RNPedia: PNLE Overall Test 1 Exam
Questions and Answers (Latest
Update 2026)
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. -
correct answer ✅C. Check for any change in responsiveness every
two hours until the follow-up visit.
Signs of an epidural hematoma in children usually do not appear for
24 hours or more hours; a follow-up visit usually is arranged for one
to two days after the injury.
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:
,RNPedia: PNLE Overall Test 1 Exam
Questions and Answers (Latest
Update 2026)
A. Arteriolar constriction occurs
B. The cardiac workload decreases
C. Decreased contractility of the heart occurs
D. The parasympathetic nervous system is triggered -
correct answer ✅A. Arteriolar constriction occurs.
The early compensation of shock is cardiovascular and is seen in
changes in pulse, BP, and pulse pressure; blood is shunted to vital
centers, particularly heart and brain.
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 -
correct answer ✅A.
,RNPedia: PNLE Overall Test 1 Exam
Questions and Answers (Latest
Update 2026)
Allow the client to open canned or pre-packaged food. The client's
comfort, safety, and nutritional status are the priorities; the client
may feel comfortable to eat if the food has been sealed before
reaching the mental health facility.
4. One day the mother of a young adult confides to nurse Frida that
she is very troubled by the 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" -
correct answer ✅D. "Joining a support group of parents who are
coping with this problem can be quite helpful"
Taking with others in similar circumstances provides support and
allows for sharing of experiences.
, RNPedia: PNLE Overall Test 1 Exam
Questions and Answers (Latest
Update 2026)
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 -
correct answer ✅B. Observe the dressing at the back of the neck
for the presence of blood.
Drainage flows by gravity.
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
Questions and Answers (Latest
Update 2026)
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. -
correct answer ✅C. Check for any change in responsiveness every
two hours until the follow-up visit.
Signs of an epidural hematoma in children usually do not appear for
24 hours or more hours; a follow-up visit usually is arranged for one
to two days after the injury.
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:
,RNPedia: PNLE Overall Test 1 Exam
Questions and Answers (Latest
Update 2026)
A. Arteriolar constriction occurs
B. The cardiac workload decreases
C. Decreased contractility of the heart occurs
D. The parasympathetic nervous system is triggered -
correct answer ✅A. Arteriolar constriction occurs.
The early compensation of shock is cardiovascular and is seen in
changes in pulse, BP, and pulse pressure; blood is shunted to vital
centers, particularly heart and brain.
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 -
correct answer ✅A.
,RNPedia: PNLE Overall Test 1 Exam
Questions and Answers (Latest
Update 2026)
Allow the client to open canned or pre-packaged food. The client's
comfort, safety, and nutritional status are the priorities; the client
may feel comfortable to eat if the food has been sealed before
reaching the mental health facility.
4. One day the mother of a young adult confides to nurse Frida that
she is very troubled by the 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" -
correct answer ✅D. "Joining a support group of parents who are
coping with this problem can be quite helpful"
Taking with others in similar circumstances provides support and
allows for sharing of experiences.
, RNPedia: PNLE Overall Test 1 Exam
Questions and Answers (Latest
Update 2026)
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 -
correct answer ✅B. Observe the dressing at the back of the neck
for the presence of blood.
Drainage flows by gravity.
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
