Palmer PNLE Practice Test

These questions are part of the practice quiz. Start practicing

• Using the Holliday-Segar method, what is the maintenance fluid rate (mL/hour) for an 18 kg child?
• Which organ is the principal site of detoxification and metabolism in the body?
• What is the initial step in neonatal resuscitation for a non-breathing newborn?
• Which leadership style is demonstrated when a nurse manager reprimands a staff member for missing tasks, and insists tasks should be completed anyway when the staff tries to explain?
• Which statement correctly matches isotonic, hypotonic, and hypertonic IV solutions with examples?
• Influenza viruses are characterized by segmented genomes allowing reassortment. Which statement best describes this feature?
• The renal countercurrent multiplier system primarily creates which gradient?
• Which are the sub-stages of Stage 1 of labor?
• Which vitamin is crucial for calcium absorption in the gut?
• Which statement about APGAR scoring is correct?
• A stroke causing contralateral hemiparesis, sensory loss, and aphasia when the dominant hemisphere is involved indicates occlusion of which artery?
• Which scale is commonly used to measure pain intensity in PNLE?
• The classical complement activation pathway is initiated by which component?
• What is the nurse's role in ethics and patient advocacy?
• Quality Assurance in healthcare is the evaluation of which elements?
• An effective change agent typically requires which capability?
• In which system does a nurse coordinate the entire care of a patient from admission to discharge?
• What are typical indications for urinary catheterization?
• How do you interpret an ABG showing metabolic acidosis with an elevated anion gap?
• Which immunoglobulin is the first antibody produced in a primary immune response?
• Which of the following is NOT recommended in diarrhea management?
• Which leadership style emphasizes shared decision-making and staff input?
• Which elements comprise informed consent and when is it required?
• How should you verify a patient’s identity before administering medications?
• In suspected opioid overdose with respiratory depression, which action is performed per protocol?
• In radiography, a radiolucent area indicates what about tissue density?
• What are the five steps of the nursing process in order?
• Which hormone increases calcium reabsorption in the distal tubule?
• Which document designates someone to act on another person’s business or legal affairs?
• An effective change agent on a standards committee should exhibit which characteristic?
• Coagulative necrosis is most commonly associated with which type of tissue injury?
• A document that authorizes another person to handle business or legal matters for an incapacitated patient is called?
• What is the normal urine output per hour for adults?
• On a standards committee, which characteristic helps ensure effective change implementation?
• The dorsal column–medial lemniscus pathway transmits which modalities?
• In a randomized trial, which group receives the intervention?
• How do you assess fluid status in a patient?
• The liver is the principal site of which physiological processes?
• An example of a management function of a nurse is:
• To improve weight measurement accuracy, which step is essential?
• Which of the following is not considered a first-line therapy for an acute gout flare?
• What is the approximate daily fiber intake recommended for adults?
• In the setting of a stroke affecting the dominant hemisphere, aphasia is most likely due to occlusion of which artery?
• In evaluating staff performance, which action reflects follow-up of prior studies?
• During wound healing, which phase is associated with tissue formation and proliferation?
• Which of the following is a process-related factor contributing to medication errors in a hospital?
• Which ethical principle requires protecting patient information from unauthorized disclosure?
• Which cells act as professional antigen-presenting cells to naive T cells?
• Which organism is acid-fast and commonly causes tuberculosis?
• One of the patient in the ICU asks to be cared for by the same nurse before admission and after discharge. What system does this describe?
• Autocratic leadership tends to do which of the following to staff?
• What are the four stages of wound healing?
• Which option BEST describes the follow-up of activities that have been studied?
• ADPIE stands for which sequence?
• The medullary osmotic gradient is essential for which renal function?
• If a patient asks to remove oxygen because they wish to die, which is the appropriate nursing response?
• The bedside direct-care nursing management function that involves determining whether the client has reached the intended care outcomes is best described as which function?
• The Rule of Nines is used to estimate what in burn victims?
