Pass your nursing exams with this comprehensive, verified study guide covering NCSBN questions
76-90. Featuring exactly 149 rigorous practice questions and accurate, verified answers, this
resource is designed to sharpen your critical thinking and ensure you are fully prepared for the real
exam.
What’s Included
• 149 Targeted Questions: High-yield mock questions focusing on core nursing concepts
to solidify your knowledge.
• Verified Explanations: Clear rationales detailing exactly why the correct answer is right
and why the distractors are wrong.
• Exam-Style Formatting: Realistic, application-level questions that mimic the pacing and
difficulty of the official NCSBN exam.
Why Choose This Study Set?
• Master Complex Concepts: Perfect your grasp on tricky topics like priority nursing
actions, delegation, and advanced pharmacology.
• Boost Confidence: Built to help you evaluate outcomes and recall critical clinical
judgment protocols with ease.
• Study On-the-Go: Easily digestible format for focused, uninterrupted review sessions
whether you are on your laptop, tablet, or phone.
Whether you are prepping for the NCLEX or a nursing school certification, this curated list will test
your knowledge, highlight your weak spots, and push your score past the finish line.
Quiz_________________?
1
, A 1 year-old child is receiving temporary total parental nutrition (TPN) through a central
venous line. This is the first day of TPN therapy. Although all of the following nursing
actions must be included in the plan of care of this child, which one would be a priority at
this time?
A. Use aseptic technique during dressing changes
B. Check results of liver enzyme tests
C. Maintain central line catheter integrity
D. Monitor serum glucose levels -
ANSWER✅
D
Hyperglycemia may occur during the first day or two as the child adapts to the high-glucose
load of the TPN solution. Thus, a priority nursing responsibility is blood glucose testing.
Quiz_________________?
A 2-year-old child has just been diagnosed with cystic fibrosis. The child's parent asks the
nurse what the most important concerns are at this time. Which is the appropriate
response from the nurse?
A. "Thick, sticky secretions from the lungs are a constant challenge."
B. "Cystic fibrosis results in nutritional concerns that can be dealt with."
C. "You will work with a team of experts and have access to a support group."
D. "There is a high probability of life-long complications." -
ANSWER✅
A
The primary factor, and the one responsible for many of the clinical manifestations of cystic
fibrosis, is mechanical obstruction caused by the increased viscosity of mucous gland
secretions.Because of the increased viscosity of bronchial mucus, there is greater resistance
to ciliary action (probably secondary to infection and ciliary destruction), a slower flow rate
of mucus and incomplete expectoration, which also contributes to the mucus obstruction.
This retained mucus serves as an excellent medium for bacterial growth. Reduced oxygen-
carbon dioxide exchange causes variable degrees of hypoxia, hypercapnia and acidosis.In
2
, severe cases, progressive lung involvement, compression of pulmonary blood vessels and
progressive lung dysfunction frequently lead to pulmonary hypertension, cor pulmonale,
respiratory failure and death. Pulmonary complications are present in almost all children
with cystic fibrosis, but the onset and extent of involvement are variable.
Quiz_________________?
A 3 year-old child has findings that may suggest a neuroblastoma. While listening to the
concerns of the parents, which finding is consistent with this diagnosis and requires follow-
up by the health care provider?
A. "He seems to be getting weaker and weaker and is sometimes unsteady on his feet."
B. "We keep having to buy him larger size pants because he's growing so big around the
waist."
C. "He doesn't seem to be going to the bathroom as much and his urine is dark yellow in
color."
D. "Our child has been quieter than normal lately and has lost weight." -
ANSWER✅
B
One of the most common signs of neuroblastoma is increased abdominal girth due to the
mass or tumor in the abdomen. The mass can cause pain and/or a feeling of fullness and the
pressure may affect the child's bladder or bowel. Although the child with a neuroblastoma
may not want to eat (which can lead to weight loss), this finding could have many causes. A
more significant finding would be if the parents reported that child keeps outgrowing
clothing or that clothing is tight around the abdomen.
Quiz_________________?
A 4 month-old infant is being given digoxin. The client's blood pressure is 92/78 mm Hg;
resting pulse is 78 BPM; respirations are 28 BPM; and the serum potassium level is 4.8
mEq/L (4.8 mmol/L). The client is irritable and has vomited twice since the morning dose of
digoxin. Which finding is most indicative of digoxin toxicity?
A. Irritability
3
, B. Vomiting
C. Bradycardia
D. Dyspnea -
ANSWER✅
C
The most common sign of digoxin toxicity in children is bradycardia which is a heart rate
below 100 BPM in an infant. Normal resting heart rate for infants 1-11 months-old is 100-
160 BPM.
Quiz_________________?
A 10-month old infant is admitted with a diagnosis of bacterial meningitis. Several hours
after admission, during a planning conference, which of the actions suggested to the
registered nurse (RN) by the practical nurse (PN) would be appropriate to add to the plan
of care?
A. Provide an over-the-crib protective top
B. Measure head circumference
C. Initiate droplet precautions
D. Provide passive range of motion -
ANSWER✅
B
In meningitis, assessment of neurological signs should be done frequently. Head
circumference is measured because subdural effusions and obstructive hydrocephalus can
develop as a complication of meningitis. The client would have already been placed on
droplet precautions and had a crib top applied to the bed when he was admitted to the unit.
Quiz_________________?
A 12 year-old pediatric cancer client is distraught about the alopecia that occurred after the
last chemotherapy treatment. Which nursing interventions are appropriate for this side
effect of chemotherapy? (Select all that apply.)
