NNC NLEN BSc case studies

NNC NLEN BSc · Put your knowledge to work in context.

The NLEN BSc is a nursing licensure examination for graduates of Bachelor of Science in Nursing programmes who are seeking registration and the legal right to practise as a nurse. Candidates typically sit it at the end of their degree, after completing supervised clinical placements, so the exam tests whether you can translate academic knowledge into safe, defensible bedside decisions rather than whether you can memorise a textbook. The NNC NLEN BSc case studies are 5 cases and about 6,134 words.

INR 6.2 Without Bleeding: Warfarin, TMP-SMX, and a Borrowed NSAID

H., 72, has atrial fibrillation and takes warfarin 5 mg nightly. His INR has been stable between 2.0 and 3.0 for a year, most recently 2.4 twelve days ago.

1,047 words, about 5 min 2

Postoperative Day 2 After Colectomy: Confusion, Lactate, and a Non-Responding Bolus

R., 58, is postoperative day 2 after a sigmoid colectomy for a perforated diverticular abscess; the case converted from laparoscopic to open. She has a midline incision with a wound VAC, an indwelling urinary catheter, and a peripheral IV.

1,180 words, about 6 min 3

34 Weeks, BP 172/114, and a Request to Wait Until 37 Weeks

T., 29, gravida 2 para 1, is admitted at 34 weeks 2 days with a blood pressure of 172/114 mmHg confirmed on repeat after 10 minutes of left lateral rest, a persistent frontal headache, and new "flashing lights." She describes right upper quadrant pain and attributes it to heartburn. Deep tendon reflexes are 3+ with two beats of clonus; she has pitting edema to mid-shin.

1,237 words, about 6 min 4

New-Onset Diabetes at 6 Years: Challenging Two Orders in Pediatric DKA

Leo, 6 years old and 22 kg, arrives in the emergency department at 22:00 after three days of vomiting and abdominal pain with increasing drowsiness. His mother reports two weeks of heavy drinking and urination and a 2 kg weight loss; he was previously healthy with no known diabetes.

1,284 words, about 6 min 5

Charge Nurse at 23:00: Six RNs, a DNR Dispute, and "There Is No One Else"

At 23:00 on a 38-bed medical-surgical unit you are the charge nurse. Staffing is six RNs including you, two unlicensed assistive personnel, and one RN floated from intensive care who has not worked medical-surgical in two years.

1,386 words, about 7 min