PNLE 1 -
Foundation of
Professional
Nursing Practice
Set1, Exams of
Nursing
, PNLE I for Foundation of
Professional Nursing Practice
Text Mode – Text version of the exam
1. The nurse In-charge in labor and delivery unit administered a dose of
terbutaline to a client without checking the client’s pulse. The standard that
would be used to determine if the nurse was negligent is:
A. The physician’s orders.
B. The action of a clinical nurse specialist who is recognized expert in the
field.
C. The statement in the drug literature about administration of terbutaline.
D. The actions of a reasonably prudent nurse with similar education and
experience.
2. Nurse Trish is caring for a female client with a history of GI bleeding, sickle
cell disease, and a platelet count of 22,000/μl. The female client is dehydrated
and receiving dextrose 5% in half-normal saline solution at 150 ml/hr. The
client complains of severe bone pain and is scheduled to receive a dose of
morphine sulfate. In administering the medication, Nurse Trish should avoid
which route?
A. I.V
B. I.M
C. Oral
D. S.C
3. Dr. Garcia writes the following order for the client who has been recently
admitted “Digoxin .125 mg P.O. once daily.” To prevent a dosage error, how
should the nurse document this order onto the medication administration
record?
A. “Digoxin .1250 mg P.O. once daily”
B. “Digoxin 0.1250 mg P.O. once daily”
C. “Digoxin 0.125 mg P.O. once daily”
, D. “Digoxin .125 mg P.O. once daily”
4. A newly admitted female client was diagnosed with deep vein thrombosis.
Which nursing diagnosis should receive the highest priority?
A. Ineffective peripheral tissue perfusion related to venous congestion.
B. Risk for injury related to edema.
C. Excess fluid volume related to peripheral vascular disease.
D. Impaired gas exchange related to increased blood flow.
5. Nurse Betty is assigned to the following clients. The client that the nurse
would see first after endorsement?
A. A 34 year-old post operative appendectomy client of five hours who is
complaining of pain.
B. A 44 year-old myocardial infarction (MI) client who is complaining of
nausea.
C. A 26 year-old client admitted for dehydration whose intravenous (IV)
has infiltrated.
D. A 63 year-old post operative’s abdominal hysterectomy client of three
days whose incisional dressing is saturated with serosanguinous fluid.
6. Nurse Gail places a client in a four-point restraint following orders from the
physician. The client care plan should include:
A. Assess temperature frequently.
B. Provide diversional activities.
C. Check circulation every 15-30 minutes.
D. Socialize with other patients once a shift.
7. A male client who has severe burns is receiving H2 receptor antagonist
therapy. The nurse In-charge knows the purpose of this therapy is to:
A. Prevent stress ulcer
B. Block prostaglandin synthesis
C. Facilitate protein synthesis.
D. Enhance gas exchange
8. The doctor orders hourly urine output measurement for a postoperative
male client. The nurse Trish records the following amounts of output for 2
consecutive hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml. Based on these amounts,
which action should the nurse take?
, A. Increase the I.V. fluid infusion rate
B. Irrigate the indwelling urinary catheter
C. Notify the physician
D. Continue to monitor and record hourly urine output
9. Tony, a basketball player twist his right ankle while playing on the court and
seeks care for ankle pain and swelling. After the nurse applies ice to the ankle
for 30 minutes, which statement by Tony suggests that ice application has
been effective?
A. “My ankle looks less swollen now”.
B. “My ankle feels warm”.
C. “My ankle appears redder now”.
D. “I need something stronger for pain relief”
10.The physician prescribes a loop diuretic for a client. When administering
this drug, the nurse anticipates that the client may develop which electrolyte
imbalance?
A. Hypernatremia
B. Hyperkalemia
C. Hypokalemia
D. Hypervolemia
11.She finds out that some managers have benevolent-authoritative style of
management. Which of the following behaviors will she exhibit most likely?
A. Have condescending trust and confidence in their subordinates.
B. Gives economic and ego awards.
C. Communicates downward to staffs.
D. Allows decision making among subordinates.
12. Nurse Amy is aware that the following is true about functional nursing
A. Provides continuous, coordinated and comprehensive nursing services.
B. One-to-one nurse patient ratio.
C. Emphasize the use of group collaboration.
D. Concentrates on tasks and activities.
13.Which type of medication order might read “Vitamin K 10 mg I.M. daily × 3
days?”