• Sensitivity of a diagnostic test is defined as what?
• Which statement best defines informed consent?
• In IV rate calculation, which component is used aside from volume and time?
• What is essential to obtain an accurate patient weight?
• The person who punched a nurse can be sued for which level of physical injuries?
• Which management element involves organizing the structure and delegating roles within the nursing department?
• Which opioid antagonist is used to reverse opioid overdose?
• How is BMI calculated and what are the classification ranges?
• Which of the following is a normal BMI range for a healthy adult?
• Which system is characterized by care delivered through modular nursing units?
• Which statement best describes metabolic acidosis with an elevated anion gap in ABG interpretation?
• Neisseria gonorrhoeae is best described as what type of organism?
• What is the primary purpose of a pilot study?
• What is the normal adult respiratory rate range?
• Planning, Organizing, Directing, and Controlling are the four primary management functions. Who introduced them?
• In the initial management of suspected spinal injury, what is the recommended first action?
• Which of the following refers to policies?
• Guillain-Barré syndrome is primarily a disease of which nervous system component?
• Which of the following is part of the nursing care plan for a patient with anemia?
• The principle addressing the number of subordinates a manager can supervise effectively is:
• Which of the following would degrade the admissibility of chart evidence in court?
• Which item represents the independent variable in a study examining the effect of nasogastric insertion on patient anxiety?
• Which statement correctly describes common delivery methods for oxygen therapy?
• The pH scale measures what chemical property?
• Which imaging modality is most sensitive for soft-tissue injuries and early pathology?
• On an orthopedic unit, which practice demonstrated true leadership by the nurse?
• Which statement about PPE is correct for standard precautions and when contact precautions are required?
• Which is a correct example of a hypotonic IV solution?
• Which of the following are major components of a PNLE-style nursing care plan?
• Which nerve does the foramen ovale transmit?
• Which statement best reflects nursing considerations for a patient with left-sided heart failure?
• For anemia nursing care planning, which action is appropriate?
• Which statement reflects an outcome evaluation finding?
• Indications for providing oxygen therapy and typical delivery methods.
• In an experimental study, which element is used to compare outcomes between groups?
• Coagulative necrosis is most commonly associated with which tissue injury?
• Which combination best describes the components evaluated in quality assurance?
• Which statement best describes INR monitoring in warfarin therapy?
• Which combination of signs indicates respiratory distress in a newborn?
• Which characteristic aligns with laissez-faire leadership?
• Which organism is acid-fast and commonly causes tuberculosis?
• In a PNLE-style nursing care plan, which component specifies whether goals have been met?
• What is the normal newborn temperature range in Fahrenheit?
• The renewal deadline for a nurse's license is determined by which date?
• Which signs indicate dehydration in an elderly client?
• Beta-lactam antibiotics exert their effect by inhibiting which bacterial proteins?
• In adaptive immunity, which cells differentiate into antibody-secreting plasma cells?
• Which portion of the nephron is primarily responsible for fine-tuning of sodium and water reabsorption under aldosterone and ADH?
• What is the Gram stain result and arrangement of Staphylococcus aureus?
• A document in which a patient lists medical treatment to refuse if unable to decide is called?
• Which leadership approach involves promoting participation in decisions and adapting style to the situation?
• A telephone order is given for a client in your ward. What is your most appropriate action?
• Engaging the nursing administrator’s team in objective writing and formulating goals and philosophy of nursing service best describes which administrative function?
• Informed consent for which procedures is required?
• In experimental research, which variable is deliberately manipulated by the researcher?
• Which component do beta-lactam antibiotics target to exert their effect?
• Staphylococcus aureus is best described as which genus?
• Type I hypersensitivity is mediated by which immunoglobulin?
• How do you apply sterile technique during a wound dressing change?
• Which statement about herd immunity is correct?
• Calciferol is another name for which vitamin?
• Which statement accurately describes Stage 1 sub-stages and Stage 2?
• Which vaccines are included at the 2-month well-baby visit?
