NCSBN PRACTICE QUESTIONS 76-90 / WITH DETAILED VERIFIED SOLUTIO
/ A+ GRADE ASSURED / NEWEST 2025/2026
1. An 18 month-old weighing 22 300
pounds is admitted to the pe- Using ratio proportion:First, convert 22 pounds to kilograms
diatric unit with a diagnosis (22/2.2) = 10 kg20 mL/kg = 20 x 10 kg = 200 mL200 mL/40
of dehydration. A replacement minutes = x mL/60 minutes (in an hour)200 x 60 = 12000/40
bolus of normal saline at 20 = 300 mL/hrUsing dimensional analysis:20 mL/kg x 1 kg/2.2
mL/kg is ordered to be admin- lb x 22 lb x 60 min/hr x 1/40 min = 300 mL/hr
istered intravenously over 40
minutes.
In mL/hour, what will be the
setting for the IV delivery sys-
tem?
2. The mother of a 2 month-old A
baby calls a pediatrician's DTaP immunization is a vaccine that protects against dipthe-
nurse two days after the first ria, tetanus and pertussis (whooping cough). The majority of
DTaP, inactivated polio vac- reactions described in this question occur with the admin-
cine (IPV), Hepatitis B and istration of the DTaP vaccination. Contraindications to giving
Haemophilus influenzae type repeat DTaP immunizations include the occurrence of severe
B (HIB) immunizations. She side effects after a previous dose, as well as signs of en-
reports that the baby feels cephalopathy within seven days of the immunization.
very warm, cries inconsolably
for as long as three hours,
and has had several shak-
ing spells. Which immuniza-
tion would the nurse expect to
be primarily responsible with
these findings?
A. DTaP
B. IPV
, NCSBN PRACTICE QUESTIONS 76-90 / WITH DETAILED VERIFIED SOLUTIO
/ A+ GRADE ASSURED / NEWEST 2025/2026
C. Hepatitis B
D. HIB
3. A client diagnosed with angi- D
na has been instructed about Clients must understand that just one sublingual tablet should
the use of sublingual nitroglyc- be taken at a time and placed under the tongue. After rest and
erin. Which statement made a five-minute interval, a second and then eventually a third
by the client is incorrect and tablet may be necessary.
indicates a need for further
teaching?
A. "I'll call the health care
provider if pain continues af-
ter three tablets five minutes
apart."
B. "I will rest briefly right after
taking one tablet."
C. "I understand that the med-
ication should be kept in the
dark bottle."
D. "I can swallow two or three
tablets at once if I have severe
pain."
4. The nurse is working with C
victims of domestic abuse. Signs of domestic violence or emotional abuse may not be
The nurse should understand clearly manifested and include many series of a minor com-
which of these factors is a rea- plaints such as headache, abdominal pain, insomnia, back
son why domestic violence or pain and dizziness. These may be covert indications of violence
emotional abuse remains ex- or abuse that go undetected. These complaints may be vague
tensively undetected?
, NCSBN PRACTICE QUESTIONS 76-90 / WITH DETAILED VERIFIED SOLUTIO
/ A+ GRADE ASSURED / NEWEST 2025/2026
A. The expenses due to police and reflect ambivalence about the disclosure of any violence
and court costs are prohibi- or abuse.
tive
B. Little knowledge is known
about batterers and battering
relationships
C. There are typically many
series of minor, vague com-
plaints
D. Few people who have been
battered seek medical care
5. The nurse is obtaining an aero- B
bic wound culture from a client After removing the dressing and performing hand hygiene,
with stage two pressure in- the wound needs to be irrigated to remove surface pathogens
jury. The nurse first removes a before the nurse can obtain a wound culture. Cultures are not
gauze dressing and observes a obtained from wound exudate on the dressing or wounds that
moderate amount of purulent have not been irrigated since the exudate may be contami-
drainage on the dressing and nated with normal skin flora.
then the nurse performs hand
hygiene. What is the next cor-
rect step in the procedure?
A. Swab the gauze dressing
that was removed from the
wound
B. Irrigate the wound with nor-
mal saline
C. Obtain a culture by rotat-
ing a sterile swab in the open
wound
, NCSBN PRACTICE QUESTIONS 76-90 / WITH DETAILED VERIFIED SOLUTIO
/ A+ GRADE ASSURED / NEWEST 2025/2026
D. Remove wound exudate
from the wound edges with a
cotton tip applicator
6. The nurse is caring for a client A
who is experiencing fright- Encouragement of a family member or a close friend to stay
ening hallucinations that are with the client in a quiet surrounding cannot only help in-
markedly increased at night. crease orientation, but can also minimize confusion and anx-
The client's partner asks to iety. The visitor could also report to the nurse any unusual
stay a few hours beyond the findings of the client. This would be the most supportive
visiting time, in the client's pri- approach for this client.
vate room. What would be the
best response by the nurse?
A. "Yes, staying with the client
and orienting the client to the
surroundings may decrease
any anxiety."
B. "No, your presence may
cause the client to become
more anxious."
C. "No, it would be best if you
brought the client some read-
ing material that the client
could read at night."
