NCSBN Practice Exam Questions and
Answers538
Wearing a tamper proof safety device reduces the risk of abduction. The sensor shows the
location of the infant and the security system can activate other devices (such as cameras, door
locks, public address systems, sirens, and other alarms) in the event of an attempted abduction
Restraints can be ordered prn by health care providers
True or False - ANSWERS-False
HCP are required to specify duration and circumstances for which restraints are required and for
how they should be used. Nurses and HCPs must frequently monitor patients to reassess for the
continued need for restraints.
Sensor pads may be used on beds of individuals who are a fall risk
True or False - ANSWERS-True
Bed alarms and sensor pads can be used to alert caregivers when a patient is attempting to get
up from a bed or chair, especially for a patient that is at risk for a fall. This is an effective
alternative to the use of restraintts
The 3 elements of radiation protection are time, duration, and shielding
True or False - ANSWERS-True
The farther away people are from a radiation source, the less their exposure; as a rule, if you
double the distance, you reduce the exposure by a factor of four. The amount of radiation
exposure typically increases with the time people spend near the source of radiation
,You should quickly remove contaminated clothing by pulling it over your head
True or False - ANSWERS-False
Contaminated clothing should never be removed quickly, but it should be cut off instead of
pulled over your head. place contaminated clothing inside a plastic bag, seal the bag, and then
place inside another plastic bag
Standard precautions also includes respiratory/cough etiquette
True or False - ANSWERS-True
Standard precautions are used to reduce the risk of transmission of bloodborne and other
pathogens from both recognized and unrecognized sources. Respiratory hygiene/cough
etiquette is now considered part of standard precautions
The nurse is making patient room assignments. In order to minimize the risk of a hospital
acquired infection, which of these children would be the most appropriate roommate for a 3-
year-old child diagnosed with minimal change disease
a. 3 year old with fracture, with a sibling that has Fifth disease
b. 2 year old diagnosed with respiratory infection
c. 6 year old with sickle cell disease experiencing vaso-occlusive crisis
d. 4 year old with bilateral inguinal hernia repair - ANSWERS-d. 4 year old with bilateral inguinal
hernia repair
Minimal change disease is a kidney disorder that can lead to nephrotic syndrome.
Corticosteroids can cure the disease in most children but cytotoxic therapy and other drugs may
be needed, but this treatment can reduce the child's ability to fight infection. The charge nurse
must select a roommate who does not have an infection, which is the child child who had
,surgery. The sickle cell crisis may have triggered an infection. The child's sibling who has a viral
disease has the potential to develop an infection.
The nurse is setting up a patient's dinner tray. When the nurse turns her back to the patient, the
patient grabs the nurse's buttocks and states that he is hungry for much more than dinner.
Which of the following response by the nurse is indicated?
a. ignore the behavior
b. call the HCP
c. quickly leave the room and ask UAP to assist the patient
d. complete an incident report - ANSWERS-d. complete an incident report
To keep the therapeutic relationship intact, a nurse needs to set limits on appropriate behavior
and not ignore bad behavior. Sexual harassment is a form of violence and is never part of the
job. The nurse should report the incident to her supervisor and complete an incident report.
The nurse has the right to ask not to be assigned to this patient.
The paramedics are transporting a poisoning victim to the local hospital. In which of these cases
does the nurse anticipate that hyperbaric O2 therapy will be used?
a. 6yo found sitting on bathroom floor beside an empty bottle of diazepam
b. 21 yo with suspected ethanol intoxication
c. 35 yo found unconscious with suspected CO poisoning
2 yo who ate an undetermined amount of crystal drain cleaner - ANSWERS-c. 35 yo found
unconscious with suspected CO poisoning
CO poisoning is the leading cause of poisoning in the US. It causes severe hypoxia which is why
treatment includes high-dose oxygen. In severe poisoning, hyperbaric O2 therapy may be used.
, Treatment for:
-crystal drain cleaner and diazepam may include gastric lavage and/or activated charcoal
-alcohol intoxication may include gastric lavage, IV fluids, and supportive care
A neonate is having difficulty maintaining a temperature above 98F and is placed in an infant
warming system. Which of the following actions will ensure the safety of the neonate?
a. monitor temperature continuously
b. avoid touching neonate with cold hands
c. warm all medications and liquids before administration
d. wrap the neonate snugly in a cotton blanket - ANSWERS-a. monitor temperature continuously
When using the warming device, the neonate's temperature should be continuously monitored
using a probe that securely attached to the skin. Monitoring the neonate's temperature is the
priority safety concern because the skin burns, permanent brain damage or even death can
result due to improper use or monitoring of equipment. No clothing or swaddling is needed in
the IWS; usually babies are dressed only in a diaper (although bubble wrap blankets or plastic
wrap blankets can be used to minimize heat loss in high risk newborns). For healthy term
newborns, nurses should warm their hands and stethoscopes prior to contact with the baby.
