250-ITEM NOVEMBER 2014 NURSE LICENSURE EXAM (NLE) PRACTICE TEST
The test will cover the following topics:
- Blood Disorders
- Endocrine Disorders
- Cardiovascular Disorders
- Neurolgical Disorders
- Pregnacy, Labor and Delivery
- Psychological Disorders
- Digestive Disorders
1. A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every 2 hours. Which of the following outcome criteria would the nurse use?
A.Body temperature of 99°F or less
B.Toes moved in active range of motion
C.Sensation reported when soles of feet are touched
D.Capillary refill of < 3 seconds
2.A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?
A.Side-lying with knees flexed
C.High Fowler's with knees flexed
D.Semi-Fowler's with legs extended on the bed
3. A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?
A.Taking hourly blood pressures with mechanical cuff
B.Encouraging fluid intake of at least 200mL per hour
C.Position in high Fowler's with knee gatch raised
D.Administering Tylenol as ordered
4. Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?
5. A newly admitted client has sickle cell crisis. The nurse is planning care based on assessment of the client. The client is complaining of severe pain in his feet and hands. The pulse oximetry is 92. Which of the following interventions would be implemented first? Assume that there are orders for each intervention.
A.Adjust the room temperature
B.Give a bolus of IV fluids
D.Administer meperidine (Demerol) 75mg IV push
6. The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?
A.Roast beef, gelatin salad, green beans, and peach pie
B.Chicken salad sandwich, coleslaw, French fries, ice cream
C.Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
D.Pork chop, creamed potatoes, corn, and coconut cake
7. Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?
A.A family vacation in the Rocky Mountains
B.Chaperoning the local boys club on a snow-skiing trip
C.Traveling by airplane for business trips
D.A bus trip to the Museum of Natural History
8. The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which of the following would the nurse include in the physical assessment?
A.Palpate the spleen
B.Take the blood pressure
C.Examine the feet for petechiae
D.Examine the tongue
9. An African American female comes to the outpatient clinic. The physician suspects vitamin B12 deficiency anemia. Because jaundice is often a clinical manifestation of this type of anemia, what body part would be the best indicator?
A.Conjunctiva of the eye
B.Soles of the feet
C.Roof of the mouth
10.The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?
B.Respirations 28 shallow
C.Weight gain of 10 pounds in 6 months
D.Pink complexion11.The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
A."I will drink 500mL of fluid or less each day."
B."I will wear support hose when I am up."
C."I will use an electric razor for shaving."
D."I will eat foods low in iron."
12.A 33-year-old male is being evaluated for possible acute leukemia. Which of the following would the nurse inquire about as a part of the assessment?
A.The client collects stamps as a hobby.
B.The client recently lost his job as a postal worker.
C.The client had radiation for treatment of Hodgkin's disease as a teenager.
D.The client's brother had leukemia as a child.
13.An African American client is admitted with acute leukemia. The nurse is assessing for signs and symptoms of bleeding. Where is the best site for examining for the presence of petechiae?
D.The soles of the feet
14.A client with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire?
A."Have you noticed a change in sleeping habits recently?"
B."Have you had a respiratory infection in the last 6 months?"
C."Have you lost weight recently?"
D."Have you noticed changes in your alertness?"
15.Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?
A.Oral mucous membrane, altered related to chemotherapy
B.Risk for injury related to thrombocytopenia
C.Fatigue related to the disease process
D.Interrupted family processes related to life-threatening illness of a family member
16.A 21-year-old male with Hodgkin's lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?
A.Sexual dysfunction related to radiation therapy
B.Anticipatory grieving related to terminal illness
C.Tissue integrity related to prolonged bed rest
D.Fatigue related to chemotherapy
17.A client has autoimmune thrombocytopenic purpura. To determine the client's response to treatment, the nurse would monitor:
B.White blood cell count
D.Partial prothrombin time (PTT)
18.The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client's platelet count currently is 80, It will be most important to teach the client and family about:
B.Prevention of falls
D.Conservation of energy
19.A client with a pituitary tumor has had a transphenoidal hyposphectomy. Which of the following interventions would be appropriate for this client?
A.Place the client in Trendelenburg position for postural drainage
B.Encourage coughing and deep breathing every 2 hours
C.Elevate the head of the bed 30°
D.Encourage the Valsalva maneuver for bowel movements
20.The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:
A.Measure the urinary output
B.Check the vital signs
C.Encourage increased fluid intake
D.Weigh the client
21.A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?
A.Place the client in a sitting position with the head hyperextended
B.Pack the nares tightly with gauze to apply pressure to the source of bleeding
C.Pinch the soft lower part of the nose for a minimum of 5 minutes
D.Apply ice packs to the forehead and back of the neck
22.A client has had a unilateral adrenalectomy to remove a tumor. To prevent complications, the most important measurement in the immediate post-operative period for the nurse to take is:
23.A client with Addison's disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?
A.Glucometer readings as ordered
C.Sodium and potassium levels monitored
24.A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses' next action be?
A.Obtain a crash cart
B.Check the calcium level
C.Assess the dressing for drainage
D.Assess the blood pressure for hypertension
25.A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in 4 months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?
A.Impaired physical mobility related to decreased endurance
B.Hypothermia r/t decreased metabolic rate
C.Disturbed thought processes r/t interstitial edema
D.Decreased cardiac output r/t bradycardia
26.The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?
