PNLE EXAM PRACTICE TEST QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS

PNLE EXAM PRACTICE TEST QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS Question Number 1 of 40 A child and his family were exposed to Mycobacterium tuberculosis about 2 months ago, to confirm the pres ...

PNLE EXAM PRACTICE TEST QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS Question Number 1 of 40 A child and his family were exposed to Mycobacterium tuberculosis about 2 months ago, to confirm the presence or absence of an infection, it is most important for all family members to have a A) Chest x-ray B) Blood culture C) Sputum culture D) PPD intradermal test Your response was "A". The correct answer is D: PPD intradermal test The administration of the PPD intradermal test determines the presence of the infection with the Mycobacterium tuberculosis organism. It is effective at 3 to 6 weeks after the initial infection. Question Number 2 of 40 A 4 month-old child taking digoxin (Lanoxin) has a blood pressure of 92/78; resting pulse of 78; respirations 28 and a potassium level of 4.8 mEq/L. The client is irritable and has vomited twice since the morning dose of digoxin. Which finding is most indicative of digoxin toxicity? ". A) Bradycardia B) Lethargy C) Irritability D) Vomiting Your response was "A". The correct answer is A: Bradycardia The most common sign of digoxin toxicity in children is bradycardia (heart rate below 100 in an infant). Question Number 3 of 40 Which finding would be the most characteristic of an acute episode of reactive airway disease? A) Auditory gurgling B) Inspiratory laryngeal stridor C) Auditory expiratory wheezing D) Frequent dry coughing Your response was "A". The correct answer is C: Wheezing on expiration In an acute episode of reactive airway disease, breathing is likely to be characterized by wheezing on expiration. This sound is made as air is forced through the narrowed passages and often is heard by the naked ear without a stethoscope. Question Number 4 of 40 A client has been admitted for meningitis. In reviewing the laboratory analysis of cerebrospinal fluid (CSF), the nurse would expect to note A) High protein B) Clear color C) Elevated sed rate D) Increased glucose Your response was "A". The correct answer is A: High protein A positive CSF for meningitis would include presence of protein, a positive blood culture, decreased glucose, cloudy color with an increased opening pressure, and an elevated white blood cell count. Question Number 5 of 40 At a routine health assessment, a client tells the nurse that she is planning a pregnancy in the near future. She asks about preconception diet changes. Which of the statements made by the nurse is best? A) "Include fibers in your daily diet." B) "Increase green leafy vegetable intake." C) "Drink a glass of milk with each meal." D) "Eat at least 1 serving of fish weekly." Your response was "A". The correct answer is B: "Increase green leafy vegetable intake." Folic acid sources should be included in the diet and are critical in the preconceptual and early gestational periods to foster neural tube development and prevent birth defects such as spina bifida. Question Number 6 of 40 A Hispanic client confides in the nurse that she is concerned that staff may give her newborn the "evil eye." The nurse should communicate to other personnel that the appropriate approach is to ". A) Touch the baby after looking at him B) Talk very slowly while speaking to him C) Avoid touching the child D) Look only at the parents Your response was "A". The correct answer is A: Touch the baby after looking at him In many cultures, an "evil eye" is cast when looking at a person without touching him. Thus, the spell is broken by touching while looking or assessing. Question Number 7 of 40 During the care of a client with Legionnaire's disease, which finding would require the nurse's immediate attention? A) Pleuritic pain on inspiration B) Dry mucus membranes in the mouth C) A decrease in respiratory rate from 34 to 24 D) Decrease in chest wall expansion Your response was "A". The correct answer is D: Decrease in chest wall expansion The respiratory status of a client with this acute bacterial pneumonia known as Legionnaires'' disease is critical. Note that all of these findings would be of a concern. The task is to select the priority concern. Chest wall expansion reflects a possible decrease in the depth and effort of respirations. Further findings of restlessness may indicate hypoxemia. If these occurred the client may then need mechanical ventilation. Option A is expected with such infections of the lung. Option B indicates dehydration which may result in thick sputum which is most difficult to cough up. Option C is a desired effect of therapy. Question Number 8 of 40 A newly appointed nurse manager is having difficulties with time management. Which advice from an experienced manager should the new manager do initially?