A nurse is conducting a community-wide seminar on childhood safety issues. Which of these
children is at the highest risk for poisoning
a. 20 month old who has just learned to climb the stairs
b. 10 yo who occassionally stays at home unattended
c. 15 yo who likes to repair bicycles
d. 9 month old who stays with a sitter 5 days a week - ANSWERS-a. 20 month old who has just
learned to climb the stairs
Answers538
Wearing a tamper proof safety device reduces the risk of abduction. The sensor shows the
location of the infant and the security system can activate other devices (such as cameras, door
locks, public address systems, sirens, and other alarms) in the event of an attempted abduction
Restraints can be ordered prn by health care providers
True or False - ANSWERS-False
HCP are required to specify duration and circumstances for which restraints are required and for
how they should be used. Nurses and HCPs must frequently monitor patients to reassess for the
continued need for restraints.
Sensor pads may be used on beds of individuals who are a fall risk
True or False - ANSWERS-True
Bed alarms and sensor pads can be used to alert caregivers when a patient is attempting to get
up from a bed or chair, especially for a patient that is at risk for a fall. This is an effective
alternative to the use of restraintts
The 3 elements of radiation protection are time, duration, and shielding
True or False - ANSWERS-True
The farther away people are from a radiation source, the less their exposure; as a rule, if you
double the distance, you reduce the exposure by a factor of four. The amount of radiation
exposure typically increases with the time people spend near the source of radiation
,You should quickly remove contaminated clothing by pulling it over your head
True or False - ANSWERS-False
Contaminated clothing should never be removed quickly, but it should be cut off instead of
pulled over your head. place contaminated clothing inside a plastic bag, seal the bag, and then
place inside another plastic bag
Standard precautions also includes respiratory/cough etiquette
True or False - ANSWERS-True
Standard precautions are used to reduce the risk of transmission of bloodborne and other
pathogens from both recognized and unrecognized sources. Respiratory hygiene/cough
etiquette is now considered part of standard precautions
The nurse is making patient room assignments. In order to minimize the risk of a hospital
acquired infection, which of these children would be the most appropriate roommate for a 3-
year-old child diagnosed with minimal change disease
a. 3 year old with fracture, with a sibling that has Fifth disease
b. 2 year old diagnosed with respiratory infection
c. 6 year old with sickle cell disease experiencing vaso-occlusive crisis
d. 4 year old with bilateral inguinal hernia repair - ANSWERS-d. 4 year old with bilateral inguinal
hernia repair
Minimal change disease is a kidney disorder that can lead to nephrotic syndrome.
Corticosteroids can cure the disease in most children but cytotoxic therapy and other drugs may
be needed, but this treatment can reduce the child's ability to fight infection. The charge nurse
must select a roommate who does not have an infection, which is the child child who had
,surgery. The sickle cell crisis may have triggered an infection. The child's sibling who has a viral
disease has the potential to develop an infection.
The nurse is setting up a patient's dinner tray. When the nurse turns her back to the patient, the
patient grabs the nurse's buttocks and states that he is hungry for much more than dinner.
Which of the following response by the nurse is indicated?
a. ignore the behavior
b. call the HCP
c. quickly leave the room and ask UAP to assist the patient
d. complete an incident report - ANSWERS-d. complete an incident report
To keep the therapeutic relationship intact, a nurse needs to set limits on appropriate behavior
and not ignore bad behavior. Sexual harassment is a form of violence and is never part of the
job. The nurse should report the incident to her supervisor and complete an incident report.
The nurse has the right to ask not to be assigned to this patient.
The paramedics are transporting a poisoning victim to the local hospital. In which of these cases
does the nurse anticipate that hyperbaric O2 therapy will be used?
a. 6yo found sitting on bathroom floor beside an empty bottle of diazepam
b. 21 yo with suspected ethanol intoxication
c. 35 yo found unconscious with suspected CO poisoning
2 yo who ate an undetermined amount of crystal drain cleaner - ANSWERS-c. 35 yo found
unconscious with suspected CO poisoning
CO poisoning is the leading cause of poisoning in the US. It causes severe hypoxia which is why
treatment includes high-dose oxygen. In severe poisoning, hyperbaric O2 therapy may be used.
, Treatment for:
-crystal drain cleaner and diazepam may include gastric lavage and/or activated charcoal
-alcohol intoxication may include gastric lavage, IV fluids, and supportive care
A neonate is having difficulty maintaining a temperature above 98F and is placed in an infant
warming system. Which of the following actions will ensure the safety of the neonate?
a. monitor temperature continuously
b. avoid touching neonate with cold hands
c. warm all medications and liquids before administration
d. wrap the neonate snugly in a cotton blanket - ANSWERS-a. monitor temperature continuously
When using the warming device, the neonate's temperature should be continuously monitored
using a probe that securely attached to the skin. Monitoring the neonate's temperature is the
priority safety concern because the skin burns, permanent brain damage or even death can
result due to improper use or monitoring of equipment. No clothing or swaddling is needed in
the IWS; usually babies are dressed only in a diaper (although bubble wrap blankets or plastic
wrap blankets can be used to minimize heat loss in high risk newborns). For healthy term
newborns, nurses should warm their hands and stethoscopes prior to contact with the baby.
A nurse is conducting a community-wide seminar on childhood safety issues. Which of these
children is at the highest risk for poisoning
a. 20 month old who has just learned to climb the stairs
b. 10 yo who occassionally stays at home unattended
c. 15 yo who likes to repair bicycles
d. 9 month old who stays with a sitter 5 days a week - ANSWERS-a. 20 month old who has just
learned to climb the stairs
