Nursing Licensure Exam (Practice Mode)
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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
- 1.The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP). Which of the following task could the registered nurse safely assigned to a UAP?
- A.
Monitor the I&O of a comatose toddler client with salicylate poisoning
- B.
Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall
- C.
Check the IV of a preschooler with Kawasaki disease
- D.
Give an outmeal bath to an infant with eczema
- 2.A nurse manager assigned a registered nurse from telemetry unit to the pediatrics unit. There were three patients assigned to the RN. Which of the following patients should not be assigned to the floated nurse?
- A.
A 9-year-old child diagnosed with rheumatic fever
- B.
A young infant after pyloromyotomy
- C.
A 4-year-old with VSD following cardiac catheterization
- D.
A 5-month-old with Kawasaki disease
- 3.A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign the nurse in the obstetrics unit to the pediatrics unit. Which of the following patients could the nurse manager safely assign to the float nurse?
- A.
A child who had multiple injuries from a serious vehicle accident
- B.
A child diagnosed with Kawasaki disease and with cardiac complications
- C.
A child who has had a nephrectomy for Wilm’s tumor
- D.
A child receiving an IV chelating therapy for lead poisoning
- 4.The registered nurse is planning to delegate task to a certified nursing assistant. Which of the following clients should not be assigned to a CAN?
- A.
A client diagnosed with diabetes and who has an infected toe
- B.
A client who had a CVA in the past two months
- C.
A client with Chronic renal failure
- D.
A client with chronic venous insufficiency
- 5.The nurse in the medication unit passes the medications for all the clients on the nursing unit. The head nurse is making rounds with the physician and coordinates clients’ activities with other departments. The nurse assistant changes the bed lines and answers call lights. A second nurse is assigned for changing wound dressings; a licensed practitioner nurse takes vital signs and bathes the clients. This illustrates of what method of nursing care?
- A.
Case management method
- B.
Primary nursing method
- C.
Team method
- D.
Functional method
- 6.A registered nurse has been assigned to six clients on the 12-hour shift. The RN is responsible for every aspect of care such as formulating the care of plan, intervention and evaluating the care during her shift. At the end of her shift, the RN will pass this same task to the next RN in charge. This nursing care illustrates of what kind of method?
- A.
Primary nursing method
- B.
Case method
- C.
Team method
- D.
Functional method
- 7.A newly hired nurse on an adult medicine unit with 3 months experience was asked to float to pediatrics. The nurse hesitates to perform pediatric skills and receive an interesting assignment that feels overwhelming. The nurse should:
- A.
Resign on the spot from the nursing position and apply for a position that does not require floating
- B.
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
- C.
Ask several other nurses how they feel about pediatrics and find someone else who is willing to accept the assignment
- D.
Refuse the assignment and leave the unit requesting a vacation a day
- 8.An experienced nurse who voluntarily trained a less experienced nurse with the intention of enhancing the skills and knowledge and promoting professional advancement to the nurse is called a:
- A.
Mentor
- B.
Team leader
- C.
Case manager
- D.
Change agent
- 9.The pediatrics unit is understaffed and the nurse manager informs the nurses in the obstetrics unit that she is going to assign one nurse to float in the pediatric units. Which statement by the designated float nurse may put her job at risk?
- A.
“I do not get along with one of the nurses on the pediatrics unit”
- B.
“I have a vacation day coming and would like to take that now”
- C.
“I do not feel competent to go and work on that area”
- D.
“ I am afraid I will get the most serious clients in the unit”
- 10.The newly hired staff nurse has been working on a medical unit for 3 weeks. The nurse manager has posted the team leader assignments for the following week. The new staff knows that a major responsibility of the team leader is to:
- A.
Provide care to the most acutely ill client on the team
- B.
Know the condition and needs of all the patients on the team
- C.
Document the assessments completed by the team members
- D.
Supervise direct care by nursing assistants
- 11.A 15-year-old girl just gave birth to a baby boy who needs emergency surgery. The nurse prepared the consent form and it should be signed by:
- A.
The Physician
- B.
The Registered Nurse caring for the client
- C.
The 15-year-old mother of the baby boy
- D.
The mother of the girl
- 12.A nurse caring to a client with Alzheimer’s disease overheard a family member say to the client, “if you pee one more time, I won’t give you any more food and drinks”. What initial action is best for the nurse to take?
- A.
Take no action because it is the family member saying that to the client
- B.
Talk to the family member and explain that what she/he has said is not appropriate for the client
- C.
Give the family member the number for an Elder Abuse Hot line
- D.
Document what the family member has said
- 13.Which is true about informed consent?
- A.
A nurse may accept responsibility signing a consent form if the client is unable
- B.
Obtaining consent is not the responsibility of the physician
- C.