D. "Yes, would you like to
spend the night when the
client's behavior indicates that
the client is or will be fright-
ened?"
/ A+ GRADE ASSURED / NEWEST 2025/2026
1. An 18 month-old weighing 22 300
pounds is admitted to the pe- Using ratio proportion:First, convert 22 pounds to kilograms
diatric unit with a diagnosis (22/2.2) = 10 kg20 mL/kg = 20 x 10 kg = 200 mL200 mL/40
of dehydration. A replacement minutes = x mL/60 minutes (in an hour)200 x 60 = 12000/40
bolus of normal saline at 20 = 300 mL/hrUsing dimensional analysis:20 mL/kg x 1 kg/2.2
mL/kg is ordered to be admin- lb x 22 lb x 60 min/hr x 1/40 min = 300 mL/hr
istered intravenously over 40
minutes.
In mL/hour, what will be the
setting for the IV delivery sys-
tem?
2. The mother of a 2 month-old A
baby calls a pediatrician's DTaP immunization is a vaccine that protects against dipthe-
nurse two days after the first ria, tetanus and pertussis (whooping cough). The majority of
DTaP, inactivated polio vac- reactions described in this question occur with the admin-
cine (IPV), Hepatitis B and istration of the DTaP vaccination. Contraindications to giving
Haemophilus influenzae type repeat DTaP immunizations include the occurrence of severe
B (HIB) immunizations. She side effects after a previous dose, as well as signs of en-
reports that the baby feels cephalopathy within seven days of the immunization.
very warm, cries inconsolably
for as long as three hours,
and has had several shak-
ing spells. Which immuniza-
tion would the nurse expect to
be primarily responsible with
these findings?
A. DTaP
B. IPV
, NCSBN PRACTICE QUESTIONS 76-90 / WITH DETAILED VERIFIED SOLUTIO
/ A+ GRADE ASSURED / NEWEST 2025/2026
C. Hepatitis B
D. HIB
3. A client diagnosed with angi- D
na has been instructed about Clients must understand that just one sublingual tablet should
the use of sublingual nitroglyc- be taken at a time and placed under the tongue. After rest and
erin. Which statement made a five-minute interval, a second and then eventually a third
by the client is incorrect and tablet may be necessary.
indicates a need for further
teaching?
A. "I'll call the health care
provider if pain continues af-
ter three tablets five minutes
apart."
B. "I will rest briefly right after
taking one tablet."
C. "I understand that the med-
ication should be kept in the
dark bottle."
D. "I can swallow two or three
tablets at once if I have severe
pain."
4. The nurse is working with C
victims of domestic abuse. Signs of domestic violence or emotional abuse may not be
The nurse should understand clearly manifested and include many series of a minor com-
which of these factors is a rea- plaints such as headache, abdominal pain, insomnia, back
son why domestic violence or pain and dizziness. These may be covert indications of violence
emotional abuse remains ex- or abuse that go undetected. These complaints may be vague
tensively undetected?
, NCSBN PRACTICE QUESTIONS 76-90 / WITH DETAILED VERIFIED SOLUTIO
/ A+ GRADE ASSURED / NEWEST 2025/2026
A. The expenses due to police and reflect ambivalence about the disclosure of any violence
and court costs are prohibi- or abuse.
tive
B. Little knowledge is known
about batterers and battering
relationships
C. There are typically many
series of minor, vague com-
plaints
D. Few people who have been
battered seek medical care
5. The nurse is obtaining an aero- B
bic wound culture from a client After removing the dressing and performing hand hygiene,
with stage two pressure in- the wound needs to be irrigated to remove surface pathogens
jury. The nurse first removes a before the nurse can obtain a wound culture. Cultures are not
gauze dressing and observes a obtained from wound exudate on the dressing or wounds that
moderate amount of purulent have not been irrigated since the exudate may be contami-
drainage on the dressing and nated with normal skin flora.
then the nurse performs hand
hygiene. What is the next cor-
rect step in the procedure?
A. Swab the gauze dressing
that was removed from the
wound
B. Irrigate the wound with nor-
mal saline
C. Obtain a culture by rotat-
ing a sterile swab in the open
wound
, NCSBN PRACTICE QUESTIONS 76-90 / WITH DETAILED VERIFIED SOLUTIO
/ A+ GRADE ASSURED / NEWEST 2025/2026
D. Remove wound exudate
from the wound edges with a
cotton tip applicator
6. The nurse is caring for a client A
who is experiencing fright- Encouragement of a family member or a close friend to stay
ening hallucinations that are with the client in a quiet surrounding cannot only help in-
markedly increased at night. crease orientation, but can also minimize confusion and anx-
The client's partner asks to iety. The visitor could also report to the nurse any unusual
stay a few hours beyond the findings of the client. This would be the most supportive
visiting time, in the client's pri- approach for this client.
vate room. What would be the
best response by the nurse?
A. "Yes, staying with the client
and orienting the client to the
surroundings may decrease
any anxiety."
B. "No, your presence may
cause the client to become
more anxious."
C. "No, it would be best if you
brought the client some read-
ing material that the client
could read at night."
D. "Yes, would you like to
spend the night when the
client's behavior indicates that
the client is or will be fright-
ened?"
