1|Page
NCSBN PRACTICE QUESTIONS WITH CORRECT ANSWERS
/ACTUAL VERIFIED QUESTIONS AND ANSWERS ||JUST OUT!!!
The client is diagnosed with cystic fibrosis (CF). The nurse would
expect the client to be treated with oral pancreatic enzymes
and which type of diet?
High fat, high-calorie
Gluten-free, low fiber
Dairy-free
Sodium-restricted - ANSWER-High fat, high-calorie
CF affects the cells that produce mucus, sweat and digestive
juices. Someone with CF needs a high-energy diet that includes
high-fat and high-calorie foods, extra fiber to prevent intestinal
blockage and extra salt (especially during hot weather.) People
with CF are at risk for osteoporosis and need calcium and dairy
products. Someone with celiac disease or with a gluten
intolerance, not CF, needs a gluten-free diet.
,2|Page
A client has a chest tube inserted immediately after surgery for
a left lower lobectomy. During the repositioning of the client
during the first postop check, the nurse notices 75 mL of a dark,
red fluid flowing into the collection chamber of the chest drain
system. What is the appropriate nursing action?
Continue to monitor the rate of drainage
Call the surgeon immediately
Check to see if the client has a type and cross match
Turn the client back to the original position - ANSWER-Continue
to monitor the rate of drainage
It is not unusual for blood to collect in the chest and be
released into the chest drain when the client changes position
this soon after surgery. The dark color of the blood indicates it is
not active bleeding inside of the chest. Sanguinous drainage
should be expected within the initial 24 hours postop,
progressing to serosanguinous and then to a serous type. If the
drainage exceeds 100 mL/hr, the nurse should call the surgeon.
,3|Page
A 67 year-old client is admitted with substernal chest pressure
that radiates to the jaw. The admitting diagnosis is acute
myocardial infarction (MI). What should be the priority nursing
diagnosis for this client during the first 24 hours?
Altered tissue perfusion
Activity intolerance
Anxiety
Risk for fluid volume excess - ANSWER-Altered tissue perfusion
In the immediate post MI period, altered tissue perfusion is
priority, as an area of myocardial tissue has been damaged by a
lack of blood flow and oxygenation. Interventions should be
directed toward promoting tissue perfusion and oxygenation.
The other problems are also relevant, but tissue perfusion is the
priority.
, 4|Page
A client with a diagnosis of methicillin-resistant Staphylococcus
aureus (MRSA) has died. Which type of precautions is
appropriate to use when performing postmortem care?
Contact precautions
Droplet precautions
Compromised host precautions
Airborne precautions - ANSWER-Contact precautions
The resistant bacteria remain alive for up to three days after the
client dies. Therefore, contact precautions must still be used.
The body should also be labeled as MRSA-contaminated so that
the funeral home staff can protect themselves as well. Gown
and gloves are required.
A client who lives in an assisted living facility tells the nurse, "I
am so depressed. Life isn't worth living anymore." What is the
best response by the nurse to the client's statement?
NCSBN PRACTICE QUESTIONS WITH CORRECT ANSWERS
/ACTUAL VERIFIED QUESTIONS AND ANSWERS ||JUST OUT!!!
The client is diagnosed with cystic fibrosis (CF). The nurse would
expect the client to be treated with oral pancreatic enzymes
and which type of diet?
High fat, high-calorie
Gluten-free, low fiber
Dairy-free
Sodium-restricted - ANSWER-High fat, high-calorie
CF affects the cells that produce mucus, sweat and digestive
juices. Someone with CF needs a high-energy diet that includes
high-fat and high-calorie foods, extra fiber to prevent intestinal
blockage and extra salt (especially during hot weather.) People
with CF are at risk for osteoporosis and need calcium and dairy
products. Someone with celiac disease or with a gluten
intolerance, not CF, needs a gluten-free diet.
,2|Page
A client has a chest tube inserted immediately after surgery for
a left lower lobectomy. During the repositioning of the client
during the first postop check, the nurse notices 75 mL of a dark,
red fluid flowing into the collection chamber of the chest drain
system. What is the appropriate nursing action?
Continue to monitor the rate of drainage
Call the surgeon immediately
Check to see if the client has a type and cross match
Turn the client back to the original position - ANSWER-Continue
to monitor the rate of drainage
It is not unusual for blood to collect in the chest and be
released into the chest drain when the client changes position
this soon after surgery. The dark color of the blood indicates it is
not active bleeding inside of the chest. Sanguinous drainage
should be expected within the initial 24 hours postop,
progressing to serosanguinous and then to a serous type. If the
drainage exceeds 100 mL/hr, the nurse should call the surgeon.
,3|Page
A 67 year-old client is admitted with substernal chest pressure
that radiates to the jaw. The admitting diagnosis is acute
myocardial infarction (MI). What should be the priority nursing
diagnosis for this client during the first 24 hours?
Altered tissue perfusion
Activity intolerance
Anxiety
Risk for fluid volume excess - ANSWER-Altered tissue perfusion
In the immediate post MI period, altered tissue perfusion is
priority, as an area of myocardial tissue has been damaged by a
lack of blood flow and oxygenation. Interventions should be
directed toward promoting tissue perfusion and oxygenation.
The other problems are also relevant, but tissue perfusion is the
priority.
, 4|Page
A client with a diagnosis of methicillin-resistant Staphylococcus
aureus (MRSA) has died. Which type of precautions is
appropriate to use when performing postmortem care?
Contact precautions
Droplet precautions
Compromised host precautions
Airborne precautions - ANSWER-Contact precautions
The resistant bacteria remain alive for up to three days after the
client dies. Therefore, contact precautions must still be used.
The body should also be labeled as MRSA-contaminated so that
the funeral home staff can protect themselves as well. Gown
and gloves are required.
A client who lives in an assisted living facility tells the nurse, "I
am so depressed. Life isn't worth living anymore." What is the
best response by the nurse to the client's statement?
