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Key Facts: NNC NLEN BSc Exam

150

MCQs on official exam

150 min

Exam duration

50%

Passing standard

NPR 3,500

Online examination fee

The NNC NLEN BSc exam is a 150-question MCQ assessment taken in 2 hours 30 minutes with a 50% aggregate pass mark, required for BSc Nursing graduates to register as professional nurses in Nepal. Independent practice by OpenExamPrep includes questions on all 11 guideline subjects in proportion to the published item counts.

Sample NNC NLEN BSc Practice Questions

Try these sample questions to review concepts for the NNC NLEN BSc exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which phase of the nursing process involves comparing the patient's current health status against pre-established expected outcomes to determine goal attainment?

A.Evaluation

B.Assessment

C.Implementation

D.Diagnosis

Explanation: Evaluation is the final phase of the nursing process where the nurse measures client progress toward the achievement of predetermined goals and desired health outcomes, allowing for care plan modification if needed.

2When administering an intramuscular injection using the Z-track technique in the ventrogluteal muscle, what is the primary rationale for retracting the skin laterally prior to needle insertion?

A.To reduce patient discomfort during needle penetration into the subcutaneous layer

B.To prevent leakage of medication into subcutaneous tissue and seal the needle track

C.To ensure the needle reaches the periosteum of the greater trochanter

D.To aspirate blood more easily before injecting the medication

Explanation: The Z-track technique displaces upper tissue layers before needle insertion so that releasing the skin after injection creates a broken needle track, sealing the drug in the muscle bed and preventing subcutaneous irritation and staining.

3An adult patient receiving continuous intravenous therapy exhibits localized erythema, warmth, mild edema along the venous path, and tenderness upon palpation. What is the nurse's immediate priority action?

A.Slow down the infusion rate and elevate the extremity

B.Flush the cannula forcefully with 10 mL of normal saline

C.Discontinue the intravenous line immediately and apply a warm compress

D.Apply a sterile transparent dressing and notify the physician within 12 hours

Explanation: Erythema, warmth, tenderness, and cord-like swelling are hallmark signs of phlebitis. The immediate nursing priority is to discontinue the IV cannula at that site, elevate the limb, apply a warm compress, and restart the line in another extremity if therapy continues.

4Under Florence Nightingale's Environmental Theory, which environmental factor is emphasized as paramount for restoring health and preventing hospital-acquired complications?

A.Psychodynamic interpersonal counseling

B.Early ambulation, rest, and pharmacological stabilization of symptoms

C.Strict technological isolation barriers

D.Pure air, pure water, efficient drainage, cleanliness, and light

Explanation: Nightingale's Environmental Theory posits that health is maintained and disease overcome through optimal configuration of the external environment, specifically pure air, pure water, efficient drainage, cleanliness, and direct sunlight.

5Which stage of pressure injury is characterized by full-thickness skin loss involving exposure of subcutaneous fat, but without visible bone, tendon, or muscle?

A.Stage 3 pressure injury

B.Stage 1 pressure injury

C.Stage 2 pressure injury

D.Stage 4 pressure injury

Explanation: Stage 3 pressure injuries present with full-thickness loss of skin in which adipose tissue is visible in the ulcer bed, and granulation tissue and epibole (rolled edges) are often present, but fascia, muscle, tendon, ligament, cartilage, and bone are not exposed.

6A patient with suspected pulmonary tuberculosis is admitted to a healthcare facility. Which transmission-based precaution must the nurse implement immediately in addition to standard precautions?

A.Droplet precautions with a surgical mask within 1 meter

B.Airborne precautions with an N95 respirator in a negative-pressure room

C.Contact precautions requiring gown and clean gloves for all room entries

D.Protective reverse isolation with positive-pressure laminar airflow

Explanation: Mycobacterium tuberculosis is transmitted via droplet nuclei (<5 microns) that remain suspended in the air. Proper control requires airborne infection isolation (AIIR) with negative pressure (at least 6-12 air changes/hour) and fit-tested N95 or higher respirators.

7When measuring arterial blood pressure using an aneroid sphygmomanometer, what effect does using a cuff with a bladder that is too narrow for the patient's arm circumference produce?

A.A falsely decreased systolic and diastolic pressure reading

B.An inaccurate widening of the pulse pressure without baseline change

C.A falsely elevated systolic and diastolic pressure reading

D.No measurable effect if the stethoscope is placed precisely over the brachial artery

Explanation: A blood pressure cuff bladder that is too narrow or short fails to distribute pressure evenly to the underlying artery, requiring higher cuff inflation pressure to occlude the vessel and yielding a falsely high blood pressure measurement.

8Before administering a scheduled dose of digoxin 0.25 mg orally, what nursing assessment is mandatory to ensure patient safety?

A.Assessing respiratory rate and checking for adventitious breath sounds

B.Measuring bilateral blood pressure in both sitting and supine positions

C.Checking the capillary blood glucose level

D.Counting the apical pulse for a full minute before giving the dose

Explanation: Digoxin is a cardiac glycoside with positive inotropic and negative chronotropic effects. The nurse must auscultate the apical pulse at the mitral area for 60 seconds; if the heart rate is under 60 bpm in an adult, the dose must be held and the prescriber notified due to toxicity risk.

9Which ethical principle in nursing is demonstrated when a nurse respects a competent patient's decision to refuse a recommended surgical intervention after being fully informed of the risks?

