PNLE REVIEWER (2025) Actual Exam
Questions and Answers A+ Graded
An .infant .is .admitted .and .diagnosed .with .pneumonia .and .suspicious-looking
.red .marks .on .the .swollen .face .resembling .a .handprint. .The .nurse .does .further
.assessment .to .the .client. .How .would .the .nurse .document .the .finding? .-
.CORRECT .ANSWER-Facial .edema, .with .red .marks; .crackles .in .the .lung
The .pediatrics .unit .is .understaffed .and .the .nurse .manager .informs .the .nurses
.in .the .obstetrics .unit .that .she .is .going .to .assign .one .nurse .to .float .in .the
.pediatric .units. .Which .statement .by .the .designated .float .nurse .may .put .her .job
.at .risk? .- .CORRECT .ANSWER-"I .have .a .vacation .day .coming .and .would .like .to
.take .that .now"
A .15-year-old .girl .just .gave .birth .to .a .baby .boy .who .needs .emergency .surgery.
.The .nurse .prepared .the .consent .form .and .it .should .be .signed .by: .- .CORRECT
.ANSWER-The .15-year-old .mother .of .the .baby .boy
The .nurse .on .the .night .shift .is .about .to .administer .medication .to .a .preschooler
.client .and .notes .that .the .child .has .no .ID .bracelet. .The .best .way .for .the .nurse
.to .identify .the .client .is .to .ask: .- .CORRECT .ANSWER-Another .staff .nurse .to
.identify .this .child
A .male .client .comes .to .the .clinic .for .check-up. .In .doing .a .physical .assessment,
.the .nurse .should .report .to .the .physician .the .most .common .symptom .of
.gonorrhea, .which .is: .- .CORRECT .ANSWER-pus .in .the .urine
A .registered .nurse .has .been .assigned .to .six .clients .on .the .12-hour .shift. .The
.RN .is .responsible .for .every .aspect .of .care .such .as .formulating .the .care .of
.plan, .intervention .and .evaluating .the .care .during .her .shift. .At .the .end .of .her
.shift, .the .RN .will .pass .this .same .task .to .the .next .RN .in .charge. .This .nursing
.care .illustrates .of .what .kind .of .method? .- .CORRECT .ANSWER-case .method
An .experienced .nurse .who .voluntarily .trained .a .less .experienced .nurse .with .the
.intention .of .enhancing .the .skills .and .knowledge .and .promoting .professional
.advancement .to .the .nurse .is .called .a: .- .CORRECT .ANSWER-mentor
A .community .health .nurse .is .schedule .to .do .home .visit. .She .visits .to .an .elderly
.person .living .alone. .Which .of .the .following .observation .would .be .a .concern? .-
.CORRECT .ANSWER-Clear .and .shiny .floors
While .in .the .hospital .lobby, .the .RN .overhears .the .three .staff .discussing .the
.health .condition .of .her .client. .What .would .be .the .appropriate .nursing .action .for
, .the .RN .to .take? .- .CORRECT .ANSWER-Tell .them .it .is .not .appropriate .to .discuss
.the .condition .of .the .client
A .nurse .in .charge .in .the .pediatric .unit .is .absent. .The .nurse .manager .decided .to
.assign .the .nurse .in .the .obstetrics .unit .to .the .pediatrics .unit. .Which .of .the
.following .patients .could .the .nurse .manager .safely .assign .to .the .float .nurse? .-
.CORRECT .ANSWER-A .child .who .has .had .a .nephrectomy .for .Wilm's .tumor
The .registered .nurse .is .planning .to .delegate .task .to .a .certified .nursing
.assistant. .Which .of .the .following .clients .should .not .be .assigned .to .a .CAN? .-
