Welcome to a broad Nursing Licensure Exam practice test designed for all of the nursing aspirants out there who are preparing for the same exam and want some excellent practice exercises to crack the process. Well here is the scope of this practice test: Note: Scope of this Nursing Test I is parallel to the NP1 NLE Coverage: Foundation of Nursing Nursing Research Professional Adjustment Leadership and Management
Monitor the I&O of a comatose toddler client with salicylate poisoning
Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall
Check the IV of a preschooler with Kawasaki disease
Give an outmeal bath to an infant with eczema
A 9-year-old child diagnosed with rheumatic fever
A young infant after pyloromyotomy
A 4-year-old with VSD following cardiac catheterization
A 5-month-old with Kawasaki disease
A child who had multiple injuries from a serious vehicle accident
A child diagnosed with Kawasaki disease and with cardiac complications
A child who has had a nephrectomy for Wilm’s tumor
A child receiving an IV chelating therapy for lead poisoning
A client diagnosed with diabetes and who has an infected toe
A client who had a CVA in the past two months
A client with Chronic renal failure
A client with chronic venous insufficiency
Case management method
Primary nursing method
Team method
Functional method
Primary nursing method
Case method
Team method
Functional method
Resign on the spot from the nursing position and apply for a position that does not require floating
Inform the nursing supervisor and the charge nurse on the pediatric floor about the nurse’s lack of skill and feelings of hesitations and request assistance
Ask several other nurses how they feel about pediatrics and find someone else who is willing to accept the assignment
Refuse the assignment and leave the unit requesting a vacation a day
Mentor
Team leader
Case manager
Change agent
“I do not get along with one of the nurses on the pediatrics unit”
“I have a vacation day coming and would like to take that now”
“I do not feel competent to go and work on that area”
“ I am afraid I will get the most serious clients in the unit”
Provide care to the most acutely ill client on the team
Know the condition and needs of all the patients on the team
Document the assessments completed by the team members
Supervise direct care by nursing assistants
The Physician
The Registered Nurse caring for the client
The 15-year-old mother of the baby boy
The mother of the girl
Take no action because it is the family member saying that to the client
Talk to the family member and explain that what she/he has said is not appropriate for the client
Give the family member the number for an Elder Abuse Hot line
Document what the family member has said
A nurse may accept responsibility signing a consent form if the client is unable
Obtaining consent is not the responsibility of the physician
A physician will not subject himself to liability if he withholds any facts that are necessary to form the basis of an intelligent consent
If the nurse witnesses a consent for surgery, the nurse is, in effect, indicating that the signature is that of the purported person and that the person’s condition is as indicated at the time of signing
Notify the pediatric team that the mother has refused resuscitation and any treatment for the baby and take the baby to the mother
Get a court order making the baby a ward of the court
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
Do nothing except record the mother’s statement in the medical record
The patient releases the physician from all responsibility for the procedure.
The immediate family may make decision against the patient’s will.
The physician must give the client or surrogates enough information to make health care judgments consistent with their values and goals.
The patient agrees to a procedure ordered by the physician even if the client does not understand what the outcome will be.
Call a family meeting
Discuss the religious beliefs with the physician
Encourage the client to have the surgery
Inform the client of other options
Tell them it is not appropriate to discuss the condition of the client
Ignore them, because it is their right to discuss anything they want to
Join in the conversation, giving them supportive input about the case of the client
Report this incident to the nursing supervisor
Discuss this with the supervisor
Not discuss the issue with anyone. It will probably resolve itself
Try to discuss with the colleague about the issue and resolve it when both are calmer
Tell other members of the network what the team member did
The nurse discusses the condition of the client in a clinical conference with other nurses
The client asks the nurse to discuss the her condition with the family
The father of a woman who just delivered a baby is on the phone to find out the sex of the baby
A researcher from an institutionally approved research study reviews the medical record of a patient
Call the surgeon
Ask the spouse to sign the consent
Obtain a consent from the client as soon as possible
Get a verbal consent from the parents of the client
Normal Saline
Heparinized normal saline
5% dextrose in water
Lactated Ringer’s solution
Feet and legs elevated 20 degrees, trunk horizontal, head on small pillow
Low Fowler’s with knees gatched at 30 degrees
Supine with the head turned to the left
Bed sloped at a 45 degree angle with the head lowest and the legs highest
Assess the level of consciousness and circulation
Check respirations, circulation, neurological response
Align the spine, check pupils, check for hemorrhage
Check respiration, stabilize spine, check circulation
Eat solid food
Give liquids with meals
Feed the client
Sit in an upright position to eat
Limit suction pressure to 150-180 mmHg
suction for 15-20 seconds
Wear eye goggles
Remove the inner cannula