NCSBN TEST EXAM 2026 UPDATE QUESTIONS
AND C0RRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
The nurse is providing care for a client diagnosed with sickle cell crisis. Which medication
ordered for pain control should be questioned by the nurse?
Codeine
Fentanyl (Sublimaze)
Meperidine (Demerol)
Morphine sulfate - ANS-Meperidine (Demerol)
Meperidine (Demerol) is NOT recommended in clients with sickle cell disease.
Normeperidine, a metabolite of meperidine, is a central nervous system stimulant that
produces anxiety, tremors, myoclonus, and generalized seizures when it accumulates with
repetitive dosing. Clients with sickle cell disease are particularly at risk for normeperidine-
induced seizures.
A pregnant client asks a nurse about the purpose of a blood test for alpha-fetoprotein (AFP).
What would be the nurse's best response?
,"The results help determine if the baby is growing normally."
"Placental well-being is being evaluated."
"Possible neurological defects may be identified."
"It tells us how far along your pregnancy is." - ANS-"Possible neurological defects may be
identified."
A fetus with neural tube defects loses alpha-fetoprotein (AFP) to the amniotic fluid and hence
the maternal blood. High levels in the blood indicate the possibility of defects such as spina
bifida and meningocele. Further evaluative tests are indicated if a test is positive.
The nurse is collecting data from an adolescent client. Which of the following issues should the
nurse address? (Select all that apply.)
1. '"Where are you currently living?"
2. "How are things going at home?"
3. "Have you decided what you are going to do after high school?" incorrect
4. "Are you currently having conflicts with someone close to you?"
5. "How many sexual partners have you had in the past six months?"
6. "Have you gotten in any trouble lately?" - ANS-1, 2, 4,5
,Several professional organizations have published guidelines aimed at improving and
maintaining health care for adolescents and young adults.
The American Academy of Pediatrics, American Academy of Family Physicians, American
Medical Association and U.S. Preventive Services Task Force have similar guidelines for health
supervision of adolescents.
These guidelines emphasize the need to provide health services to adolescents that meet
their physical and emotional needs.
Bright Futures (American Academy of Pediatrics, 2017) emphasizes that the following issues
should be addressed with adolescents at each health visit:
Physical growth and development (physical and dental health, body image, healthy nutrition,
physical activity)
Social and academic competence (relationships with peers and family, school performance,
interpersonal relationships)
Emotional well-being (mental health, sexuality)
Risk reduction (tobacco, alcohol, other drugs, pregnancy, STIs)
Violence and injury prevention
Closed-ended questions about the client's plans after high school and if they have been in
trouble are non-therapeutic and not appropriate in this situation.
The parent of an 8-month-old infant asks the nurse if the child's language development is
normal for this age. Which sounds should the nurse expect at this age? (Select all that apply.)
Single vowel sounds such as ah, eh and uh
Combining syllables (e.g., "dada")
, Cooing, gurgling and laughing aloud
Imitating sounds
Crying for 1-1 1/2 hours per day - ANS-Combining syllables (e.g., "dada"
Imitating sounds
In the first few weeks of life, crying has a reflexive quality and is mostly related to the child's
physiologic needs. Infants cry for 1-1 1/2 hours per day until up to 3 weeks of age and then build
up to 2 hours and even 4 hours by 6 weeks of age. Crying tends to decrease by 12 weeks.
Normal infant language development milestones:
Around 2 months: Single vowel sounds such as ah, eh and uh
By 3-4 months: Cooing, gurgling and laughing aloud
By 6 months: Imitating sounds and combining syllables (e.g., "dada")
The parent of an 8-month-old infant asks the nurse if the child's language development is
appropriate for this age. Which sounds should the nurse anticipate at this age? Select all that
apply.
