NR 326 PHILIPPINE NURSING
LICENSURE EXAM (PNLE)
EXAM 1 2025
[Document subtitle]
2025/2026
MORRIS ACADEMIA
,Philippine Nursing Licensure Exam (PNLE) Exam 1 2025
1. A 10 year old who has sustained a head injury is brought to the emergency department by his
mother. A diagnosis of a mild concussion is made. At the time of discharge, Nurse Ron should
instruct the mother to:
A. Withhold food and fluids for 24 hours.
B. Allow him to play outdoors with his friends.
C. Arrange for a follow up visit with the child’s primary care provider in one week.
D. Check for any change in responsiveness every two hours until the follow-up visit.
2. A male client has suffered a motor accident and is now suffering from hypovolemic shock.
Nurse Helen should frequency assess the client’s vital signs during the compensatory stage
of shock, because:
A. Arteriolar constriction occurs
B. The cardiac workload decreases
C. Decreased contractility of the heart occurs
D. The parasympathetic nervous system is triggered
3. A paranoid male client with schizophrenia is losing weight, reluctant to eat, and voicing
concerns about being poisoned. The best intervention by nurse Dina would be to:
A. Allow the client to open canned or pre-packaged food
B. Restrict the client to his room until 2 lbs are gained
C. Have a staff member personally taste all of the client’s food
D. Tell the client the food has been x-rayed by the staff and is safe
4. One day the mother of a young adult confides to nurse Frida that she is very troubled by
he child’s emotional illness. The nurse’s most therapeutic initial response would be:
A. “You may be able to lessen your feelings of guilt by seeking counseling”
B. “It would be helpful if you become involved in volunteer work at this time”
C. “I recognize it’s hard to deal with this, but try to remember that this too shall pass”
D. “Joining a support group of parents who are coping with this problem can be quite helpful.
5. To check for wound hemorrhage after a client has had a surgery for the removal of a tumor in
the neck, nurse grace should:
A. Loosen an edge of the dressing and lift it to see the wound
B. Observe the dressing at the back of the neck for the presence of blood
C. Outline the blood as it appears on the dressing to observe any progression
D. Press gently around the incision to express accumulated blood from the wound
6. A 16-year-old primigravida arrives at the labor and birthing unit in her 38th week of
gestation and states that she is labor. To verify that the client is in true labor nurse Trina
should:
A. Obtain sides for a fern test
B. Time any uterine contractions
C. Prepare her for a pelvic examination
D. Apply nitrazine paper to moist vaginal tissue
7. As part of the diagnostic workup for pulmonic stenosis, a child has cardiac catheterization.
Nurse Julius is aware that children with pulmonic stenosis have increased pressure:
A. In the pulmonary vein
B. In the pulmonary artery
,C. On the left side of the heart
D. On the right side of the heart
, 8. An obese client asks Nurse Julius how to lose weight. Before answering, the nurse should
remember that long-term weight loss occurs best when:
A. Eating patterns are altered
B. Fats are limited in the diet
C. Carbohydrates are regulated
D. Exercise is a major component
9. As a very anxious female client is talking to the nurse May, she starts crying. She appears to
be upset that she cannot control her crying. The most appropriate response by the nurse
would be:
A. “Is talking about your problem upsetting you?”
B. “It is Ok to cry; I’ll just stay with you for now”
C. “You look upset; let’s talk about why you are crying.”
D. “Sometimes it helps to get it out of your system.”
10. A patient has partial-thickness burns to both legs and portions of his trunk. Which of the
following
I.V. fluids is given first?
A. Albumin
B. D5W
C. Lactated Ringer’s solution
D. 0.9% sodium chloride solution with 2 mEq of potassium per 100 ml
11. During the first 48 hours after a severe burn of 40% of the clients body surface, the
nurse’s assessment should include observations for water intoxication. Associated
adaptations include:
A. Sooty-colored sputum
B. Frothy pink-tinged sputum
C. Twitching and disorientation
D. Urine output below 30ml per hour
12. After a muscle biopsy, nurse Willy should teach the client to:
A. Change the dressing as needed
B. Resume the usual diet as soon as desired
C. Bathe or shower according to preference
D. Expect a rise in body temperature for 48 hours
13. Before a client whose left hand has been amputated can be fitted for a prosthesis, nurse
Joy is aware that:
A. Arm and shoulder muscles must be developed
B. Shrinkage of the residual limb must be completed
C. Dexterity in the other extremity must be achieved
D. Full adjustment to the altered body image must have occurred
14. Nurse Cathy applies a fetal monitor to the abdomen of a client in active labor. When the
client has contractions, the nurse notes a 15 beat per minute deceleration of the fetal heart
rate below the baseline lasting 15 seconds. Nurse Cathy should:
A. Change the maternal position
B. Prepare for an immediate birth
C. Call the physician immediately
LICENSURE EXAM (PNLE)
EXAM 1 2025
[Document subtitle]
2025/2026
MORRIS ACADEMIA
,Philippine Nursing Licensure Exam (PNLE) Exam 1 2025
1. A 10 year old who has sustained a head injury is brought to the emergency department by his
mother. A diagnosis of a mild concussion is made. At the time of discharge, Nurse Ron should
instruct the mother to:
A. Withhold food and fluids for 24 hours.
B. Allow him to play outdoors with his friends.
C. Arrange for a follow up visit with the child’s primary care provider in one week.
D. Check for any change in responsiveness every two hours until the follow-up visit.
2. A male client has suffered a motor accident and is now suffering from hypovolemic shock.
Nurse Helen should frequency assess the client’s vital signs during the compensatory stage
of shock, because:
A. Arteriolar constriction occurs
B. The cardiac workload decreases
C. Decreased contractility of the heart occurs
D. The parasympathetic nervous system is triggered
3. A paranoid male client with schizophrenia is losing weight, reluctant to eat, and voicing
concerns about being poisoned. The best intervention by nurse Dina would be to:
A. Allow the client to open canned or pre-packaged food
B. Restrict the client to his room until 2 lbs are gained
C. Have a staff member personally taste all of the client’s food
D. Tell the client the food has been x-rayed by the staff and is safe
4. One day the mother of a young adult confides to nurse Frida that she is very troubled by
he child’s emotional illness. The nurse’s most therapeutic initial response would be:
A. “You may be able to lessen your feelings of guilt by seeking counseling”
B. “It would be helpful if you become involved in volunteer work at this time”
C. “I recognize it’s hard to deal with this, but try to remember that this too shall pass”
D. “Joining a support group of parents who are coping with this problem can be quite helpful.
5. To check for wound hemorrhage after a client has had a surgery for the removal of a tumor in
the neck, nurse grace should:
A. Loosen an edge of the dressing and lift it to see the wound
B. Observe the dressing at the back of the neck for the presence of blood
C. Outline the blood as it appears on the dressing to observe any progression
D. Press gently around the incision to express accumulated blood from the wound
6. A 16-year-old primigravida arrives at the labor and birthing unit in her 38th week of
gestation and states that she is labor. To verify that the client is in true labor nurse Trina
should:
A. Obtain sides for a fern test
B. Time any uterine contractions
C. Prepare her for a pelvic examination
D. Apply nitrazine paper to moist vaginal tissue
7. As part of the diagnostic workup for pulmonic stenosis, a child has cardiac catheterization.
Nurse Julius is aware that children with pulmonic stenosis have increased pressure:
A. In the pulmonary vein
B. In the pulmonary artery
,C. On the left side of the heart
D. On the right side of the heart
, 8. An obese client asks Nurse Julius how to lose weight. Before answering, the nurse should
remember that long-term weight loss occurs best when:
A. Eating patterns are altered
B. Fats are limited in the diet
C. Carbohydrates are regulated
D. Exercise is a major component
9. As a very anxious female client is talking to the nurse May, she starts crying. She appears to
be upset that she cannot control her crying. The most appropriate response by the nurse
would be:
A. “Is talking about your problem upsetting you?”
B. “It is Ok to cry; I’ll just stay with you for now”
C. “You look upset; let’s talk about why you are crying.”
D. “Sometimes it helps to get it out of your system.”
10. A patient has partial-thickness burns to both legs and portions of his trunk. Which of the
following
I.V. fluids is given first?
A. Albumin
B. D5W
C. Lactated Ringer’s solution
D. 0.9% sodium chloride solution with 2 mEq of potassium per 100 ml
11. During the first 48 hours after a severe burn of 40% of the clients body surface, the
nurse’s assessment should include observations for water intoxication. Associated
adaptations include:
A. Sooty-colored sputum
B. Frothy pink-tinged sputum
C. Twitching and disorientation
D. Urine output below 30ml per hour
12. After a muscle biopsy, nurse Willy should teach the client to:
A. Change the dressing as needed
B. Resume the usual diet as soon as desired
C. Bathe or shower according to preference
D. Expect a rise in body temperature for 48 hours
13. Before a client whose left hand has been amputated can be fitted for a prosthesis, nurse
Joy is aware that:
A. Arm and shoulder muscles must be developed
B. Shrinkage of the residual limb must be completed
C. Dexterity in the other extremity must be achieved
D. Full adjustment to the altered body image must have occurred
14. Nurse Cathy applies a fetal monitor to the abdomen of a client in active labor. When the
client has contractions, the nurse notes a 15 beat per minute deceleration of the fetal heart
rate below the baseline lasting 15 seconds. Nurse Cathy should:
A. Change the maternal position
B. Prepare for an immediate birth
C. Call the physician immediately
