[ NLE 4 ] Nursing Licensure Examination Review IV

NLE Practice Test

Instructions:

Please answer each question to the best of your ability. Each question is multiple choice, and only one answer per question is correct. Select the most appropriate answer from the options provided. There are 20 questions in total.

When you have completed all questions, click the "Submit" button at the bottom of the page to see your score. Good luck!

A nurse is caring for a patient who just had a hip replacement. What is the most important nursing intervention?

A) Monitor the patient’s vital signs regularly.
B) Encourage the patient to remain immobile.
C) Educate the patient on the importance of early ambulation.
D) Limit fluid intake to reduce swelling.

A community health nurse is conducting a health education session on diabetes. What key point should the nurse emphasize?

A) The importance of regular blood sugar monitoring.
B) Avoiding all carbohydrates completely.
C) Only taking medication when symptoms arise.
D) Eating sugary snacks for energy during hypoglycemia.

A nurse is assessing a newborn in the delivery room. What is a critical assessment that should be performed immediately after birth?

A) Check the newborn's Apgar score.
B) Assess the baby's feeding reflex.
C) Bathe the newborn to remove vernix.
D) Place the baby under the light for jaundice assessment.

A patient with chronic obstructive pulmonary disease (COPD) is experiencing shortness of breath. What should the nurse do first?

A) Administer oxygen as prescribed.
B) Encourage the patient to lie flat.
C) Offer the patient water to drink.
D) Take the patient's vital signs.

A nurse is administering medication to a patient who is noncompliant with their treatment regimen. What is the best nursing action?

A) Discuss the importance of medication adherence with the patient.
B) Ignore the patient's noncompliance.
C) Increase the dosage of the medication.
D) Call the physician to change the medication.

A nurse notices that a patient’s wound has increased redness and drainage. What should the nurse do first?

A) Document the findings and notify the physician.
B) Apply a new dressing without assessing further.
C) Administer pain medication immediately.
D) Assume this is a normal healing process.

A nurse is educating a patient with heart failure about their diet. What should the nurse emphasize?

A) Increase sodium intake to improve energy.
B) Limit fluid intake as prescribed.
C) Eat large meals to increase caloric intake.
D) Avoid all fats in the diet.

A nurse is preparing to discharge a patient with a new colostomy. What is the most important information to provide?

A) How to care for and change the colostomy bag.
B) The necessity of following a strict diet.
C) Avoiding all physical activity.
D) The importance of regular follow-up appointments.

A patient is in a hypoglycemic crisis. What is the nurse's priority action?

A) Administer glucose or carbohydrate source immediately.
B) Call the physician first.
C) Give insulin to lower blood sugar levels.
D) Assess blood pressure.

A nurse is caring for a patient receiving chemotherapy. What should the nurse monitor for as a potential side effect?

A) Signs of infection due to neutropenia.
B) Increased appetite.
C) Weight gain.
D) Improved energy levels.

A nurse is caring for an elderly patient who is at risk for falls. What intervention should be implemented?

A) Use non-slip socks and keep the environment clutter-free.
B) Encourage the patient to stay in bed.
C) Increase the patient's medication dosage.
D) Restrict the patient’s mobility.

A patient with chronic kidney disease is on a dialysis schedule. What is an essential point for the nurse to emphasize?

A) Adhere to the prescribed dialysis schedule and dietary restrictions.
B) Drink as much fluid as possible.
C) Skip sessions if feeling well.
D) Avoid all medications.

A nurse is educating a patient about asthma management. What key point should be included?

A) Use a peak flow meter to monitor lung function.
B) Avoid taking medications during an asthma attack.
C) Only use rescue inhalers during exercise.
D) Rely solely on environmental controls.

A nurse is assessing a patient who is experiencing chest pain. What should the nurse do first?

A) Obtain the patient's vital signs and administer oxygen.
B) Ask the patient about their medical history.
C) Offer the patient something to drink.
D) Tell the patient to relax and breathe deeply.

A patient is scheduled for surgery. What is the most important preoperative teaching the nurse should provide?

A) Explain the surgical procedure and recovery process.
B) Inform the patient that they will not feel anything during surgery.
C) Discuss the financial aspects of the surgery.
D) Encourage the patient to avoid asking questions.

A nurse is caring for a patient with severe anxiety. What is the best approach to help the patient?

A) Use calming techniques and encourage deep breathing.
B) Ignore the patient's anxiety.
C) Tell the patient to stop worrying.
D) Increase the patient's medication dosage immediately.

A patient is diagnosed with pneumonia. What should the nurse monitor for the effectiveness of treatment?

A) Improvement in respiratory rate and oxygen saturation.
B) Persistent fever only.
C) Increased heart rate without any other symptoms.
D) Presence of a cough without sputum production.

A nurse is providing discharge instructions to a patient with heart failure. What key point should be included?

A) Monitor daily weight and report changes to the healthcare provider.
B) Stop taking medications if feeling better.
C) Increase physical activity immediately.
D) Avoid all dietary restrictions.

A nurse is assessing a patient for potential suicide risk. What is a key indicator?

A) Expressing feelings of hopelessness and worthlessness.
B) Engaging in regular social activities.
C) Discussing future plans.
D) Maintaining a healthy lifestyle.

A nurse is teaching a patient about the importance of medication compliance for hypertension. What should the nurse stress?

A) Consistent medication adherence is crucial to prevent complications.
B) Skipping doses is acceptable if feeling fine.
C) Only take medication when symptoms occur.
D) Over-the-counter medications can replace prescribed ones.

Result

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