1. Cooing, gurgling and laughing aloud
2. Babbles in a rhythm similar to spoken language
3. Vocalizes in response to voices
4. Meaningful words Single vowel sounds such as ah, eh and uh
AND C0RRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
The nurse is providing care for a client diagnosed with sickle cell crisis. Which medication
ordered for pain control should be questioned by the nurse?
Codeine
Fentanyl (Sublimaze)
Meperidine (Demerol)
Morphine sulfate - ANS-Meperidine (Demerol)
Meperidine (Demerol) is NOT recommended in clients with sickle cell disease.
Normeperidine, a metabolite of meperidine, is a central nervous system stimulant that
produces anxiety, tremors, myoclonus, and generalized seizures when it accumulates with
repetitive dosing. Clients with sickle cell disease are particularly at risk for normeperidine-
induced seizures.
A pregnant client asks a nurse about the purpose of a blood test for alpha-fetoprotein (AFP).
What would be the nurse's best response?
,"The results help determine if the baby is growing normally."
"Placental well-being is being evaluated."
"Possible neurological defects may be identified."
"It tells us how far along your pregnancy is." - ANS-"Possible neurological defects may be
identified."
A fetus with neural tube defects loses alpha-fetoprotein (AFP) to the amniotic fluid and hence
the maternal blood. High levels in the blood indicate the possibility of defects such as spina
bifida and meningocele. Further evaluative tests are indicated if a test is positive.
The nurse is collecting data from an adolescent client. Which of the following issues should the
nurse address? (Select all that apply.)
1. '"Where are you currently living?"
2. "How are things going at home?"
3. "Have you decided what you are going to do after high school?" incorrect
4. "Are you currently having conflicts with someone close to you?"
5. "How many sexual partners have you had in the past six months?"
6. "Have you gotten in any trouble lately?" - ANS-1, 2, 4,5
,Several professional organizations have published guidelines aimed at improving and
maintaining health care for adolescents and young adults.
The American Academy of Pediatrics, American Academy of Family Physicians, American
Medical Association and U.S. Preventive Services Task Force have similar guidelines for health
supervision of adolescents.
These guidelines emphasize the need to provide health services to adolescents that meet
their physical and emotional needs.
Bright Futures (American Academy of Pediatrics, 2017) emphasizes that the following issues
should be addressed with adolescents at each health visit:
Physical growth and development (physical and dental health, body image, healthy nutrition,
physical activity)
Social and academic competence (relationships with peers and family, school performance,
interpersonal relationships)
Emotional well-being (mental health, sexuality)
Risk reduction (tobacco, alcohol, other drugs, pregnancy, STIs)
Violence and injury prevention
Closed-ended questions about the client's plans after high school and if they have been in
trouble are non-therapeutic and not appropriate in this situation.
The parent of an 8-month-old infant asks the nurse if the child's language development is
normal for this age. Which sounds should the nurse expect at this age? (Select all that apply.)
Single vowel sounds such as ah, eh and uh
Combining syllables (e.g., "dada")
, Cooing, gurgling and laughing aloud
Imitating sounds
Crying for 1-1 1/2 hours per day - ANS-Combining syllables (e.g., "dada"
Imitating sounds
In the first few weeks of life, crying has a reflexive quality and is mostly related to the child's
physiologic needs. Infants cry for 1-1 1/2 hours per day until up to 3 weeks of age and then build
up to 2 hours and even 4 hours by 6 weeks of age. Crying tends to decrease by 12 weeks.
Normal infant language development milestones:
Around 2 months: Single vowel sounds such as ah, eh and uh
By 3-4 months: Cooing, gurgling and laughing aloud
By 6 months: Imitating sounds and combining syllables (e.g., "dada")
The parent of an 8-month-old infant asks the nurse if the child's language development is
appropriate for this age. Which sounds should the nurse anticipate at this age? Select all that
apply.
1. Cooing, gurgling and laughing aloud
2. Babbles in a rhythm similar to spoken language
3. Vocalizes in response to voices
4. Meaningful words Single vowel sounds such as ah, eh and uh