4
76-90. Featuring exactly 149 rigorous practice questions and accurate, verified answers, this
resource is designed to sharpen your critical thinking and ensure you are fully prepared for the real
exam.
What’s Included
• 149 Targeted Questions: High-yield mock questions focusing on core nursing concepts
to solidify your knowledge.
• Verified Explanations: Clear rationales detailing exactly why the correct answer is right
and why the distractors are wrong.
• Exam-Style Formatting: Realistic, application-level questions that mimic the pacing and
difficulty of the official NCSBN exam.
Why Choose This Study Set?
• Master Complex Concepts: Perfect your grasp on tricky topics like priority nursing
actions, delegation, and advanced pharmacology.
• Boost Confidence: Built to help you evaluate outcomes and recall critical clinical
judgment protocols with ease.
• Study On-the-Go: Easily digestible format for focused, uninterrupted review sessions
whether you are on your laptop, tablet, or phone.
Whether you are prepping for the NCLEX or a nursing school certification, this curated list will test
your knowledge, highlight your weak spots, and push your score past the finish line.
Quiz_________________?
1
, A 1 year-old child is receiving temporary total parental nutrition (TPN) through a central
venous line. This is the first day of TPN therapy. Although all of the following nursing
actions must be included in the plan of care of this child, which one would be a priority at
this time?
A. Use aseptic technique during dressing changes
B. Check results of liver enzyme tests
C. Maintain central line catheter integrity
D. Monitor serum glucose levels -
ANSWER✅
D
Hyperglycemia may occur during the first day or two as the child adapts to the high-glucose
load of the TPN solution. Thus, a priority nursing responsibility is blood glucose testing.
Quiz_________________?
A 2-year-old child has just been diagnosed with cystic fibrosis. The child's parent asks the
nurse what the most important concerns are at this time. Which is the appropriate
response from the nurse?
A. "Thick, sticky secretions from the lungs are a constant challenge."
B. "Cystic fibrosis results in nutritional concerns that can be dealt with."
C. "You will work with a team of experts and have access to a support group."
D. "There is a high probability of life-long complications." -
ANSWER✅
A
The primary factor, and the one responsible for many of the clinical manifestations of cystic
fibrosis, is mechanical obstruction caused by the increased viscosity of mucous gland
secretions.Because of the increased viscosity of bronchial mucus, there is greater resistance
to ciliary action (probably secondary to infection and ciliary destruction), a slower flow rate
of mucus and incomplete expectoration, which also contributes to the mucus obstruction.
This retained mucus serves as an excellent medium for bacterial growth. Reduced oxygen-
carbon dioxide exchange causes variable degrees of hypoxia, hypercapnia and acidosis.In
2
, severe cases, progressive lung involvement, compression of pulmonary blood vessels and
progressive lung dysfunction frequently lead to pulmonary hypertension, cor pulmonale,
respiratory failure and death. Pulmonary complications are present in almost all children
with cystic fibrosis, but the onset and extent of involvement are variable.
Quiz_________________?
A 3 year-old child has findings that may suggest a neuroblastoma. While listening to the
concerns of the parents, which finding is consistent with this diagnosis and requires follow-
up by the health care provider?
A. "He seems to be getting weaker and weaker and is sometimes unsteady on his feet."
B. "We keep having to buy him larger size pants because he's growing so big around the
waist."
C. "He doesn't seem to be going to the bathroom as much and his urine is dark yellow in
color."
D. "Our child has been quieter than normal lately and has lost weight." -
ANSWER✅
B
One of the most common signs of neuroblastoma is increased abdominal girth due to the
mass or tumor in the abdomen. The mass can cause pain and/or a feeling of fullness and the
pressure may affect the child's bladder or bowel. Although the child with a neuroblastoma
may not want to eat (which can lead to weight loss), this finding could have many causes. A
more significant finding would be if the parents reported that child keeps outgrowing
clothing or that clothing is tight around the abdomen.
Quiz_________________?
A 4 month-old infant is being given digoxin. The client's blood pressure is 92/78 mm Hg;
resting pulse is 78 BPM; respirations are 28 BPM; and the serum potassium level is 4.8
mEq/L (4.8 mmol/L). The client is irritable and has vomited twice since the morning dose of
digoxin. Which finding is most indicative of digoxin toxicity?
A. Irritability
3
, B. Vomiting
C. Bradycardia
D. Dyspnea -
ANSWER✅
C
The most common sign of digoxin toxicity in children is bradycardia which is a heart rate
below 100 BPM in an infant. Normal resting heart rate for infants 1-11 months-old is 100-
160 BPM.
Quiz_________________?
A 10-month old infant is admitted with a diagnosis of bacterial meningitis. Several hours
after admission, during a planning conference, which of the actions suggested to the
registered nurse (RN) by the practical nurse (PN) would be appropriate to add to the plan
of care?
A. Provide an over-the-crib protective top
B. Measure head circumference
C. Initiate droplet precautions
D. Provide passive range of motion -
ANSWER✅
B
In meningitis, assessment of neurological signs should be done frequently. Head
circumference is measured because subdural effusions and obstructive hydrocephalus can
develop as a complication of meningitis. The client would have already been placed on
droplet precautions and had a crib top applied to the bed when he was admitted to the unit.
Quiz_________________?
A 12 year-old pediatric cancer client is distraught about the alopecia that occurred after the
last chemotherapy treatment. Which nursing interventions are appropriate for this side
effect of chemotherapy? (Select all that apply.)
4