A.Report muscle weakness to the physician.
B.Allow six months for the drug to take effect.
C.Take the medication with fruit juice.
D.Ask the doctor to perform a complete blood count before starting the medication.
27.The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:
A.Utilize an infusion pump
B.Check the blood glucose level
C.Place the client in Trendelenburg position
D.Cover the solution with foil
28.The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?
A.Blood pressure of 126/80
B.Blood glucose of 110mg/dL
C.Heart rate of 60bpm
D.Respiratory rate of 30 per minute
29.The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:
A.Replenish his supply every 3 months
B.Take one every 15 minutes if pain occurs
C.Leave the medication in the brown bottle
D.Crush the medication and take with water
30.The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?
A.Macaroni and cheese
B.Shrimp with rice
31.The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:
32.The nurse is checking the client's central venous pressure. The nurse should place the zero of the manometer at the:
D.Tail of Spence
33.The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:
A.Question the order
B.Administer the medications
D.Contact the pharmacy
34.The best method of evaluating the amount of peripheral edema is:
A.Weighing the client daily
B.Measuring the extremity
C.Measuring the intake and output
D.Checking for pitting
35.A client with vaginal cancer is being treated with a radioactive vaginal implant. The client's husband asks the nurse if he can spend the night with his wife. The nurse should explain that:
A.Overnight stays by family members is against hospital policy.
B.There is no need for him to stay because staffing is adequate.
C.His wife will rest much better knowing that he is at home.
D.Visitation is limited to 30 minutes when the implant is in place.
36.The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?
A.Roast beef sandwich, potato chips, pickle spear, iced tea
B.Split pea soup, mashed potatoes, pudding, milk
C.Tomato soup, cheese toast, Jello, coffee
D.Hamburger, baked beans, fruit cup, iced tea
37.The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?
A."I will make sure I eat breakfast within 10 minutes of taking my insulin."
B."I will need to carry candy or some form of sugar with me all the time."
C."I will eat a snack around three o'clock each afternoon."
D."I can save my dessert from supper for a bedtime snack."
38.The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first 2 weeks of life because:
A.New parents need time to learn how to hold the baby.
B.The umbilical cord needs time to separate.
C.Newborn skin is easily traumatized by washing.
D.The chance of chilling the baby outweighs the benefits of bathing.
39.A client with leukemia is receiving Trimetrexate. After reviewing the client's chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:
A.Treat iron-deficiency anemia caused by chemotherapeutic agents
B.Create a synergistic effect that shortens treatment time
C.Increase the number of circulating neutrophils
D.Reverse drug toxicity and prevent tissue damage
40.A 4-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:
C.Hepatitis B vaccine
41.The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:
A.30 minutes before meals
B.With each meal
C.In a single dose at bedtime
D.30 minutes after meals
42.A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?
A.Call security for assistance and prepare to sedate the client.
B.Tell the client to calm down and ask him if he would like to play cards.
C.Tell the client that if he continues his behavior he will be punished.
D.Leave the client alone until he calms down.
43.When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
A.Check the client for bladder distention
B.Assess the blood pressure for hypotension
C.Determine whether an oxytocic drug was given
D.Check for the expulsion of small clots
44.A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client's symptoms are consistent with a diagnosis of:
B.Reaction to antiviral medication
D.Superinfection due to low CD4 count
45.The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client's history should be reported to the doctor?
The complete list of examinees room assignments for November 2014 Nursing Licensure Examination (NLE) is available here. It also known as Nurses Board Exam room assignments.
The Professional Regulation Commission (PRC) together with the Professional Regulatory Board of Nursing administer the aforementioned examination last November 29 & 30, 2014 for twenty-six thousand six hundred ninety (26,690) examinees in the following testing centers:
Manila | Bacolod | Baguio | Cabanatuan | Cagayan de Oro | Cebu | Dagupan | Davao | Iloilo | Laoag | Legazpi | Lucena | Pagadian | Pampanga | Tacloban | Tuguegarao | Zamboanga
INSTRUCTIONS TO LET EXAMINEES
As instruction given by PRC, on the day of the examination, all examinees must report to the school / building / room assignment not later than 6:30 A.M. Late examinees will not be admitted, examination fees for late examinees will also be forfeited.
Examinees must observe the required attire on examination day: For male examinees – Clinical uniform with white shoes and white socks but without nameplate, school insignia / logo and pin or School Uniform. For female examinees – Clinical uniform with white shoes and white socks but without nameplate, school insignia / logo and pin or School Uniform. For Pregnant Female – White Clinical Scrub Suit.
Also, examinees shall bring the following requirements on examination proper. The Notice of Admission (NOA), Official Receipt, Pencils No. 1 or 2/ Black ink ballpen, metered stamped mailing envelope, long brown and plastic/transparent envelopes.
Examinees are allowed to bring and eat their food inside the examination room.
Examinees will be ground for cancellation of examination when they are non-compliance with test instructions.
Do not bring the following inside the examination rooms/premises: Books, notes, review materials, and other printed materials containing coded data/ information/formula; Programmable calculators; Mobile phone, beepers, portable computers or similar gadgets/devices; Bags of any kind (ladies bag, shoulder bag, attache case, backpack, etc.); other examination aides not stated in the program.
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