.CORRECT .ANSWER-A .client .diagnosed .with .diabetes .and .who .has .an .infected
.toe
A .17-year-old .married .client .is .scheduled .for .surgery. .The .nurse .taking .care .of
.the .client .realizes .that .consent .has .not .been .signed .after .preoperative
.medications .were .given. .What .should .the .nurse .do? .- .CORRECT .ANSWER-Call
.the .surgeon
A .mother .in .labor .told .the .nurse .that .she .was .expecting .that .her .baby .has .no
.chance .to .survive .and .expects .that .the .baby .will .be .born .dead. .The .mother
.accepts .the .fate .of .the .baby .and .informs .the .nurse .that .when .the .baby .is .born
.and .requires .resuscitation, .the .mother .refuses .any .treatment .to .her .baby .and
.expresses .hostility .toward .the .nurse .while .the .pediatric .team .is .taking .care .of
.the .baby. .The .nurse .is .legally .obligated .to: .- .CORRECT .ANSWER-Record .the
.statement .of .the .mother, .notify .the .pediatric .team, .and .observe .carefully .for
.signs .of .impaired .bonding .and .neglect .as .a .reasonable .suspicion .of .child
.abuse
The .registered .nurse .is .planning .to .delegate .tasks .to .unlicensed .assistive
.personnel .(UAP). .Which .of .the .following .task .could .the .registered .nurse .safely
.assigned .to .a .UAP? .- .CORRECT .ANSWER-Give .an .outmeal .bath .to .an .infant
.with .eczema
Which .of .the .following .would .be .the .most .important .goal .in .the .nursing .care .of
.an .infant .client .with .eczema? .- .CORRECT .ANSWER-preventing .infection
The .nurse .is .making .a .discharge .instruction .to .a .client .receiving .chemotherapy.
.The .client .is .at .risk .for .bone .marrow .depression. .The .nurse .gives .instructions
.to .the .client .about .how .to .prevent .infection .at .home. .Which .of .the .following
.health .teaching .would .be .included? .- .CORRECT .ANSWER-Do .frequent .hand
.washing .and .maintain .good .hygiene"
A .client .admitted .to .the .hospital .and .diagnosed .with .Addison's .disease. .What
.would .be .the .appropriate .nursing .action .to .the .client? .- .CORRECT .ANSWER-
reducing .physical .and .emotional .stress
A .80-year-old .female .client .is .brought .to .the .emergency .department .by .her
.caregiver, .on .the .nurse's .assessment; .the .following .are .the .manifestations .of
.the .client: .anorexia, .cachexia .and .multiple .bruises. .What .would .be .the .best
Questions and Answers A+ Graded
An .infant .is .admitted .and .diagnosed .with .pneumonia .and .suspicious-looking
.red .marks .on .the .swollen .face .resembling .a .handprint. .The .nurse .does .further
.assessment .to .the .client. .How .would .the .nurse .document .the .finding? .-
.CORRECT .ANSWER-Facial .edema, .with .red .marks; .crackles .in .the .lung
The .pediatrics .unit .is .understaffed .and .the .nurse .manager .informs .the .nurses
.in .the .obstetrics .unit .that .she .is .going .to .assign .one .nurse .to .float .in .the
.pediatric .units. .Which .statement .by .the .designated .float .nurse .may .put .her .job
.at .risk? .- .CORRECT .ANSWER-"I .have .a .vacation .day .coming .and .would .like .to
.take .that .now"
A .15-year-old .girl .just .gave .birth .to .a .baby .boy .who .needs .emergency .surgery.
