SNLE case studies
SNLE · Put your knowledge to work in context.
SNLE is a nursing licensure-style examination built around the professional, legal, and ethical side of practice rather than clinical pathophysiology. It suits candidates preparing for entry-level licensure and practising nurses who need to demonstrate currency in scope of practice, regulation, documentation, safety, communication, delegation, and patient rights. The exam is delivered in multiple-choice format and is weighted across nine domains, with the largest shares going to professional practice and to legal and regulatory requirements. Questions tend to be scenario-based: you are given a short workplace situation and asked what the nurse should do, say, document, or report. The SNLE case studies are 5 cases and about 2,628 words.
1The Float Nurse and the Unfamiliar Infusion
Renata is a licensed practical nurse with 14 months of experience on a medical-surgical unit. At 19:10 the charge nurse reassigns her to the oncology floor because two staff members called in sick.
521 words, about 3 min2The Daughter Who Wants the Chart
Marcus, a 71-year-old man with early-stage dementia, is admitted for a hip fracture. His daughter Priya arrives and demands to see his full medical record, saying she holds his power of attorney and 'handles everything.' The chart contains a note from two years ago documenting a treated sexually transmitted infection that Marcus asked to keep private, plus recent notes about his dementia progression.
566 words, about 3 min3The Verbal Order at 02:15
It is 02:15 on a busy surgical unit. Alvarez calls about Mrs.
533 words, about 3 min4The Aide, the Insulin, and the Border
On a medical unit, RN supervisor Dana is working with Carlos, an unlicensed assistive personnel (UAP) with six months of experience. Carlos has been checking blood glucose fingersticks all shift and has become fast and confident.
515 words, about 3 min5The Note That Doesn't Match the Shift
Nurse Aisha is reviewing the chart of a patient who fell overnight. The fall was witnessed by a UAP at 03:40; the patient was found on the floor beside the bed with a small forehead abrasion.
493 words, about 2 min