NCSBN Practice Questions 1-15
NCSBN Practice Questions 1-15
Study online at https://quizlet.com/_8l1rrp
1. Which individual is at greatest risk for C
the development of hypertension? The incidence of hypertension is greater among
African-Americans than other groups in the United
A. 40 year-old Caucasian nurse States. The incidence among the Hispanic popula-
B. 60 year-old Asian-American shop tion is rising.
owner
C. 45 year-old African-American at-
torney
D. 55 year-old Hispanic teacher
2. A woman, who delivered five days D
ago and who had been diagnosed The woman is at risk for seizure activity. The am-
with pregnancy induced hyperten- bulance needs to bring the woman to the hospital
sion (PIH), calls a hospital triage for evaluation and treatment. For at-risk clients, PIH
nurse hotline to ask for advice. may progress to preeclampsia and eclampsia prior
She states, "I have had the worst to, during, or after delivery; this may occur up to 10
headache for the past two days. It days after delivery.
pounds and by the middle of the af-
ternoon everything I look at looks
wavy. Nothing I have taken helps."
What should the nurse do next?
A. Advise the client to have someone
bring her to the emergency room as
soon as possible
B. Ask the client to explain what she
has taken and how often, and then
evaluate other specific complaints
C. Advise the client that the swings in
her hormones may be the problem;
suggest that she call her health care
provider
, NCSBN Practice Questions 1-15
NCSBN Practice Questions 1-15
Study online at https://quizlet.com/_8l1rrp
D. Ask the client to stay on the line,
get the address, and send an ambu-
lance to the home
3. There's a new medication order that C
reads: "administer 1 gtt ciprofloxacin Abbreviations, symbols and dose designations can
solution OD Q 4 h" What action be misinterpreted and lead to medication errors.
should the nurse take? "OD" can mean "right eye" (oculus dexter) or "once
daily"; it should never be used when communi-
A. Squeeze one drop of the medica- cating medical information. The abbreviation "Q"
tion in the left eye every 4 hours should be written out as "every." Although "gtt" is
B. Apply one drop in the right ear not on the official "Do Not Use List", it's best to
every 4 hours use "drop" instead. Asking other nurses to interpret
C. Call the prescriber to clarify and an order is a potentially dangerous "workaround."
rewrite the order The nurse should call the health care provider who
D. Ask other nurses for their interpre- prescribed the medication and clarify the order.
tation of the order
4. A client expresses anger when a call A
light is not answered within five min- This is the best response because it gives credence
utes. The client demanded a blanket. to the client's feelings and then concerns. To say
How should the nurse respond? "let's talk" and ask a why question is not a thera-
peutic approach because it does not acknowledge
A. "I see this is frustrating for you. I or validate the client's feelings. To apologize and
have a few minutes so let's talk." not notice the client's feelings is inappropriate. To
B. "I am surprised that you are upset. say it could have waited a few minutes is rude and
The request could have waited a few non-accepting of the client's verbalized needs.
more minutes."
C. "Let's talk. Why are you upset
about this?"
D. "I apologize for the delay. I was
involved in an emergency."
, NCSBN Practice Questions 1-15
NCSBN Practice Questions 1-15
Study online at https://quizlet.com/_8l1rrp
5. The clinic nurse is assisting with med- DRGs are the basis of prospective payment plans
ical billing. The nurse uses the DRG for reimbursement for Medicare clients. Other in-
(Diagnosis Related Group) manual surance companies often use it as a standard for
for which purpose? determining payment.
A. Determine reimbursement for a
medical diagnosis
B. Identify findings related to a med-
ical diagnosis
C. Classify nursing diagnoses from
the client's health history
D. Implement nursing care based on
case management protocol
6. A nurse is planning care for a 2 B
year-old hospitalized child. Which is- While a toddler will experience all of the stresses,
sue will produce the most stress at separation from parents is the major stressor. Sep-
this age? aration anxiety peaks in the toddler years.
