PNLE PRACTICE EXAM QUESTIONS
AND ANSWERS
Following surgery, Mario complains of mild incisional pain while
performing deep- breathing and coughing exercises. The nurse's
best response would be:
A. "Pain will become less each day."
B. "This is a normal reaction after surgery."
C. "With a pillow, apply pressure against the incision."
D. "I will give you the pain medication the physician ordered." -
correct answer ✅Answer: (C) "With a pillow, apply pressure
against the incision."
Applying pressure against the incision with a pillow will help lessen
the intra-abdominal pressure created by coughing which causes
tension on the incision that leads to pain.
The nurse needs to carefully assess the complaint of pain of the
elderly because older people
A. are expected to experience chronic pain
B. have a decreased pain threshold
C. experience reduced sensory perception
,PNLE PRACTICE EXAM QUESTIONS
AND ANSWERS
D. have altered mental function -
correct answer ✅Answer: (C) experience reduced sensory
perception
Degenerative changes occur in the elderly. The response to pain in
the elderly maybe lessened because of reduced acuity of touch,
alterations in neural pathways and diminished processing of
sensory data
Mary received AtropineSO4 as a pre-medication 30 minutes ago
and is now complaining of dry mouth and her PR is higher, than
before the medication was administered. The nurse's best
A. The patient is having an allergic reaction to the drug.
B. The patient needs a higher dose of this drug
C. This is normal side-effect of AtSO4
D. The patient is anxious about upcoming surgery -
correct answer ✅Answer: (C) This is normal side-effect of AtSO4
,PNLE PRACTICE EXAM QUESTIONS
AND ANSWERS
Atropine sulfate is a vagolytic drug that decreases oropharyngeal
secretions and increases the heart rate.
Ana's postoperative vital signs are a blood pressure of 80/50 mm
Hg, a pulse of 140, and respirations of 32. Suspecting shock, which
of the following orders would the nurse question?
A. Put the client in modified Trendelenberg's position.
B. Administer oxygen at 100%.
C. Monitor urine output every hour.
D. Administer Demerol 50mg IM q4h -
correct answer ✅Answer: (D) Administer Demerol 50mg IM q4h
Administering Demerol, which is a narcotic analgesic, can depress
respiratory and cardiac function and thus not given to a patient in
shock. What is needed is promotion for adequate oxygenation and
perfusion. All the other interventions can be expected to be done
by the nurse.
, PNLE PRACTICE EXAM QUESTIONS
AND ANSWERS
Mr. Pablo, diagnosed with Bladder Cancer, is scheduled for a
cystectomy with the creation of an ileal conduit in the morning. He
is wringing his hands and pacing the floor when the nurse enters his
room. What is the best approach?
A. "Good evening, Mr. Pablo. Wasn't it a pleasant day, today?"
B. "Mr, Pablo, you must be so worried, I'll leave you alone with your
thoughts.
C. "Mr. Pablo, you'll wear out the hospital floors and yourself at this
rate."
D. "Mr. Pablo, you appear anxious to me. How are you feeling about
tomorrow's surgery? -
correct answer ✅Answer: (D) "Mr. Pablo, you appear anxious to
me. How are you feeling about tomorrow's surgery?"
The client is showing signs of anxiety reaction to a stressful event.
Recognizing the client's anxiety conveys acceptance of his behavior
and will allow for verbalization of feelings and concerns.
After surgery, Gina returns from the Post-anesthesia Care Unit
(Recovery Room) with a nasogastric tube in place following a gall
AND ANSWERS
Following surgery, Mario complains of mild incisional pain while
performing deep- breathing and coughing exercises. The nurse's
best response would be:
A. "Pain will become less each day."
B. "This is a normal reaction after surgery."
C. "With a pillow, apply pressure against the incision."
D. "I will give you the pain medication the physician ordered." -
correct answer ✅Answer: (C) "With a pillow, apply pressure
against the incision."
Applying pressure against the incision with a pillow will help lessen
the intra-abdominal pressure created by coughing which causes
tension on the incision that leads to pain.
The nurse needs to carefully assess the complaint of pain of the
elderly because older people
A. are expected to experience chronic pain
B. have a decreased pain threshold
C. experience reduced sensory perception
,PNLE PRACTICE EXAM QUESTIONS
AND ANSWERS
D. have altered mental function -
correct answer ✅Answer: (C) experience reduced sensory
perception
Degenerative changes occur in the elderly. The response to pain in
the elderly maybe lessened because of reduced acuity of touch,
alterations in neural pathways and diminished processing of
sensory data
Mary received AtropineSO4 as a pre-medication 30 minutes ago
and is now complaining of dry mouth and her PR is higher, than
before the medication was administered. The nurse's best
A. The patient is having an allergic reaction to the drug.
B. The patient needs a higher dose of this drug
C. This is normal side-effect of AtSO4
D. The patient is anxious about upcoming surgery -
correct answer ✅Answer: (C) This is normal side-effect of AtSO4
,PNLE PRACTICE EXAM QUESTIONS
AND ANSWERS
Atropine sulfate is a vagolytic drug that decreases oropharyngeal
secretions and increases the heart rate.
Ana's postoperative vital signs are a blood pressure of 80/50 mm
Hg, a pulse of 140, and respirations of 32. Suspecting shock, which
of the following orders would the nurse question?
A. Put the client in modified Trendelenberg's position.
B. Administer oxygen at 100%.
C. Monitor urine output every hour.
D. Administer Demerol 50mg IM q4h -
correct answer ✅Answer: (D) Administer Demerol 50mg IM q4h
Administering Demerol, which is a narcotic analgesic, can depress
respiratory and cardiac function and thus not given to a patient in
shock. What is needed is promotion for adequate oxygenation and
perfusion. All the other interventions can be expected to be done
by the nurse.
, PNLE PRACTICE EXAM QUESTIONS
AND ANSWERS
Mr. Pablo, diagnosed with Bladder Cancer, is scheduled for a
cystectomy with the creation of an ileal conduit in the morning. He
is wringing his hands and pacing the floor when the nurse enters his
room. What is the best approach?
A. "Good evening, Mr. Pablo. Wasn't it a pleasant day, today?"
B. "Mr, Pablo, you must be so worried, I'll leave you alone with your
thoughts.
C. "Mr. Pablo, you'll wear out the hospital floors and yourself at this
rate."
D. "Mr. Pablo, you appear anxious to me. How are you feeling about
tomorrow's surgery? -
correct answer ✅Answer: (D) "Mr. Pablo, you appear anxious to
me. How are you feeling about tomorrow's surgery?"
The client is showing signs of anxiety reaction to a stressful event.
Recognizing the client's anxiety conveys acceptance of his behavior
and will allow for verbalization of feelings and concerns.
After surgery, Gina returns from the Post-anesthesia Care Unit
(Recovery Room) with a nasogastric tube in place following a gall
