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Nle 2015 Questions Sample PDF Free
Nle 2015 Questions Sample PDF Free
2. Lizette, a head nurse in a surgical unit, hears one of the staff nurses say she does not
touch any client assigned to her unless she performs nursing procedures or conducts
physical assessment. To guide the staff nurse in the use of touch, which of the following
would be BEST response of Lizette?
Answer: B. “Touch serves as a connection between the nurse and the patient.”
Rationale: Therapeutic touch allows the nurse to comfort patients on a caring level,
connecting with them on a humanistic level away from the medical proceures and
techniques that are often experienced. In addition, therapeutic touch allows the nurse to
communicate non-verbally a variety of feelings to the patient, including warmth,
reassurance and trust. Therapeutic touch can also be used more formally as a named
technique, such as massage or healing touch, to help the nurse in a variety of physical,
emotional and spiritual aids.
Book source: The Essential Concepts of Nursing: Building Blocks for Practice by John
R. Cutcliffe, Hugh P. McKenna, page 298
3. You are asked to teach the client, Mr. Lapuz, who has right sided weakness the use of
cane. Which observation will indicate that Mr. Lapuz is using the cane properly?
A. The cane and one foot or both feet are on the floor at all times
B. He advances the cane followed by the left leg
C. Client keeps the cane on the right side along the weak leg
D. Client leans to the left side which is stronger
Answer:
Rationale:
Book source:
4. George, a 43 year old executive is scheduled for cardiac bypass surgery. While being
prepared for the surgery, he says to the nurse “I am not going to have the surgery. I may
die because of the risk.” Which response by the nurse is most appropriate?
Answer: D. “This must be very frightening for you. Tell me how you feel about the
surgery.”
Rationale: The OR environment can seem cold, stark and frightening to the patient, who
may be feeling isolated and apprehensive. Introducing yourself, addressing the patient by
name frequently, verifying details, providing explanations, and encouraging an answering
questions provided sense of professionalism and friendliness that can help the patient feel
safe and secure. When discussing what the patient can expect surgery, the nurse uses
basic communication skills, such as touch and eye contact, to reduce anxiety. Telling the
patient who else will be present in the OR, how long the procedure is expected to take
and other details helps the patient prepare for the experience and gain sense of control.
Book source: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 12th Edition
by Suzanne C. Smeltzer, Brenda G. Bare, et.al Copyright 2010. Page 457
5. A client is ordered to take Lasix, a diuretic, to be taken orally daily. Which of the
following is an appropriate instruction by the nurse?
Rationale: when nursing care involves diuretic therapy, the nurse needs to administer the
medication and monitor the patient’s response carefully. Administer the diuretic at a time
conducive to patient’s lifestyle; for example, early in the day to avoid nocturia
Book source: Chart 30-2 Pharmacology: Administering, Monitoring Diuretic Therapy
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 12th Edition by Suzanne C.
Smeltzer, Brenda G. Bare, et.al Copyright 2010. Page 832
6. Nurse Glenda gets a call from the neighbour who tells her that his 3 years old daughter
has been vomiting and has fever and asks for advice. Which of the following is the most
appropriate action of the nurse?
A. Observe the child for an hour. If the child does not improve, refer to the physician in
the neighbourhood.
B. Recommend to bring the child immediately to the hospital.
C. Assess the child, recommend observation and administer acetaminophen. If
symptoms continue, bring to the hospital.
D. Tell the neighbour to observe the child and give plenty of fluids. If the child does not
improve, bring the child to the hospital.
Answer:
Rationale:
Book source:
7. Wilfred, 30 years old male, was brought to the hospital due to injuries sustained from a
vehicular accident. While being transported to the X-ray department, he straps
accidentally broke and the client fell to the floor hitting to his head. In this situation, the
nurse is:
Answer: C. Liable along with the employer for the use of a defective equipment that
harms the client
Critical in determining liability for malpractice is the definition of the duty of care owed
by the nursing professional to the client. The standard of care, the minimum requirements
that define an acceptable level of care, “is the average degree of skill, care and diligence
exercised by members of the same profession under the same or similar circumstances.”
(Aiken 2004, page 39)
Book source: Leadership and Nursing Care Management By Diane Huber page 98
8. While going on evening round, Nurse Edna saw Mrs. Pascual meditating and afterwards
started singing prayerful hymns. What is the BEST response of Edna?
Answer:
Rationale:
Book source:
9. A client asks for advice on low cholesterol food. You advise the client to eat the
following:
Answer:
Rationale:
Book source:
10. The code of ethics for nurses has an interpretative statement that provides:
Answer: B. guide for carrying out nursing responsibilities that provide quality care and
for the ethical obligation of the profession
Rationale: Code of ethics is a formal statement of a group’s ideals and values. It is a set
of ethical principles that (a) is shared by members of the group, (b) reflects their moral
judgments over time, and (c) serves as a standard for their professional action.