A physician will not subject himself to liability if he withholds any facts that are necessary to form the basis of an intelligent consent
- D.
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
- 14.A mother in labor told the nurse that she was expecting that her baby has no chance to survive and expects that the baby will be born dead. The mother accepts the fate of the baby and informs the nurse that when the baby is born and requires resuscitation, the mother refuses any treatment to her baby and expresses hostility toward the nurse while the pediatric team is taking care of the baby. The nurse is legally obligated to:
- A.
Notify the pediatric team that the mother has refused resuscitation and any treatment for the baby and take the baby to the mother
- B.
Get a court order making the baby a ward of the court
- C.
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
- D.
Do nothing except record the mother’s statement in the medical record
- 15.The hospitalized client with a chronic cough is scheduled for bronchoscopy. The nurse is tasks to bring the informed consent document into the client’s room for a signature. The client asks the nurse for details of the procedure and demands an explanation why the process of informed consent is necessary. The nurse responds that informed consent means:
- A.
The patient releases the physician from all responsibility for the procedure.
- B.
The immediate family may make decision against the patient’s will.
- C.
The physician must give the client or surrogates enough information to make health care judgments consistent with their values and goals.
- D.
The patient agrees to a procedure ordered by the physician even if the client does not understand what the outcome will be.
- 16.A hospitalized client with severe necrotizing ulcer of the lower leg is schedule for an amputation. The client tells the nurse that he will not sign the consent form and he does not want any surgery or treatment because of religious beliefs about reincarnation. What is the role of the RN?
- A.
Call a family meeting
- B.
Discuss the religious beliefs with the physician
- C.
Encourage the client to have the surgery
- D.
Inform the client of other options
- 17.While in the hospital lobby, the RN overhears the three staff discussing the health condition of her client. What would be the appropriate nursing action for the RN to take?
- A.
Tell them it is not appropriate to discuss the condition of the client
- B.
Ignore them, because it is their right to discuss anything they want to
- C.
Join in the conversation, giving them supportive input about the case of the client
- D.
Report this incident to the nursing supervisor
- 18.A staff nurse has had a serious issue with her colleague. In this situation, it is best to:
- A.
Discuss this with the supervisor
- B.
Not discuss the issue with anyone. It will probably resolve itself
- C.
Try to discuss with the colleague about the issue and resolve it when both are calmer
- D.
Tell other members of the network what the team member did
- 19.The nurse is caring to a client who just gave birth to a healthy baby boy. The nurse may not disclose confidential information when:
- A.
The nurse discusses the condition of the client in a clinical conference with other nurses
- B.
The client asks the nurse to discuss the her condition with the family
- C.
The father of a woman who just delivered a baby is on the phone to find out the sex of the baby
- D.
A researcher from an institutionally approved research study reviews the medical record of a patient
- 20.A 17-year-old married client is scheduled for surgery. The nurse taking care of the client realizes that consent has not been signed after preoperative medications were given. What should the nurse do?
- A.
Call the surgeon
- B.
Ask the spouse to sign the consent
- C.
Obtain a consent from the client as soon as possible
- D.
Get a verbal consent from the parents of the client
- 21.A 12-year-old client is admitted to the hospital. The physician ordered Dilantin to the client. In administering IV phenytoin (Dilantin) to a child, the nurse would be most correct in mixing it with:
- A.
Normal Saline
- B.
Heparinized normal saline
- C.
5% dextrose in water
- D.
Lactated Ringer’s solution
- 22.The nurse is caring to a client who is hypotensive. Following a large hematemesis, how should the nurse position the client?
- A.
Feet and legs elevated 20 degrees, trunk horizontal, head on small pillow
- B.
Low Fowler’s with knees gatched at 30 degrees
- C.
Supine with the head turned to the left
- D.
Bed sloped at a 45 degree angle with the head lowest and the legs highest
- 23.The client is brought to the emergency department after a serious accident. What would be the initial nursing action of the nurse to the client?
- A.
Assess the level of consciousness and circulation
- B.
Check respirations, circulation, neurological response
- C.
Align the spine, check pupils, check for hemorrhage
- D.
Check respiration, stabilize spine, check circulation
- 24.A nurse is assigned to care to a client with Parkinson’s disease. What interventions are important if the nurse wants to improve nutrition and promote effective swallowing of the client?
- A.
Eat solid food
- B.
Give liquids with meals
- C.
Feed the client
- D.
Sit in an upright position to eat
- 25.During tracheal suctioning, the nurse should implement safety measures. Which of the following should the nurse implements?
- A.
Limit suction pressure to 150-180 mmHg
- B.
suction for 15-20 seconds
- C.
Wear eye goggles
- D.
Remove the inner cannula
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