A. Fear of pain
B. Separation anxiety
C. Loss of control
D. Bodily injury
7. The nurse receives a client from the B
post anesthesia care unit following Although the inability to palpate the left pedal pulse,
a left femoral-popliteal bypass graft a cool extremity, and increased pain in the left
procedure. Which of the following as- lower leg are important findings, they all require
sessments requires immediate notifi- additional nursing assessment prior to contacting
cation of the health care provider? the health care provider. In clients without palpa-
ble pedal pulses, the next step in the assessment
A. Left foot is cool to the touch is to perform a Doppler analysis. The inability to
B. Absent left pedal pulse using
, NCSBN Practice Questions 1-15
NCSBN Practice Questions 1-15
Study online at https://quizlet.com/_8l1rrp
Doppler analysis locate the left pedal pulse using the Doppler analy-
C. Inability to palpate the left pedal sis requires immediately notifying the health care
pulse provider.
D. Acute pain in the left lower leg
8. A
The nurse is reviewing the laborato-
Metabolic acidosis can be caused by many condi-
ry results for several clients. Which
tions, including renal failure, shock, severe diarrhea,
of the laboratory result indicates a
dehydration, diabetic acidosis, and salicylate poi-
client with partly compensated meta-
bolic acidosis? soning. With metabolic acidosis, you should expect
a low pH (less than 7.35) and a low HCO3 (less
A. PaCO2 30 mm Hg than 22 mEq/L.) Compensation means the body is
B. Hemoglobin 15 g/dL (150 g//L) trying to get the pH back in balance; therefore, a
C. Sodium 130 mEq/L (130 mmol/L) pure metabolic acidosis should elicit a compensato-
D. Chloride 100 mEq/L (100 mmol/L) ry decrease in PaCO3 (normal is 35-45 mm Hg.) The
hemoglobin is within normal limits (WNL) for both
males and females. The chloride and sodium results
are also WNL.
9. A nurse is teaching a group of adults C
about modifiable cardiac risk factors. Smoking cessation is the priority for clients at risk
Which of the following should the for cardiac disease. Smoking's effects result in re-
nurse focus on first? duction of cell oxygenation and constriction of the
blood vessels. All of the other factors should be
A. Weight reduction addressed at some point in time.
B. Stress management
C. Smoking cessation
D. Physical exercise
10. The client is admitted to an ambu- B
latory surgery center and undergoes An orchiectomy is the surgical removal of one or
a right inguinal orchiectomy. Which both testicles. It is usually performed to treat cancer
option is the priority before the client (testicular, prostate or cancer of the male breast),
NCSBN Practice Questions 1-15
Study online at https://quizlet.com/_8l1rrp
1. Which individual is at greatest risk for C
the development of hypertension? The incidence of hypertension is greater among
African-Americans than other groups in the United
A. 40 year-old Caucasian nurse States. The incidence among the Hispanic popula-
B. 60 year-old Asian-American shop tion is rising.
owner
C. 45 year-old African-American at-
torney
D. 55 year-old Hispanic teacher
2. A woman, who delivered five days D
ago and who had been diagnosed The woman is at risk for seizure activity. The am-
with pregnancy induced hyperten- bulance needs to bring the woman to the hospital
sion (PIH), calls a hospital triage for evaluation and treatment. For at-risk clients, PIH
nurse hotline to ask for advice. may progress to preeclampsia and eclampsia prior
She states, "I have had the worst to, during, or after delivery; this may occur up to 10
headache for the past two days. It days after delivery.
pounds and by the middle of the af-
ternoon everything I look at looks
wavy. Nothing I have taken helps."
What should the nurse do next?
A. Advise the client to have someone
bring her to the emergency room as
soon as possible
B. Ask the client to explain what she
has taken and how often, and then
evaluate other specific complaints
C. Advise the client that the swings in
her hormones may be the problem;
suggest that she call her health care
provider
, NCSBN Practice Questions 1-15
NCSBN Practice Questions 1-15
Study online at https://quizlet.com/_8l1rrp
D. Ask the client to stay on the line,
get the address, and send an ambu-
lance to the home
3. There's a new medication order that C
reads: "administer 1 gtt ciprofloxacin Abbreviations, symbols and dose designations can
solution OD Q 4 h" What action be misinterpreted and lead to medication errors.