Book source: Kozier and Erb’s Fundamentals in Nursing, 8th Edition page 85
11. Which of the following situation would possibly cause a nurse to be sued due to
negligence?
A. Nurse gave a client wrong medication, and an hour later, client complained of
dyspnea
B. While preparing a medication, the nurse notices that instead of 1 tablet, she put two
tablets in the client’s medication cup
C. AS the nurse was about to administer medication, the client questioned why the
medication is still given when in fact the physician discontinued it
D. Nurse administered 2 tablets of analgesic instead of 1 tablet as prescribed. Patient
noticed the error and complained.
Answer:
Rationale:
Book source:
12. Your nurse supervisor asks you who among the following clients is most susceptible to
getting infection if admitted to the hospital?
Rationale: The immunologic responses of the body are greatly altered by a burn injury.
Patients with burn injury are at high risk for infection and sepsis. The skin is the largest
barrier to infection, and when it is compromised, the patient is continually exposed to the
environment. The loss of skin integrity is compounded by the release of abnormal
inflammatory factors, altered levels of immunoglobulins, and serum complement,
impaired neutrophil function, and a reduction in lymphocytes (lymphocytopenia). These
alterations result in immunosupression and increase the risk for sepsis. As a result, the
major cause of death in burn who survives after 24 hours is multiple organ dysfunction
syndrome (MODS) (Greenhalgh, 2007)
Book source: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 12th Edition
by Suzanne C. Smeltzer, Brenda G. Bare, et.al Copyright 2010. Page 1724
13. Mr. Chris Martinez has been confined for three days. His wife helped take care of him
and he has observed her to be “too involved” in his care. He complained to the head nurse
about this. Which of the following would be the BEST response of the nurse?
Answer:
Rationale:
Book source:
14. The nurse is in the hospital canteen and hears two staff nurses talking about the client
confined in Room 612. They mentioned his name and discussed details of his condition.
Which of the following actions should the nurse take?
A. Approach the two nurses and tell them that their actions are inappropriate
especially in a public place
B. Wait till the nurses finish the discussion and report the situation to the supervisor
C. Say nothing to avoid embarrassing the staff nurses
D. Remain quiet and ignore the discussion
Answer:
Rationale:
Book source:
15. The son of Mr. Rosario, a 76 years old man, reports to the nurse in the community health
center that his father has been getting out of bed at night and walks around the house in
the early hours of the morning causing him to fall and injure himself. Which instruction
would you give?
Rationale: A safe home and hospital environment allows the patient to move about as
freely as possible and relieves the family of constant worry about safety. To prevent falls
and other injuries, all obvious hazards are removed in the home. A hazard-free
environment allows the patient maximum independence and a sense of autonomy. The
patient may have a short attention span and be forgetful. Wandering behaviour can often
be reduced by gentle persuasion or distraction. Restraints should be avoided because they
increase agitation. All activities must be supervised to protect the patient.
Book source: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 12th Edition
by Suzanne C. Smeltzer, Brenda G. Bare, et.al Copyright 2010. Page 219
SITUATIONAL
Situation 1 – Preparation and administration of medications is a nursing function that cannot be
delegated. It is important that the nurse has a deep understanding of this responsibility that is
meant to save patient’s lives.
16. You are to administer an intramuscular injection to Dulce, 1 ½ year old girl. The most
appropriate site to administer the drug is:
Rationale: The vastus lateralis site is recommended as the site of choice for toddler an
children. There are no major blood vessels or nerves in this area, and it is the infant and
toddler’s largest mass. It is situated on the anterior lateral aspect of the thigh.
Book source: Kozier and Erb’s Fundamentals in Nursing, 8th Edition page 877
17. An infant is ordered to receive 500ml of D5NSS for 24 hours. The intravenous drip is
running at 60 drops/minute. How many drops per minute should the flow rate be?
Book source: Focus on Nursing Pharmacology by Amy M. Karch 5th Edition page 58
A. 42 drops C. 60 drops
B. 20 drops D. 32 drops
Answer: A. 42 drops
Rationale: (1000mL/hr)(20drops per minute)
(60 minutes)(8 hours)
Book source: Focus on Nursing Pharmacology by Amy M. Karch 5th Edition page 58
19. Mr. Lagro is to receive 1 liter of D5LR to run for 12 hours. The drop factor of the IV
infusion set is 10 drops per minute. Approximately how many drop per minutes should
the IV be regulated?
20. The physician ordered Nembutal Na gr XX. The bottle contains 100mg/capsule. How
many capsule will be administered to the client?
A. 1 capsule C. 2 capsule
B. 1 ½ capsule D. ½ capsule
Answer:
Rationale:
Book source: