Question 1
What does the SBAR communication framework stand for and how is it used?
Correct Answer:
Situation, Background, Assessment, Recommendation; used to convey concise, structured clinical information.
Explanation:
SBAR is a concise communication framework used in healthcare to convey patient information quickly and clearly during handoffs or urgent calls. It stands for Situation, Background, Assessment, Recommendation. In practice, you start with the Situation—the patient and the immediate concern; then provide Background—relevant history, current meds, allergies, and events leading up to the issue; next, share your Assessment—your clinical impression, vital signs, trends, and what you think is happening; and finish with the Recommendation—what you need, proposed actions, and who should respond. This structure helps ensure critical details aren’t missed, reduces miscommunication, and supports timely decisions in fast-paced clinical settings. For example: “Situation: patient with sudden chest pain; Background: history of CAD, on aspirin, BP 150/90; Assessment: possible myocardial ischemia, ECG pending; Recommendation: please obtain ECG and cardiac enzymes and consider initiating appropriate orders.”
Question 2
Which electrolyte imbalance is commonly associated with vomiting?
Correct Answer:
Hypochloremic metabolic alkalosis with hypokalemia
Explanation:
Vomiting leads to loss of gastric acid (hydrochloric acid) and chloride from the body. Losing hydrogen ions raises the body's pH, producing metabolic alkalosis, and the loss of chloride makes this a hypochloremic state. The accompanying volume depletion triggers renal mechanisms that conserve sodium and water but waste potassium, resulting in hypokalemia. So the classic pattern with vomiting is hypochloremic metabolic alkalosis with hypokalemia. In other scenarios, you’d see different patterns: loss of bicarbonate or chloride-rich fluids (as with some diarrheal losses or certain kidney disorders) tends to cause metabolic acidosis or hyperchloremia, not the hypochloremic alkalosis described here. Dehydration alone can occur with vomiting but doesn’t define the characteristic acid-base and electrolyte changes.
Question 3
What is the correct order of the nursing process steps (ADPIE)?
Correct Answer:
Assess, Diagnose, Plan, Implement, Evaluate
Explanation:
Understanding the nursing process in order: Assessment, Diagnosis, Planning, Implementation, Evaluation. Start by collecting and analyzing data about the patient—physical findings, history, symptoms, and needs. This gathered information is essential for identifying actual and potential problems, expressed as nursing diagnoses. After pinpointing these diagnoses, you establish measurable goals and outline the interventions needed to address them during the planning phase. Then you carry out those planned actions in the implementation phase, delivering care, treatments, education, and support. Finally, you evaluate the patient’s progress to determine if goals were met, if outcomes improved, and whether the plan should be continued, changed, or ended; this step SAMPLEmay lead to a new cycle of assessment. Therefore, the correct sequence is Assess, Diagnose, Plan, Implement, Evaluate.
Question 4
What does the suction control in a chest drainage system regulate?
Correct Answer:
The amount of suction delivered to the patient based on the amount of water.
Explanation:
Suction control sets how much negative pressure is delivered to the pleural space, using a water column to regulate it. The height of the water in the suction control chamber determines the amount of suction transmitted to the chest—more water means more suction (within the device’s safe range), and less water means less suction. This keeps the suction at a prescribed level to promote drainage without causing tissue injury. It’s not about the rate of drainage itself, nor does it regulate the water seal height in the other chamber or ambient air flow.
Question 5
Expanded Nursing Roles typically include all EXCEPT:
Correct Answer:
Licensed Practical Nurse
Explanation:
Expanded nursing roles involve advanced education and broader practice authority beyond the traditional registered nurse scope. The roles that fit this category include the Advanced Practice Nurse, Clinical Nurse Specialist, and Certified Registered Nurse Anesthetist, all of which require graduate-level training and typically autonomous clinical decision-making. The Licensed Practical Nurse, by contrast, usually completes a practical nursing program and provides bedside care under supervision with a more limited scope, lacking the independent practice and prescriptive authority typical of expanded roles.
Question 1
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Prepare with the PNLE Nursing Practice I (NP1) Practice Test practice quiz. This question bank includes 10 questions covering nursing, sbar, communication, and pnle. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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PNLE Nursing Practice I (NP1) Practice Test

This practice set contains 10 questions from the matching question bank and focuses on nursing, sbar, communication, and pnle. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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