A.Autonomy

B.Beneficence

C.Non-maleficence

D.Justice

Explanation: Autonomy is the moral principle recognizing an individual's right to self-determination, personal freedom of choice, and independent decision-making regarding their medical treatment and bodily integrity.

10During a bed bath for a bedridden adult patient, in which direction should the nurse wash the upper and lower extremities to enhance venous blood return?

A.From proximal to distal using vigorous circular motions

B.From distal to proximal using firm, smooth long strokes

C.In horizontal strokes perpendicular to the long axis of the limb

D.From trunk outward toward the fingers and toes

Explanation: Washing and drying extremities in a distal-to-proximal direction (from hands to shoulders, and from feet to groin) follows the natural anatomical course of venous valves and lymphatic drainage, promoting venous return and preventing venous stasis.

About the NNC NLEN BSc Exam

The National Licensure Examination for Nurses (NLEN) for B.Sc. Nursing graduates is administered by the Nepal Nursing Council (NNC) three times a year. Independent NNC practice by OpenExamPrep offers practice questions on the 11 subjects listed in the NLEN test guideline.

Exam sponsor: Nepal Nursing Council. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

150 four-option multiple-choice questions administered in a 2 hour 30 minute session. Topics cover 11 domains: Fundamentals of Nursing (30), Adult & Geriatric (26), Midwifery & Gynecological (20), Community Health (20), Integrated Health Sciences (14), Child Health (14), Management (7), Psychiatric Nursing (6), Research & Biostatistics (5), Educational Science (4), and Nutrition (4).

Time Limit

150 minutes (2 hours 30 minutes)

Passing Score

50% aggregate (75 of 150 marks)

Exam / Certification Fees

NPR 3,500 online fee (plus NPR 2,000 registration fee upon passing)

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

30 of 150 questions

Fundamentals of Nursing & Nursing Concepts

Nursing process, clinical skills, professional ethics, safety, infection control, pharmacology administration, and basic client needs.

26 of 150 questions

Adult & Geriatric Nursing

Medical-surgical pathophysiology, nursing management of acute and chronic adult disorders, and geriatric health considerations.

20 of 150 questions

Midwifery & Gynecological Nursing

Antenatal, intrapartum, and postpartum care, high-risk pregnancy management, newborn assessment, and gynecological disorders.

20 of 150 questions

Community Health Nursing

Primary healthcare, epidemiology, environmental sanitation, family planning, immunization programs, and Nepal national health programs.

14 of 150 questions

Integrated Health Sciences

Human anatomy and physiology, microbiology, biochemistry, pharmacology, and pathology principles applied to nursing.

14 of 150 questions

Child Health Nursing

Growth and development, pediatric illnesses, IMNCI guidelines, newborn care, immunization, and nutritional management.

7 of 150 questions

Management & Health Economics

Nursing leadership, ward administration, resource allocation, health economics, and Nepal health system organization.

6 of 150 questions

Behavioral Science & Psychiatric Nursing

Mental health disorders, therapeutic communication, psychopharmacology, stress management, and sociology applied to health.

5 of 150 questions

Research & Biostatistics

Nursing research methodology, quantitative and qualitative designs, data collection, sampling, and descriptive statistics.

4 of 150 questions

Educational Science

Teaching-learning principles, curriculum concepts, clinical instruction methods, and evaluation techniques in nursing education.

4 of 150 questions

Nutrition in Health & Illness

Nutrient requirements, therapeutic diets, malnutrition screening, and dietary management across health states.

Preparing for the NNC NLEN BSc Exam

What You Need to Know

Passing score: 50% aggregate (75 of 150 marks)
Assessment: 150 four-option multiple-choice questions administered in a 2 hour 30 minute session. Topics cover 11 domains: Fundamentals of Nursing (30), Adult & Geriatric (26), Midwifery & Gynecological (20), Community Health (20), Integrated Health Sciences (14), Child Health (14), Management (7), Psychiatric Nursing (6), Research & Biostatistics (5), Educational Science (4), and Nutrition (4).
Time limit: 150 minutes (2 hours 30 minutes)
Exam / certification fees: NPR 3,500 online fee (plus NPR 2,000 registration fee upon passing) Official sources

Using Our Practice Resources

Work through all 100 available questions
Review every answer and explanation
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NNC NLEN BSc: Suggested Study Strategy

1Allocate study time according to blueprint weights: Fundamentals (30), Adult Nursing (26), Midwifery (20), and Community Health (20) account for over 60% of the entire examination.

2Review national health protocols for Nepal, including IMNCI guidelines, expanded program on immunization (EPI), safe motherhood initiatives, and tuberculosis control guidelines.

3Practice clinical scenario questions involving nursing prioritization, fluid resuscitation, dosage calculations, and infection control standards.

4Review basic research and biostatistical concepts, such as sampling techniques, study designs, validity/reliability, and measures of central tendency.

Frequently Asked Questions

What is the NLEN BSc Nursing examination in Nepal?

It is the National Licensure Examination for Nurses conducted by the Nepal Nursing Council specifically for Bachelor of Science in Nursing graduates, separate from the PCL nursing licensure route.

How many questions are on the NLEN BSc exam and what is the time limit?

The examination contains 150 four-option multiple-choice questions to be completed in 150 minutes (2.5 hours). There is no negative marking.

What is the passing mark for the NLEN BSc exam?

Candidates must achieve at least 50% aggregate (75 correct answers out of 150) to pass the examination and obtain the license.

How often is the examination conducted?

The Nepal Nursing Council typically conducts the licensure examination three times a year.