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Quizzes > Health & Medicine

NLE Practice Exam: Check Your Pre-board Nursing Readiness

Quick, free quiz with realistic NLE practice questions. Instant feedback.

Editorial: Review CompletedCreated By: Samriddh DasguptaUpdated Aug 27, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration on sky blue background featuring nursing books question cards icons for free NLE practice exam

This NLE practice exam helps you check your pre-board readiness with realistic questions and instant feedback. Use your results to spot weak areas and plan a focused review. For more prep, try our nursing entrance exam practice test and the community health nursing pnle quiz.

A conscious adult with symptomatic hypoglycemia (blood glucose 58 mg/dL) should receive which immediate intervention?
Administer 15 g of fast-acting carbohydrate and recheck glucose in 15 minutes
Place the patient in Trendelenburg position
Start a long-acting carbohydrate meal only
Administer 10 units of regular insulin subcutaneously
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Which isolation precaution is required for a patient with active pulmonary tuberculosis?
Droplet precautions with surgical mask
Airborne precautions with N95 respirator
Protective (reverse) isolation
Contact precautions only
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Which assessment finding most strongly indicates fluid volume overload in a patient with heart failure?
Dry mucous membranes
Orthostatic hypotension
Sunken eyeballs
Crackles at lung bases with rapid weight gain
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The nurse evaluates the effectiveness of warfarin therapy using which laboratory test?
Serum creatinine
INR
Platelet count
aPTT
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Which action is priority for a patient found unresponsive with no normal breathing but a carotid pulse present?
Place in recovery position and wait for EMS
Begin rescue breathing at 1 breath every 6 seconds
Apply AED and deliver a shock
Start chest compressions immediately
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Which vaccine is safe and recommended during pregnancy?
Varicella vaccine
MMR vaccine
Live attenuated intranasal influenza vaccine
Inactivated influenza vaccine
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The nurse recognizes therapeutic communication when saying which response to a grieving patient?
You should try to stay busy to take your mind off it.
I am here to listen. Can you tell me what you are feeling right now?
At least your loved one is no longer suffering.
I know exactly how you feel.
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The most reliable landmark to confirm correct placement of an endotracheal tube after intubation is
Pulse oximetry reading above 95%
Absence of gastric sounds on auscultation
End-tidal CO2 detection
Bilateral chest rise by observation
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Which electrolyte imbalance is most associated with peaked T waves on ECG?
Hypocalcemia
Hypernatremia
Hyperkalemia
Hypomagnesemia
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A patient with COPD is receiving oxygen via nasal cannula at 6 L/min. What is the best nursing action?
Increase flow to 10 L/min to overcome hypoxia
Discontinue oxygen to prevent CO2 retention
Switch to nonrebreather mask immediately
Reduce flow to 1-2 L/min and assess response
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Which order can the nurse safely delegate to a nursing assistant (NCA)?
Assessing pain levels after analgesic administration
Teaching incentive spirometry technique
Measuring and documenting intake and output for a stable patient
Adjusting flow rate on a heparin infusion
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For a patient on digoxin, which assessment finding requires the most immediate action?
Apical pulse 64 bpm and regular
Complaints of mild fatigue
Heart rate 48 bpm with nausea
Potassium 4.0 mEq/L
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Which intervention best prevents ventilator-associated pneumonia (VAP)?
Sedation with daily interruption avoided
Elevate head of bed to 30-45 degrees
Prophylactic broad-spectrum antibiotics
Routine chest physiotherapy every hour
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Which nursing action is correct for administering enteral feeding via NG tube to reduce aspiration risk?
Infuse formula while patient is supine
Clamp tube for 2 hours post feeding
Verify tube placement and keep head of bed elevated at least 30 degrees
Flush with 100 mL water before and after feeding
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Which action has the highest priority in a disaster triage scene?
Open airway for an apneic patient with a pulse
Splint a closed tibia fracture
Provide detailed pain assessment
Start IV fluids for a patient with minor bleeding
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A patient with suspected stroke presents within 90 minutes of onset. Before thrombolytic therapy, which is essential?
Noncontrast CT scan to rule out hemorrhage
Start aspirin immediately
Begin heparin infusion while awaiting imaging
Sedate the patient for imaging
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A psychiatric patient states, I plan to harm my roommate. What is the nurse's best action?
Document and reassess at next shift
Offer PRN sleep medication only
Initiate duty to warn and ensure safety measures
Promise confidentiality to encourage trust
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Which lab result is most concerning for a patient on heparin infusion?
Potassium 3.9 mEq/L
aPTT of 60 seconds
Hemoglobin 12.8 g/dL
Platelets dropped from 250,000 to 90,000/mm3
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Which fetal heart rate pattern is most concerning and requires immediate intrauterine resuscitation?
Accelerations with movement
Moderate variability
Early decelerations with contractions
Recurrent late decelerations
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Which nursing diagnosis is most appropriate for a patient with a stage 3 pressure injury with purulent drainage?
Readiness for enhanced nutrition only
Risk for sepsis related to infected wound
Ineffective airway clearance
Deficient knowledge of mobility devices only
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Study Outcomes