should the nurse take? "OD" can mean "right eye" (oculus dexter) or "once
daily"; it should never be used when communi-
A. Squeeze one drop of the medica- cating medical information. The abbreviation "Q"
tion in the left eye every 4 hours should be written out as "every." Although "gtt" is
B. Apply one drop in the right ear not on the official "Do Not Use List", it's best to
every 4 hours use "drop" instead. Asking other nurses to interpret
C. Call the prescriber to clarify and an order is a potentially dangerous "workaround."
rewrite the order The nurse should call the health care provider who
D. Ask other nurses for their interpre- prescribed the medication and clarify the order.
tation of the order
4. A client expresses anger when a call A
light is not answered within five min- This is the best response because it gives credence
utes. The client demanded a blanket. to the client's feelings and then concerns. To say
How should the nurse respond? "let's talk" and ask a why question is not a thera-
peutic approach because it does not acknowledge
A. "I see this is frustrating for you. I or validate the client's feelings. To apologize and
have a few minutes so let's talk." not notice the client's feelings is inappropriate. To
B. "I am surprised that you are upset. say it could have waited a few minutes is rude and
The request could have waited a few non-accepting of the client's verbalized needs.
more minutes."
C. "Let's talk. Why are you upset
about this?"
D. "I apologize for the delay. I was
involved in an emergency."
, NCSBN Practice Questions 1-15
NCSBN Practice Questions 1-15
Study online at https://quizlet.com/_8l1rrp
5. The clinic nurse is assisting with med- DRGs are the basis of prospective payment plans
ical billing. The nurse uses the DRG for reimbursement for Medicare clients. Other in-
(Diagnosis Related Group) manual surance companies often use it as a standard for
for which purpose? determining payment.
A. Determine reimbursement for a
medical diagnosis
B. Identify findings related to a med-
ical diagnosis
C. Classify nursing diagnoses from
the client's health history
D. Implement nursing care based on
case management protocol
6. A nurse is planning care for a 2 B
year-old hospitalized child. Which is- While a toddler will experience all of the stresses,
sue will produce the most stress at separation from parents is the major stressor. Sep-
this age? aration anxiety peaks in the toddler years.
A. Fear of pain
B. Separation anxiety
C. Loss of control
D. Bodily injury
7. The nurse receives a client from the B
post anesthesia care unit following Although the inability to palpate the left pedal pulse,
a left femoral-popliteal bypass graft a cool extremity, and increased pain in the left
procedure. Which of the following as- lower leg are important findings, they all require
sessments requires immediate notifi- additional nursing assessment prior to contacting
cation of the health care provider? the health care provider. In clients without palpa-
ble pedal pulses, the next step in the assessment
A. Left foot is cool to the touch is to perform a Doppler analysis. The inability to
B. Absent left pedal pulse using
, NCSBN Practice Questions 1-15
NCSBN Practice Questions 1-15
Study online at https://quizlet.com/_8l1rrp
Doppler analysis locate the left pedal pulse using the Doppler analy-
C. Inability to palpate the left pedal sis requires immediately notifying the health care
pulse provider.
D. Acute pain in the left lower leg
8. A
The nurse is reviewing the laborato-
Metabolic acidosis can be caused by many condi-
ry results for several clients. Which
tions, including renal failure, shock, severe diarrhea,
of the laboratory result indicates a
dehydration, diabetic acidosis, and salicylate poi-
client with partly compensated meta-
bolic acidosis? soning. With metabolic acidosis, you should expect
a low pH (less than 7.35) and a low HCO3 (less
A. PaCO2 30 mm Hg than 22 mEq/L.) Compensation means the body is
B. Hemoglobin 15 g/dL (150 g//L) trying to get the pH back in balance; therefore, a
C. Sodium 130 mEq/L (130 mmol/L) pure metabolic acidosis should elicit a compensato-
D. Chloride 100 mEq/L (100 mmol/L) ry decrease in PaCO3 (normal is 35-45 mm Hg.) The
hemoglobin is within normal limits (WNL) for both
males and females. The chloride and sodium results
are also WNL.
9. A nurse is teaching a group of adults C
about modifiable cardiac risk factors. Smoking cessation is the priority for clients at risk
Which of the following should the for cardiac disease. Smoking's effects result in re-
nurse focus on first? duction of cell oxygenation and constriction of the
blood vessels. All of the other factors should be
A. Weight reduction addressed at some point in time.
B. Stress management
C. Smoking cessation
D. Physical exercise
10. The client is admitted to an ambu- B
latory surgery center and undergoes An orchiectomy is the surgical removal of one or
a right inguinal orchiectomy. Which both testicles. It is usually performed to treat cancer
option is the priority before the client (testicular, prostate or cancer of the male breast),