.The .nurse .prepared .the .consent .form .and .it .should .be .signed .by: .- .CORRECT
.ANSWER-The .15-year-old .mother .of .the .baby .boy
The .nurse .on .the .night .shift .is .about .to .administer .medication .to .a .preschooler
.client .and .notes .that .the .child .has .no .ID .bracelet. .The .best .way .for .the .nurse
.to .identify .the .client .is .to .ask: .- .CORRECT .ANSWER-Another .staff .nurse .to
.identify .this .child
A .male .client .comes .to .the .clinic .for .check-up. .In .doing .a .physical .assessment,
.the .nurse .should .report .to .the .physician .the .most .common .symptom .of
.gonorrhea, .which .is: .- .CORRECT .ANSWER-pus .in .the .urine
A .registered .nurse .has .been .assigned .to .six .clients .on .the .12-hour .shift. .The
.RN .is .responsible .for .every .aspect .of .care .such .as .formulating .the .care .of
.plan, .intervention .and .evaluating .the .care .during .her .shift. .At .the .end .of .her
.shift, .the .RN .will .pass .this .same .task .to .the .next .RN .in .charge. .This .nursing
.care .illustrates .of .what .kind .of .method? .- .CORRECT .ANSWER-case .method
An .experienced .nurse .who .voluntarily .trained .a .less .experienced .nurse .with .the
.intention .of .enhancing .the .skills .and .knowledge .and .promoting .professional
.advancement .to .the .nurse .is .called .a: .- .CORRECT .ANSWER-mentor
A .community .health .nurse .is .schedule .to .do .home .visit. .She .visits .to .an .elderly
.person .living .alone. .Which .of .the .following .observation .would .be .a .concern? .-
.CORRECT .ANSWER-Clear .and .shiny .floors
While .in .the .hospital .lobby, .the .RN .overhears .the .three .staff .discussing .the
.health .condition .of .her .client. .What .would .be .the .appropriate .nursing .action .for
, .the .RN .to .take? .- .CORRECT .ANSWER-Tell .them .it .is .not .appropriate .to .discuss
.the .condition .of .the .client
A .nurse .in .charge .in .the .pediatric .unit .is .absent. .The .nurse .manager .decided .to
.assign .the .nurse .in .the .obstetrics .unit .to .the .pediatrics .unit. .Which .of .the
.following .patients .could .the .nurse .manager .safely .assign .to .the .float .nurse? .-
.CORRECT .ANSWER-A .child .who .has .had .a .nephrectomy .for .Wilm's .tumor
The .registered .nurse .is .planning .to .delegate .task .to .a .certified .nursing
.assistant. .Which .of .the .following .clients .should .not .be .assigned .to .a .CAN? .-
.CORRECT .ANSWER-A .client .diagnosed .with .diabetes .and .who .has .an .infected
.toe
A .17-year-old .married .client .is .scheduled .for .surgery. .The .nurse .taking .care .of
.the .client .realizes .that .consent .has .not .been .signed .after .preoperative
.medications .were .given. .What .should .the .nurse .do? .- .CORRECT .ANSWER-Call
.the .surgeon
A .mother .in .labor .told .the .nurse .that .she .was .expecting .that .her .baby .has .no
.chance .to .survive .and .expects .that .the .baby .will .be .born .dead. .The .mother
.accepts .the .fate .of .the .baby .and .informs .the .nurse .that .when .the .baby .is .born
.and .requires .resuscitation, .the .mother .refuses .any .treatment .to .her .baby .and
.expresses .hostility .toward .the .nurse .while .the .pediatric .team .is .taking .care .of
.the .baby. .The .nurse .is .legally .obligated .to: .- .CORRECT .ANSWER-Record .the
.statement .of .the .mother, .notify .the .pediatric .team, .and .observe .carefully .for
.signs .of .impaired .bonding .and .neglect .as .a .reasonable .suspicion .of .child
.abuse
The .registered .nurse .is .planning .to .delegate .tasks .to .unlicensed .assistive
.personnel .(UAP). .Which .of .the .following .task .could .the .registered .nurse .safely
.assigned .to .a .UAP? .- .CORRECT .ANSWER-Give .an .outmeal .bath .to .an .infant
.with .eczema
Which .of .the .following .would .be .the .most .important .goal .in .the .nursing .care .of
.an .infant .client .with .eczema? .- .CORRECT .ANSWER-preventing .infection
The .nurse .is .making .a .discharge .instruction .to .a .client .receiving .chemotherapy.
.The .client .is .at .risk .for .bone .marrow .depression. .The .nurse .gives .instructions
.to .the .client .about .how .to .prevent .infection .at .home. .Which .of .the .following
.health .teaching .would .be .included? .- .CORRECT .ANSWER-Do .frequent .hand
.washing .and .maintain .good .hygiene"
A .client .admitted .to .the .hospital .and .diagnosed .with .Addison's .disease. .What
.would .be .the .appropriate .nursing .action .to .the .client? .- .CORRECT .ANSWER-
reducing .physical .and .emotional .stress
A .80-year-old .female .client .is .brought .to .the .emergency .department .by .her
.caregiver, .on .the .nurse's .assessment; .the .following .are .the .manifestations .of
.the .client: .anorexia, .cachexia .and .multiple .bruises. .What .would .be .the .best
