[ NLE 5 ] Nursing Licensure Examination Review V

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 post-operative patient who is showing signs of confusion and agitation. What is the first action the nurse should take?

A) Assess the patient's vital signs and level of consciousness.
B) Administer a sedative as prescribed.
C) Restrain the patient to prevent injury.
D) Call the physician immediately.

A community health nurse is planning a health fair for a rural community. What is the most critical consideration in the planning process?

A) Selecting a date that does not conflict with local events.
B) Ensuring transportation is available for community members.
C) Providing all materials in multiple languages.
D) Including activities that cater to all age groups.

A nurse is managing a patient with a history of substance abuse who is in withdrawal. What is the priority nursing intervention?

A) Monitor the patient for signs of severe withdrawal symptoms.
B) Provide the patient with a calming environment.
C) Discuss the need for ongoing rehabilitation with the patient.
D) Encourage the patient to engage in group therapy.

A nurse is caring for a patient diagnosed with congestive heart failure. The patient reports increasing shortness of breath at rest. What should the nurse do first?

A) Administer prescribed diuretics to reduce fluid overload.
B) Place the patient in a high-Fowler's position for easier breathing.
C) Assess the patient's lung sounds and oxygen saturation.
D) Prepare the patient for possible intubation.

A nurse is providing education to a patient with newly diagnosed hypertension. What is the most critical lifestyle change the nurse should emphasize?

A) Adopt a low-sodium diet.
B) Increase physical activity without restrictions.
C) Stop taking medications if blood pressure is normal.
D) Limit fluid intake to prevent weight gain.

A nurse is caring for a patient with a high fever and severe headache. What is the most appropriate nursing action?

A) Conduct a thorough neurological assessment.
B) Administer antipyretics as ordered.
C) Ensure the patient is hydrated with IV fluids.
D) Encourage the patient to rest and monitor vital signs.

A nurse is caring for a pediatric patient with a diagnosis of asthma who is experiencing an acute attack. What should the nurse do first?

A) Administer a bronchodilator as prescribed.
B) Assess the patient's respiratory rate.
C) Encourage the patient to drink fluids.
D) Reassure the patient and family about the condition.

A nurse is assessing an elderly patient who lives alone and has difficulty performing daily activities. What is the nurse’s priority action?

A) Refer the patient for a home health assessment.
B) Encourage the patient to join a community center.
C) Provide resources for assisted living facilities.
D) Teach the patient about home safety modifications.

A nurse is caring for a patient with a history of depression who has suddenly become withdrawn. What should the nurse do first?

A) Initiate a conversation to assess the patient’s feelings.
B) Document the change in behavior.
C) Increase the patient's medication dosage.
D) Encourage the patient to engage in group activities.

A nurse is managing care for a patient with diabetes who is experiencing neuropathy. What should the nurse teach the patient about foot care?

A) Inspect feet daily for any injuries or changes.
B) Soak feet in hot water to improve circulation.
C) Wear tight-fitting shoes for better support.
D) Ignore minor cuts and blisters.

A nurse is assessing a patient with chronic pain who requests an increase in pain medication. What is the best nursing response?

A) "You need to understand that increasing medication isn't always safe."
B) "Let me assess your pain level before making any changes."
C) "You should try to manage your pain with alternative therapies."
D) "I will talk to your physician about this request."

A nurse is providing care to a patient with a newly placed tracheostomy. What is the priority nursing intervention?

A) Ensure the tracheostomy tube is patent and secured.
B) Assess the patient's lung sounds.
C) Teach the patient about tracheostomy care.
D) Monitor the patient for signs of infection.

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. What should the nurse monitor closely?

A) The patient's respiratory rate.
B) The patient's level of consciousness.
C) The patient's oxygen saturation levels.
D) The patient's skin integrity.

A nurse is providing education to a patient about the importance of following up with their healthcare provider after discharge. What should the nurse emphasize?

A) Following up helps manage health conditions effectively.
B) Discharge means you no longer need medical attention.
C) Follow-ups are only necessary if symptoms worsen.
D) You should only return if you feel unwell.

A nurse is assessing a patient who has just been diagnosed with heart failure. What should the nurse include in the teaching plan?

A) Recognizing early signs of worsening heart failure.
B) Avoiding all physical activity.
C) Taking medications only as needed.
D) Monitoring daily weight and fluid intake.

A nurse is caring for a patient receiving chemotherapy who reports severe nausea. What is the priority nursing intervention?

A) Administer antiemetic medication as ordered.
B) Encourage the patient to eat small, frequent meals.
C) Assess the patient's hydration status.
D) Suggest ginger tea to relieve nausea.

A nurse is caring for a patient with a history of smoking who presents with persistent cough and weight loss. What should the nurse prioritize?

A) Further assess for possible lung cancer.
B) Encourage smoking cessation.
C) Provide education on lung health.
D) Schedule a follow-up appointment.

A nurse is preparing a patient for discharge after a myocardial infarction. What is the most important instruction to provide?

A) Avoid strenuous activities and follow up with a cardiologist.
B) Resume all normal activities as soon as possible.
C) Stop taking medications if feeling better.
D) Limit follow-up visits to when necessary.

A nurse is caring for a patient in the ICU with a ventilator. What is the priority assessment for the nurse?

A) Monitor the patient's oxygen saturation levels.
B) Check for any ventilator alarms and settings.
C) Assess the patient's pain level.
D) Evaluate the patient's fluid intake and output.

A nurse is teaching a group of new parents about immunizations. What is the most critical point to emphasize?

A) Adhering to the immunization schedule is essential for protection.
B) Vaccines are only necessary if the child appears sick.
C) Delaying vaccinations is often safe.
D) Parents should choose which vaccines to administer.

Result

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