NCSBN Practice Questions 76-90 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

NCSBN Practice Questions 76-90 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A nurse enters a room and finds a client lying on the floor. What is the nurse’s first action? a. Ask what happened b. Assess the client for injury c. Notify the provider d. Document the incident **Rationale:** Safety and assessment come first after a fall. A client with heart failure reports increased shortness of breath and swelling in legs. What should the nurse do first? a. Assess lung sounds and oxygen saturation b. Notify the healthcare provider c. Reposition the client in bed d. Measure daily weight **Rationale:** Assessment directs immediate care in worsening heart failure. 2 A nurse is teaching a client how to use a metered-dose inhaler. Which action by the client indicates understanding? a. Exhales immediately after inhaling b. Holds breath for 10 seconds after inhalation c. Uses inhaler while lying down d. Shakes inhaler after each puff **Rationale:** Holding breath allows medication absorption. A nurse finds a client’s urinary catheter disconnected from the drainage bag. What should the nurse do first? a. Replace with a new sterile catheter connection b. Reconnect the tubing immediately c. Flush the catheter with saline d. Call the provider **Rationale:** Maintaining sterility prevents infection. A nurse prepares to administer oral medication. Which step ensures safe administration? a. Crush all tablets together 3 b. Verify the client’s identity with two identifiers c. Ask a family member to confirm the client’s name d. Administer without gloves **Rationale:** Verification prevents medication errors. A client complains of itching after receiving an antibiotic. What is the nurse’s first action? a. Assess for rash or difficulty breathing b. Stop the medication c. Administer antihistamine d. Notify provider **Rationale:** Assessment confirms severity of allergic reaction. A client’s oxygen saturation is 84% on room air. What should the nurse do next? a. Encourage deep breathing b. Apply oxygen and assess airway c. Document findings d. Notify family **Rationale:** Low oxygen requires immediate intervention. 4 A nurse is providing discharge teaching about warfarin. Which statement indicates correct understanding? a. “I’ll avoid eating large amounts of green leafy vegetables.” b. “I’ll take double doses if I miss one.” c. “I can stop the medication once I feel better.” d. “I don’t need regular blood tests.” **Rationale:** Vitamin K affects warfarin effectiveness. A client scheduled for surgery states, “I don’t understand what the surgeon said.” What should the nurse do? a. Notify the surgeon to clarify information b. Explain the procedure again c. Have the client sign the consent form d. Reassure that it’s routine **Rationale:** Only the provider can obtain informed consent. A client reports feeling faint while ambulating. What should the nurse do first? a. Encourage the client to take deep breaths 5 b. Assist the client to sit or lie down safely c. Obtain blood glucose d. Notify the healthcare provider **Rationale:** Preventing a fall is the priority. A nurse observes that a diabetic client has