• Which hormone increases calcium reabsorption in the distal convoluted tubule of the kidney?
• Information in the patient's chart is inadmissible in court as evidence when
• Which of the following is NOT one of Fayol's four primary functions?
• What leadership style is described by a head nurse who makes decisions for everyone without consulting anyone?
• What are major lab tests used to monitor kidney function?
• Who is credited with introducing the four primary management functions?
• Kiara was assigned to take care of 5 to 6 patients from admission to discharge. The system is:
• Which is not a function of the patient's medical record?
• Daily dietary fiber guidelines commonly recommend approximately how many grams per day for adults?
• Which are common signs of infection in pediatric patients and how should they be managed?
• In the context of chart evidence, when is the information considered inadmissible in court?
• Which of the following amino acids is among the essential amino acids for adult humans?
• Which term describes the formal line of authority within an organization from top to bottom?
• Which pathway is responsible for fine touch and proprioception from the body?
• Confounding variable in epidemiology is defined as what?
• Nursing care plan approach for constipation.
• The nurse leader who empowers staff to participate in decision-making activities is exhibiting which leadership style?
• Which organelle is primarily responsible for modifying, sorting, and packaging proteins for secretion or delivery?
• Which cranial nerve carries taste sensation from the anterior two-thirds of the tongue?
• Taste sensation from the anterior two-thirds of the tongue travels via which nerve branch?
• What is the primary function of the Golgi apparatus?
• First-line pharmacologic therapy for an acute gout flare?
• Which system describes team-based nursing, where care is delivered by a team under a team leader?
• Assessing regulatory measures after implementation is part of which management function?
• What is the mechanism of action of beta-lactam antibiotics?
• Which statement best describes the purpose of a patient's chart in continuity of care?
• Which statement best describes the difference between primary and secondary prevention in public health?
• Which vaccines are commonly given to infants?
• Which signs indicate hypoglycemia in a patient with diabetes?
• Which stage is associated with placental delivery?
• An effective change agent on a standards of care committee should primarily exhibit which characteristic?
• A registered nurse should renew their license on or before which date?
• Guillain-Barré syndrome primarily affects which component of the nervous system?
• Classic galactosemia results from deficiency of which enzyme?
• Which class of antihistamines is typical of causing sedation in many patients?
• Which ethical principle describes supporting a patient’s and family’s right to make decisions that are best for them?
• A systolic crescendo-decrescendo murmur heard best at the right second intercostal space that radiates to the carotids indicates which valvular lesion?
• In a patient with chest pain suspected of myocardial infarction, what is the nursing priority?
• Common complications of immobility and nursing interventions.
• In suspected myocardial infarction, what is typically performed promptly after initial assessment?
• Which description is more characteristic of a manager than a leader?
• Which combination most strongly indicates respiratory distress in a newborn?
• Martha wants to do a study on 'Effects of massage and medication on stress and pain'. The type of research that best suits this topic is
• An advantage of automated or computerized patient care system is
• In suspected opioid overdose with respiratory depression, which action is part of management?
• Which research design analyzes relationships without manipulating the independent variable?
• Which management function is most directly about setting goals and outlining means to achieve them?
• PPE and precautions for airborne infection isolation.
• Which variable is observed and measured to assess the effect of the independent variable?
• Which option best illustrates transformational leadership?
• Which vitamin is essential for calcium homeostasis and bone mineralization?
• What is the liver's role in drug metabolism?
• The accumulation of misfolded proteins that form extracellular deposits is called what?
• Which option lists all nine essential amino acids for adult humans?
• A common bacterial resistance mechanism that degrades beta-lactam antibiotics is known as what?
• Which nursing personnel should be included in the planning?
• The research design that does not manipulate the independent variable is
• The four primary functions in management—Planning, Organizing, Directing, and Controlling—were introduced by which individual?
• Which person introduced the four primary management functions of planning, organizing, directing, and controlling?
• Which signs suggest wound infection?
