EHPLE Nursing case studies
EHPLE Nursing · Put your knowledge to work in context.
The EHPLE Nursing Exam is a professional licensure assessment for nurses seeking to demonstrate entry-level competence in the jurisdiction that administers it. It is intended for graduates of approved nursing programs and for internationally educated nurses pursuing licensure or registration. The exam is delivered in multiple-choice format and samples broadly across eight domains: professional nursing practice and ethics; fundamentals and basic care; medical-surgical nursing; maternal and newborn nursing; pediatric nursing; mental health and psychiatric nursing; community and public health nursing; and pharmacology and medication management. Because it is a generalist licensure exam, questions emphasize safe decision-making, prioritization, and application of knowledge to clinical scenarios rather than isolated recall. The EHPLE Nursing case studies are 5 cases and about 2,390 words.
1Refusal of Blood in a Patient with Decision-Making Capacity
Alvarez is a 62-year-old man on postoperative day 2 after open reduction and internal fixation of a right hip fracture. His hemoglobin has fallen from 9.8 to 6.4 g/dL.
586 words, about 3 min2New Severe Pain in a Patient with Small Bowel Obstruction
A 58-year-old woman is admitted with 3 days of vomiting and abdominal distention. She has a nasogastric tube to low intermittent suction, IV fluids at 125 mL/h, and a urinary catheter.
458 words, about 2 min3Painless Vaginal Bleeding at 35 Weeks and a Request for Vaginal Exam
A 34-year-old G3P2 at 35 weeks’ gestation arrives by car after a sudden gush of bright red vaginal bleeding at home. She denies pain and says the bleeding has slowed to a trickle.
458 words, about 2 min4A Child with Asthma Who Becomes Quiet and Drowsy
A 7-year-old boy with a history of asthma and one previous PICU admission has received three albuterol/ipratropium nebulizers in the emergency department over 60 minutes for an exacerbation. He now sits upright, speaks in single words, and is drowsy.
431 words, about 2 min5Warfarin, a New Antibiotic, and an INR of 7.2
A 70-year-old woman with atrial fibrillation has been taking warfarin 5 mg daily; her INR was 2.6 two weeks ago. Four days ago a walk-in clinic prescribed trimethoprim-sulfamethoxazole for a urinary tract infection.
457 words, about 2 min