngeal stridor
C) Auditory expiratory wheezing
D) Frequent dry coughing Your
response was "A".
The correct answer is C: Wheezing on expiration
In an acute episode of reactive airway disease, breathing is likely to be
characterized by wheezing on expiration. This sound is made as air is
forced through the narrowed passages and often is heard by the naked
ear without a stethoscope.
Question Number 4 of 40
A client has been admitted for meningitis. In reviewing the laboratory
analysis of cerebrospinal fluid (CSF), the nurse would expect to note
A) High protein
B) Clear color
C) Elevated sed rate
D) Increased glucose Your
response was "A".
The correct answer is A: High protein A positive CSF for meningitis
would include presence of protein, a positive blood culture, decreased
glucose, cloudy color with an increased opening pressure, and an
elevated white blood cell count.
Question Number 5 of 40
At a routine health assessment, a client tells the nurse that she is
planning a pregnancy in the near future. She asks about preconception
diet changes. Which of the statements made by the nurse is best?
A) "Include fibers in your daily diet."
B) "Increase green leafy vegetable intake."
C) "Drink a glass of milk with each meal."
D) "Eat at least 1 serving of fish weekly."
Your response was "A".
, The correct answer is B: "Increase green leafy vegetable intake." Folic
acid sources should be included in the diet and are critical in the
preconceptual and early gestational periods to foster neural tube
development and prevent birth defects such as spina bifida.
Question Number 6 of 40
A Hispanic client confides in the nurse that she is concerned that staff
may give her newborn the "evil eye." The nurse should communicate
to other personnel that the appropriate approach is to ".
A) Touch the baby after looking at him
B) Talk very slowly while speaking to him
C) Avoid touching the child
D) Look only at the parents Your
response was "A".
The correct answer is A: Touch the baby after looking at him In many
cultures, an "evil eye" is cast when looking at a person without touching
him. Thus, the spell is broken by touching while looking or assessing.
Question Number 7 of 40
During the care of a client with Legionnaire's disease, which finding
would require the nurse's immediate attention?
A) Pleuritic pain on inspiration
B) Dry mucus membranes in the mouth
C) A decrease in respiratory rate from 34 to 24
D) Decrease in chest wall expansion Your
response was "A".
The correct answer is D: Decrease in chest wall expansion
The respiratory status of a client with this acute bacterial pneumonia
known as Legionnaires'' disease is critical. Note that all of these findings
would be of a concern. The task is to select the priority concern. Chest
wall expansion reflects a possible decrease in the depth and effort of
respirations. Further findings of restlessness may indicate hypoxemia. If
these occurred the client may then need mechanical ventilation. Option
A is expected with such infections of the lung. Option B indicates
dehydration which may result in thick sputum which is most difficult to
cough up. Option C is a desired effect of therapy.
Question Number 8 of 40
A newly appointed nurse manager is having difficulties with time
management. Which advice from an experienced manager should the
new manager do initially?