  1. Apply Effective Test-Taking Strategies -

    Master time management, question triage, and stress-reduction techniques to optimize your performance on the NLE practice exam and other nurse licensure exam prep assessments.

  2. Analyze Performance Data -

    Review detailed feedback from the pre-board exam practice test to pinpoint knowledge gaps and tailor your study plan for maximum improvement.

  3. Interpret Realistic Clinical Scenarios -

    Develop critical thinking skills by working through case-based questions that mirror the complexity of the official nursing licensure exam.

  4. Utilize Core Nursing Concepts -

    Reinforce essential anatomy, pharmacology, and patient-care principles to build a solid foundation for high-stakes NLE quiz online success.

  5. Track Progress Over Time -

    Monitor your improvements with each practice session, enabling a data-driven approach to your ongoing nurse licensure exam prep.

  6. Boost Confidence and Readiness -

    Cultivate exam-day assurance through repeated exposure to realistic question formats, ensuring you enter the nursing board exam practice fully prepared.

Cheat Sheet

  1. Mastering Pharmacokinetic Equations -

    Understanding formulas like t½ = (0.693 × Vd) / Cl is crucial for safe medication administration. Practice calculating loading doses and maintenance infusions with sample problems from peer-reviewed pharmacology texts. This knowledge is often tested in NLE practice exams for accurate dose titration.

  2. Interpreting Arterial Blood Gas Results -

    Use the Henderson - Hasselbalch equation (pH = pKa + log[HCO₃❻/PaCO₂]) and the ROME mnemonic (Respiratory Opposite, Metabolic Equal) to differentiate acid-base disorders. Work through pre-board exam practice test scenarios to identify respiratory vs. metabolic acidosis or alkalosis. Consistent practice builds confidence for the nursing board exam practice.

  3. Applying Infection Control Principles -

    Memorize the chain of infection and break it with standard precautions like hand hygiene, PPE, and sterilization protocols based on CDC guidelines. Use the "WET PAWS" mnemonic (Wash hands, Educate, Tools sterilized, PPE, Aseptic technique, Waste disposal, Sharps safety). These concepts appear frequently on both NLE quiz online modules and nurse licensure exam prep materials.

  4. ECG Rhythm Analysis Strategies -

    Start by calculating heart rate with the 300-150-100 rule and examine P-QRS-T morphology to distinguish arrhythmias (e.g., AFib, V-tach, heart blocks). Practice with sample strips from university nursing labs to solidify pattern recognition. ECG interpretation questions are staple items on any NLE practice exam.

  5. Using SBAR for Effective Handoff Communication -

    Implement the SBAR framework (Situation, Background, Assessment, Recommendation) to deliver concise handoffs and prevent errors. Combine with the SAMPLE history mnemonic (Signs/Symptoms, Allergies, Medications, Past history, Last meal, Events) during rapid assessments. Mastery of these tools is key in nurse licensure exam prep and real-world clinical simulations.

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