Foundation of
Professional
Nursing Practice
Set1, Exams of
Nursing
, PNLE I for Foundation of
Professional Nursing Practice
Text Mode – Text version of the exam
1. The nurse In-charge in labor and delivery unit administered a dose of
terbutaline to a client without checking the client’s pulse. The standard that
would be used to determine if the nurse was negligent is:
A. The physician’s orders.
B. The action of a clinical nurse specialist who is recognized expert in the
field.
C. The statement in the drug literature about administration of terbutaline.
D. The actions of a reasonably prudent nurse with similar education and
experience.
2. Nurse Trish is caring for a female client with a history of GI bleeding, sickle
cell disease, and a platelet count of 22,000/μl. The female client is dehydrated
and receiving dextrose 5% in half-normal saline solution at 150 ml/hr. The
client complains of severe bone pain and is scheduled to receive a dose of
morphine sulfate. In administering the medication, Nurse Trish should avoid
which route?
A. I.V
B. I.M
C. Oral
D. S.C
3. Dr. Garcia writes the following order for the client who has been recently
admitted “Digoxin .125 mg P.O. once daily.” To prevent a dosage error, how
should the nurse document this order onto the medication administration
record?
A. “Digoxin .1250 mg P.O. once daily”
B. “Digoxin 0.1250 mg P.O. once daily”
C. “Digoxin 0.125 mg P.O. once daily”
, D. “Digoxin .125 mg P.O. once daily”
4. A newly admitted female client was diagnosed with deep vein thrombosis.
Which nursing diagnosis should receive the highest priority?
A. Ineffective peripheral tissue perfusion related to venous congestion.
B. Risk for injury related to edema.
C. Excess fluid volume related to peripheral vascular disease.
D. Impaired gas exchange related to increased blood flow.
5. Nurse Betty is assigned to the following clients. The client that the nurse
would see first after endorsement?
A. A 34 year-old post operative appendectomy client of five hours who is
complaining of pain.
B. A 44 year-old myocardial infarction (MI) client who is complaining of
nausea.
C. A 26 year-old client admitted for dehydration whose intravenous (IV)
has infiltrated.
D. A 63 year-old post operative’s abdominal hysterectomy client of three
days whose incisional dressing is saturated with serosanguinous fluid.
6. Nurse Gail places a client in a four-point restraint following orders from the
physician. The client care plan should include:
A. Assess temperature frequently.
B. Provide diversional activities.
C. Check circulation every 15-30 minutes.
D. Socialize with other patients once a shift.
7. A male client who has severe burns is receiving H2 receptor antagonist
therapy. The nurse In-charge knows the purpose of this therapy is to:
A. Prevent stress ulcer
B. Block prostaglandin synthesis
C. Facilitate protein synthesis.
D. Enhance gas exchange
8. The doctor orders hourly urine output measurement for a postoperative
male client. The nurse Trish records the following amounts of output for 2
consecutive hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml. Based on these amounts,
which action should the nurse take?
, A. Increase the I.V. fluid infusion rate
B. Irrigate the indwelling urinary catheter
C. Notify the physician
D. Continue to monitor and record hourly urine output
9. Tony, a basketball player twist his right ankle while playing on the court and
seeks care for ankle pain and swelling. After the nurse applies ice to the ankle
for 30 minutes, which statement by Tony suggests that ice application has
been effective?
A. “My ankle looks less swollen now”.
B. “My ankle feels warm”.
C. “My ankle appears redder now”.
D. “I need something stronger for pain relief”
10.The physician prescribes a loop diuretic for a client. When administering
this drug, the nurse anticipates that the client may develop which electrolyte
imbalance?
A. Hypernatremia
B. Hyperkalemia
C. Hypokalemia
D. Hypervolemia
11.She finds out that some managers have benevolent-authoritative style of
management. Which of the following behaviors will she exhibit most likely?
A. Have condescending trust and confidence in their subordinates.
B. Gives economic and ego awards.
C. Communicates downward to staffs.
D. Allows decision making among subordinates.
12. Nurse Amy is aware that the following is true about functional nursing
A. Provides continuous, coordinated and comprehensive nursing services.
B. One-to-one nurse patient ratio.
C. Emphasize the use of group collaboration.
D. Concentrates on tasks and activities.
13.Which type of medication order might read “Vitamin K 10 mg I.M. daily × 3
days?”
