Practice questions mapped to the official SNLE blueprint
20 questions
NF-001Q1📋 Nursing FundamentalsMediumPart 1safe effective care
A nurse is preparing to perform hand hygiene. According to WHO guidelines, which situation requires hand washing with soap and water rather than alcohol-based hand rub?
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NF-002Q2📋 Nursing FundamentalsEasyPart 1safe effective care
When performing a sterile dressing change, which action by the nurse indicates a break in sterile technique?
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A patient admitted with acute myocardial infarction develops sinus bradycardia (HR 42 bpm) with hypotension. Which medication should the nurse anticipate administering FIRST?
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AN-002Q7🏥 Adult NursingMediumPart 1safe effective care
A nurse is caring for a patient post-total hip replacement (posterior approach). Which position is MOST important to avoid to prevent hip dislocation?
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A patient with schizophrenia states "The television is sending me special messages meant only for me." The nurse correctly identifies this as which type of thought disorder?
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A nurse is assessing a patient at 38 weeks gestation. She reports sudden, painless, bright red vaginal bleeding. Which complication does the nurse MOST likely suspect?
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A newborn's 1-minute APGAR score is being assessed. The infant has HR 110 bpm, crying vigorously, active motion, coughs when suctioned, and is completely pink. What is the APGAR score?
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MC-003Q13👶 Maternal-Child NursingHardPart 2safe effective care
A 3-year-old child is admitted with a temperature of 40°C and a petechial rash. Which action by the nurse has the HIGHEST priority?
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A nurse is caring for an infant with pyloric stenosis post-pyloromyotomy. Which finding indicates the surgery was successful?
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MC-005Q15👶 Maternal-Child NursingHardPart 2safe effective care
A patient at 32 weeks gestation is diagnosed with preeclampsia and started on magnesium sulfate. Which assessment finding requires the nurse to STOP the infusion immediately?
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ML-001Q16👔 Nursing Management & LeadershipMediumPart 2safe effective care
A charge nurse has four patients needing attention. Using the principles of prioritization, which patient should the nurse attend to FIRST?
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ML-002Q17👔 Nursing Management & LeadershipEasyPart 2safe effective care
A nurse is delegating tasks. Which task is APPROPRIATE to delegate to an unlicensed assistive personnel (UAP)?
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ML-003Q18👔 Nursing Management & LeadershipMediumPart 2safe effective care
A nurse notices a colleague administering a medication without checking the patient's armband. Using the chain of command, what should the nurse do FIRST?
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ML-004Q19👔 Nursing Management & LeadershipEasyPart 2safe effective care
A hospital implements an electronic health record (EHR) system. Which nursing informatics activity BEST demonstrates meaningful use of technology?
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ML-005Q20👔 Nursing Management & LeadershipHardPart 2safe effective care
A hospital is implementing a quality improvement initiative to reduce central line-associated bloodstream infections (CLABSI). Which intervention has the STRONGEST evidence for preventing CLABSI?
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