• In the APGAR scoring system, how many points can a single component contribute?
• What type of necrosis is characteristic of caseating granulomas seen in tuberculosis?
• Which cofactor is required for gamma-carboxylation of glutamate residues in clotting factors II, VII, IX, and X?
• Rovsing's sign is used in the assessment of which condition?
• Vitamin D deficiency leads to which skeletal disease in children?
• Which nerve supplies sensory innervation to the dorsum of the hand near the base of the little finger, implicating ulnar involvement?
• Which question best confirms that the manager's leadership style is Laissez-faire?
• Reevaluation and administrative process is BEST described as:
• What is the normal temperature range for a newborn in Celsius?
• What is the typical therapeutic INR range for a patient on warfarin and how is it monitored?
• Which statement best defines unity of command in an organization?
• Which formula correctly calculates IV drip rate in milliliters per hour?
• When interviewing a newly graduated nurse for an evening position on an orthopedic unit, which question would indicate the manager is autocratic?
• Which statement is NOT a characteristic of experimental research?
• Sclerosis on radiographs is most commonly associated with which finding?
• What are priority actions for a patient with suspected sepsis?
• Which option best completes the nursing diagnosis for ineffective airway clearance?
• Receptive aphasia results from damage to which brain region?
• ACE inhibitor commonly causes which side effect due to bradykinin accumulation?
• Expressive (Broca's) aphasia results from damage to which region?
• When recording patient weight, which unit is standard in PNLE practice?
• Which areas are assessed in a basic mental health assessment?
• Which of the following is not included in the scope of nursing practice?
• Autocratic leadership tends to do which to staff independence?
• Classic galactosemia results from deficiency of which enzyme?
• The biceps reflex primarily tests which nerve root level?
• Hierarchy refers to power structure where the authority moves downward from the top. Which option correctly restates this?
• In a research study with multiple measured outcomes, which is the dependent variable?
• Which of the following is not considered one of Fayol's four primary management functions?
• Which statement describes standard nursing care for a patient with a tracheostomy?
• Which scenario demonstrates the use of structure standards in a hospital quality assurance program?
• Which of the following are common signs of anemia?
• Which sequence correctly describes the steps to perform sterile handwashing?
• Which term describes a preliminary study conducted to test the procedures of the research?
• Which statement best describes the unity of command principle?
• Which organelle is responsible for modifying, sorting, and packaging proteins for secretion or delivery?
• What is the recommended nursing management for diarrhea to prevent dehydration?
• In adaptive immunity, which cells differentiate into antibody-secreting plasma cells?
• During a local emergency, which leadership style is most appropriate to maintain control and reduce chaos?
• In evaluating a manager, which sign would indicate a non-directive leadership style?
• A manager who assigns evening assignments and speaks to staff to ensure focus on care demonstrates which leadership style?
• In all the various administrative functions, which management skills combination are most required?
• A head nurse makes decisions without consulting staff; this leadership style is?
• Euthanasia in the ICU is an ethical dilemma primarily because?
• In the immune response, which cells are considered the most effective at presenting antigens to naive T cells, thereby initiating T cell activation?
• During the action potential, which ion movement causes repolarization?
• Which immunoglobulin mediates immediate hypersensitivity?
• Which statement accurately describes Fayol's four management functions?
• Which trait is most important for a staff nurse acting as a change agent on the Standards of Care Committee?
• Nursing audit aims to
• What does SBAR stand for and when is it used?
• What principle is demonstrated when a nurse ensures informed consent is obtained before procedures?
• Which ligament prevents anterior translation of the atlas on the axis?
• Which combination best assesses fluid status in a patient?
• In outcome evaluation, which statement is an example of a finding?
• Which question would best indicate that a manager is autocratic?
• Primary prevention aims to reduce the incidence of disease by addressing risk factors before disease occurs. Is this statement true?
• What are the 'rights' of medication administration?
• Which imaging modality is most sensitive for detecting early soft tissue pathology?